Vasculature of the Head and Neck Flashcards
Which artery is the main blood supply to the head and neck?
The carotid artery
Name the largest carotid artery
The common carotid arteries
Where does the left common carotid artery arise from?
Directly from the aorta
Where does the right common carotid artery arise from?
brachiocephalic trunk which arises from the aorta
Where do the common carotid arteries run?
The common carotid arteries travel upwards on each side of the neck, lateral to the trachea and oesophagus
Where do the common carotid divide?
At around the level of the laryngeal prominence each common carotid divides into two vessels: the internal and external common carotid arteries
Where does the internal common carotid artery travel?
Travel upwards to enter the cranial cavity through the carotid canal in the temporal bone
What does the internal carotid artery supply?
It is the main blood supply to the brain
Which of the two branches of the common carotid has branches?
The external common carotid
Name some of the branches of the external common carotid
superior thyroid lingual facial ascending pharyngeal occipital posterior auricular, maxillary, superficial temporal
Which branch of the external common carotid artery supplies the tongue and floor of the mouth?
The lingual artery
Where does the lingual artery originate?
Originates from the anteromedial surface of the external carotid artery
Where does the lingual nerve travel?
It passes upwards to run medial to the posterior border of the hyoglossus muscle before running horizontally forwards under cover of the same muscle.
Then runs on the undersurface of the tongue to its tip
What happens to the lingual artery while it is in the tongue?
It gives off a number of branches which supply the muscles and mucosa of the tongue, and the floor of the mouth, palatoglossal arch, tonsil, soft palate and epiglottis.
Name some specific structures the lingual nerve supplies
Supplies the muscles and mucosa of the:
- tongue
- the floor of the mouth
- palatoglossal arch
- tonsil
- soft palate
- epiglottis.
Where does the facial artery arise from?
Arises from the external carotid artery a little above the lingual artery
Where does the facial artery run?
- Initially runs medial to the ramus of the mandible
- Then grooves the posterior border of the submandibular salivary gland.
- It then loops around the lower margin of the mandible just anterior to the masseter muscle
- On the face it runs towards the corner of the mouth before running up the side of the nose to the medial aspect of the orbit
Where does the facial after run on the face?
It runs towards the corner of the mouth before running up the side of the nose to the medial aspect of the orbit
Name some branches of the facial artery
- The ascending palatine artery
- The inferior and superior labial arteries
- glandular branches
- tonsilar artery
- submental artery
- Lateral nasal branches.
What does the ascending palatine artery supply?
The soft palate and the upper part of the pharynx as well as the tonsil and auditory tube
What does the auditory tube do?
Connects the middle ear cavity to the nasopharynx
This allows for pressure equalisation
Where does the ascending palatine artery arise from?
Arises close to the origin of the facial artery
What do the inferior and superior labial arteries supply ?
Supply the lower and upper lips respectively
Where does the brachiocephalic trunk arise from?
The aorta
Describe the maxillary artery
It is now of the terminal branches of the external carotid artery
It has around 17 branches
Where does the maxillary artery arise from?
Arises from behind the neck of the mandible
Initially embedded in the parotid
Where does try maxillary artery run?
- Initially it’s embedded in the parotid gland.
- It then runs forwards into the infratemporal fossa, passing either deep or superficial to the lateral pterygoid muscle
- Then turns medially to enter the pterygopalatine fossa.
What can happen if you accidentally insert you needle into the maxillary artery?
As the blood within it is under high pressure, this can cause a very obvious haematoma to form on the side of the patient’s face.
Name the branches of the maxillary artery you need to know
- The inferior alveolar artery
- The posterior superior alveolar artery
- The infraorbital artery
- The greater palatine artery
Where does the inferior alveolar artery run?
- Descends from its origin to enter the mandibular foramen
- Travels within the mandibular canal to the level of the mental foramen
- Branches into mental and incisive branches.
What does the mental branch of the maxillary artery do?
Helps supply blood to the chin
What does the inferior alveolar artery supply?
The mandibular teeth teeth
Where does the posterior superior alveolar artery branch from?
Branches from the maxillary artery in the pterygopalatine fossa
Where does the posterior superior alveolar artery run?
Runs down the posterior surface of the maxilla, dividing into smaller branches
What do the small branches of the posterior superior alveolar artery supply?
Some of them enter the maxilla to supply the molar and premolar teeth and maxillary sinus
Others help to supply the maxillary gingivae
How does the maxillary artery terminate?
by dividing into the:
1. sphenopalatine artery
2. infraorbital artery
Whilst in the pterygopalatine fossa
Where does the maxillary artery terminate?
In the pterygopalatine fossa
Where does the infraorbital artery run?
- Passes under the orbit and onto the face through the infraorbital foramen
- Whilst in the IO canal, it gives off its anterior superior alveolar branches
What happens to the infraorbital artery while it’s in the infraorbital canal?
It gives off its anterior superior alveolar branches