3 Major Blood Vessels of Head and Neck Flashcards

1
Q

List the branches of the external carotid artery:

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A

Some Anatomists Like Freaking Out Poor Medical Students

  • Superior thyroid
  • Ascending pharyngeal
  • Lingual
  • Facial
  • Occipital
  • Posterior auricular
  • Maxillary (terminal)
  • Superficial temporal (terminal)
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2
Q

Where do the right and left common carotid arteries arise from?

A

Left common carotid- aortic trunk

Right common carotid- brachiocephalic trunk

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3
Q

At what level does the common carotid bifurcate?

(Common carotid passes through carotid sheath)

A

C4 (upper margin of thyroid cartilage)

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4
Q

The vertebral artery branches off from the subclavian artery. What course does it take from there?

A
  1. Passes in front of C7
  2. Then enters bony channel created by transverse foramina
  3. Runs intracranially- through foramen magnum
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5
Q

From what artery does the inferior thyroid artery branch off. What is the clinical significance of the inferior thyroid artery during surgery involving the thyroid gland?

A

Branches off the thyrocervical trunk (both thyrocervical trunks branch off subclavian)

Need to be careful not to damage recurrent laryngeal nerve as close to inferior thyroid artery

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6
Q

Where does the external carotid artery supply?

A

External:

  1. Scalp
  2. Face
  3. Neck
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7
Q

Through which canal does the internal carotid artery enter the cranial cavity? (doesn’t give off any branches in the neck)

A

Enters through carotid canal

  • through petrous bone
  • through cavernous sinus
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8
Q

Name 2 arteries which have arisen from the internal carotid but have exited out of the orbit to supply the scalp.

A
  • Supratrochlear
  • Supraorbital

(anastamose with branches from external carotid)

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9
Q

Where would we find the baroreceptors in the carotid artery and therefore where you would do a carotid sinus massage to slow heart rate?

A

At point of bifrucation- slight swelling before internal carotid artery

  • carotid sinus (ie carotid bulb)
  • at C4 level
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10
Q

Useful diagram to show internal carotid artery running through cavernous sinus

A
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11
Q

Fill in the missing labels:

A

Branches of circle of willis supply blood to brain tissue itself

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12
Q

What is the main vein that drains the scalp, face and neck? Which foramen does it arise from?

A

Internal jugular vein

Arises from jugular foramen

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13
Q

Fill in the missing label:

A
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14
Q

Fill in the missing labels:

A
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15
Q

Where does the pterygoid plexus sit?

A
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16
Q

Fill in the missing labels:

A
17
Q

What vein drains the pterygoid plexus into the internal jugular vein?

A

maxillary vein

18
Q

Fill in the missing labels:

(think extracranial branches of external carotid)

A
19
Q

What are the 5 layers that make up the scalp? (pneumonic= SCALP)

A
20
Q

Via what veins might infections of the scalp (extracranially) spread intracranially?

A

Via emissary veins

21
Q

What is the ‘danger triangle’ in the face?

A

Region- high risk of infections tracking intracranially to involve brain

22
Q

The IJV can be used to insert central lines. Why might a patient have a central line put in?

A
  • Monitor central venous pressure
  • Ease of repeated blood sampling
  • Drug administration
  • Temporary haemodialysis