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Anatomyy of Neck PDF
Anatomyy of Neck PDF
Dr. SHASHIKANT
SR, ENT
Development
Triangles
Fascial boundries
Neck spaces
Cervical lymphatics
Muscles
Major vessels
Nerves
Development
Contents
Contents
Muscles – omohyoid
Vessels – occipital, transverse cervical, suprascapular, subclavian
arteries & transverse cervical, suprascapular external jugular
veins.
Nerves – cervical & branchial plexus
Other – lymph nodes
Lateral neck triangle
The boundaries are the posterior border of
the sternocleidomastoid, the anterior
border of the trapezius and the superior
border of the inferior belly of the omohyoid
muscle.
Deep facsia –
superficial layer
middle or visceral layer
deep layer
Superficial cervical fascia
This is a thin layer that invests the platysma
muscle.
The superior fibres insert into the clavicle and acromium and the
inferior fibres from the thoracic vertebrae insert into the spine
of the scapular.
From the anterior surface - the superior thyroid, lingual and facial
arteries, which supply the thyroid, tongue, superficial face and nose.
Carotid branch - to ICA & supply carotid sinus & carotid body
Pharyngeal branch – forms pharyngeal plexus along with vagus &
sympathetic , distributed over mucosa of pharynx
Superior ganglion –
Inferior ganglion –
In jugular foramen :
1. Meningeal – supplies dura of posterior cranial fossa & fibers derived
from sympathetic & upper cervical nerves
2. Auricular – supplying concha & root of auricle, posterior half of
EAC, outer surface of TM
BRANCHES IN HEAD & NECK
In neck :
1. Pharyngeal – contains chiefly the fibers of cranial root of accessory
nerve. Forms pharyngeal plexus distributing to the muscles of
pharynx & soft palate ( except tensor veli palatini )
2. Carotid – supply carotid body & sinus.
Cont..
1. Sternocleidomastoid
11. Trapezius
111.Cervical nerves – proprioceptive to muscles
HYPOGLOSSAL NERVE
Course & distribution –
1. Intranural –
.. fibers pass forwards & lateral to medial longitudinal bundle ,
medial lemniscus , pyramidal tract & medial to reticular formation
& olivary nucleus