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Deep fascia of neck

Dr Mohd Imran ANATOMY JNMC AMU


Deep Cervical Fascia
(=Fascia Colli)
• Forms various fascial spaces in the neck
• Provides capsules to the glands and
invests the muscles in the region
• Forms protective sheaths around
neurovascular structures
• Layers of deep cervical fascia form
fascial planes to direct the spread of
infection or pus in the neck

Dr Mohd Imran ANATOMY JNMC AMU


Investing layer

Dr Mohd Imran ANATOMY JNMC AMU


Investing layer

Dr Mohd Imran ANATOMY JNMC AMU


Investing layer

Dr Mohd Imran ANATOMY JNMC AMU


Investing layer

Dr Mohd Imran ANATOMY JNMC AMU


Pretracheal layer

Dr Mohd Imran ANATOMY JNMC AMU


Pretracheal layer

Dr Mohd Imran ANATOMY JNMC AMU


Pretracheal layer

Dr Mohd Imran ANATOMY JNMC AMU


• Attachment of Pretracheal layer
pretracheal
fascia to hyoid
bone and
thyroid and
cricoid
cartilages
allows the
thyroid gland
to move up and
down with the
larynx during
swallowing

Dr Mohd Imran ANATOMY JNMC AMU


Prevertebral layer

Dr Mohd Imran ANATOMY JNMC AMU


Prevertebral layer

Dr Mohd Imran ANATOMY JNMC AMU


Retropharyngeal space

Dr Mohd Imran ANATOMY JNMC AMU


Retropharyngeal
abscess

• Due to involvement of retropharyngeal


lymph nodes produces paramedian bulge
in the posterior pharyngeal wall

• Buccopharyngeal fascia is fused to the


prevertebral fascia in the median plane

Dr Mohd Imran ANATOMY JNMC AMU


Tuberculosis

• Tubercular caries of cervical vertebra


produce abscess in the prevertebral
space

• Midline swelling in the posterior


pharyngeal wall
Dr Mohd Imran ANATOMY JNMC AMU
Prevertebral layer

Dr Mohd Imran ANATOMY JNMC AMU


Carotid sheath

Dr Mohd Imran ANATOMY JNMC AMU

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