Anterior median region

of neck

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Symphysis
menti

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Fibrous
raphe

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 Hyoid
bone

C3 vertebra

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 Median
thyrohyoid
ligament
• Midline
thickening
of the
thyrohyoid
membrane

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 Upper
border
of the
thyroid
cartilage

C4 vertebra

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 Angle
of the
thyroid
cartilage

• forms the
laryngeal
prominence

• which is more prominent in adult males

and is called Adam’s apple
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 Median
crico-
thyroid
ligament

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 Cricoid
cartilage

C6 vertebra

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 First
tracheal
ring

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Isthmus
of the
thyroid
gland

2nd, 3rd and

4th tracheal
rings

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Inferior
thyroid
veins

• 5th, 6th
and 7th
tracheal
rings

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Jugular
venous
arch

• connects the anterior jugular veins

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Supra-
sternal
notch

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 Most common anterior midline
swellings of the neck are:

1. Enlarged submental lymph nodes

2. Thyroglossal cyst
3. Goitre

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 Tracheostomy
• Life-saving surgical procedure done in
cases of laryngeal obstruction
• Most commonly done in the retrothyroid
region after displacing the isthmus of
the thyroid gland upwards or downwards

• Vertical incision- circular opening

• Tracheostomy tube is inserted
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 Cut-throat wounds
• Most commonly observed just above or
below the hyoid bone
• Main vessels of the neck, viz. common
carotid, internal and external carotid
arteries and internal jugular vein, usually
escape the injury as they are automatically
pushed backwards to the deeper plane,
when neck is inadvertently extended by
the culprit, before being cut

Dr Mohd Imran ANATOMY JNMC AMU