Anatomy of the Neck Flashcards
(43 cards)
What are in the Neck?
- Muscles
- Spinal cord
- Vertebra
- Common carotid artery
- Internal jugular vein
- Esophagus
- Thyroid gland
- Trachea
What are the Fascia of the Neck?
Deep cervical fascia
* Prevertebral layer
* Carotid sheath
* Pretracheal layer
* Investing layer
Superficial cervical fascia
What are the Bones of the Neck?
- Mastoid process
- Certival vertebrae (C1-C7)
- Clavicle
- Manubrium
- Trachea
- Cricoid cartilage
- Thyroid cartilage
- Hyoid
- Mandible
What are the parts of the hyoid?
- Body of hyoid
- Lesser horn (smaller)
- Greater horn (larger)
What is apart of the Cervical Vertebrae?
- Bifurcated spinous process
- Vertebral foramen - houses spinal cord
- Body
- Transverse foramen
- Atlas
- Dens
- Axis
What are the Atlanto-occipital & Atlanto-axial Joints?
Atlanto-occipital joint
* Nod head
Atlanto-axial joint
* Shake head
(diff. bones on slide 6)
What is the Prevertebral Layer of Deep Cervical Fascia?
- Encloses vertebrae and deep neck/back muscles
3 muscles:
- Anterior: longus colli and longus capitis
- Lateral: ANTERIOR, MIDDLE and POSTERIOR SCALENE MUSCLES
- Posterior: deep cervical muscles
What are the Scalene Muscles?
- Transverse processes of cervical vertebrae to 1st and 2nd ribs
Innervation:
* Anterior rami of
C4-C8
Action:
* Flexion of the neck
* Elevates ribs in forced inspiration
(anterior, middle & posterior scalene)
What is the Carotid Sheath of the Deep Cervical Fascia?
- Vagus Nerve
- Internal jugular vein
- Common carotid artery
What are the Carotid Arteries?
- External carotid artery
- Internal carotid artery
- Common carotid artery
Carotid sinus and carotid body are innervated by carotid sinus nerve (CN __)
IX (glossopharyngeal)
* Detect blood pressure and oxygen level
What is Internal Jugular Vein Puncture?
in carotid sheath
central line - where a lot of medication can go into & can check BP etc.
What is the Vagus Nerve?
Supplies parasympathetic innervation to most organs in the thorax and abdomen
What does the Vagus Nerve do IN THE NECK?
- General sensory from
pharynx and larynx - Somatic motor to pharynx and intrinsic laryngeal muscles
What is the Pretracheal Layer of Deep Cervical Fascia?
Includes:
- Infrahyoid muscles
- Respiratory organs
- Larynx
- Trachea
- Alimentary organs
- Pharynx
- Esophagus
- Endocrine organs
- Thyroid gland
- Parathyroid glands
What are the main parts of the Pharynx?
- Uvula
- Epiglottis
- Pharyngoesphageal junction
What is the Larynx?
- Connects the inferior pharynx to the trachea
- C3-6 vertebral levels
Functions:
* Protects airway
* Phonation (where air voice originates from)
* Directs food and air into esophagus and trachea, respectively
What is the Laryngeal Cartilages (paired & unpaired)?
Paired:
- Corniculate cartilage
- Arytenoid cartilage (hold onto vocal cords)
- Vocal cord
Unpaired:
- Epiglottis
- Thyrohyoid membrane
- Thyroid cartilage (means shield)
- Cricothyroid membrane (used if need to get air)
- Cricoid cartilage
What are the Laryngeal Folds?
VESTIBULAR FOLD (FALSE vocal cord)
* Does not contribute to sound production
* Protection of vocal fold
VOCAL FOLD (TRUE vocal cord)
* Contains vocal ligament and vocalis muscle
* Intrinsic laryngeal muscles change position and tension of vocal folds to produce sounds (phonation)
What is Phonation?
Abduction of vocal folds
Adduction of vocal folds
(intrinsic laryngeal: move vocal cords to make diff. sounds)
Describe the Innervation of the Larynx
Superior laryngeal nerve
* Arises from vagus nerve
* Motor to cricothyroid muscle
* Sensory from mucosa above vocal fold
Recurrent laryngeal nerve (disappeared in thorax & came back out)
* A branch of vagus nerve
* Motor to the other intrinsic muscles
* Sensory from mucosa below vocal fold
What is the Thyroid Gland?
- Largest endocrine gland
- Posterior to infrahyoid
muscles at C5-T1 levels
What are the functions of the Thyroid Gland?
- Regulates metabolic rate via thyroid hormones (T3 & T4)
- Regulates blood calcium via calcitonin
What is the Thyroid Vasculature?
- External carotid a.
- Superior thyroid a. (branch of external carotid a.)
- Common carotid a.
- Inferior thyroid a. (branch of thyrocervical trunk)
- Superior thyroid v. (drains into internal jugular v.)
- Internal Jugular v. (drain thyroid gland & others)
- Middle thyroid v. (drains into internal jugular v.)
- Inferior thyroid v. (drains into brachiocephalic v.)
- Brachiocephalic v.