Deep Cervical Fascia

Question 1

Components of Deep Cervical Fascia?

Answer 1

Investing Layer
Pre-Tracheal Layer
Pre-Vertebral Layer
Carotid Sheath

Question 2

Investing Layer
Also called …

Answer 2

Superficial Layer

Question 3

Investing Layer
Location

Answer 3

Surround Neck
Deep to Skin, Superficial Fascia and Platysma

Question 4

Investing Layer
Anterior Attachments

Answer 4

Symphysis Menti of Mandible
Hyoid Bone

Question 5

Investing Layer
Posterior Attachments

Answer 5

Spine of Cervical Vertebra 7
Ligamentum Nuchae

Question 6

Investing Layer
Superior Attachments

Answer 6

External Occipital Protuberance
Superior Nuchal Line
Mastoid Process
Base of Mandible

Question 7

Investing Layer
Inferior Attachments

Answer 7

Spine of Scapula
Acromion Process
Clavicle
Manubrium Sterni

Question 8

Investing Layer
Followed Horizontally

Between Anterior and Posterior Attachments

Answer 8

Splits to enclose Sternomastoid and Trapezius
Forms Roof of Anterior and Posterior Triangles

Question 9

Investing Layer
Followed Superiorly

Answer 9

Splits to enclose Parotid and Submandibular Glands
Condenses to form Stylomandibular Ligament

Question 10

Investing Layer
Followed Inferiorly

Answer 10

Above Clavicle: Encloses Inferior Belly of Omohyoid
Above Sternum: Encloses Lower End of Anterior Jugular Vein

Question 11

Pretracheal Fascia
Also called …

Answer 11

Middle Layer

Question 12

Pretracheal Fascia
Location

Answer 12

Deep to Infrahyoid
Anterior to Visceral Compartment of Neck (containing Trachea and Esophagus)

Question 13

Pretracheal Fascia
Horizontal Pathway

Answer 13

Extends from Front of one Carotid Sheath to Opposite Carotid Sheath
Splits of enclose Thyroid Gland

Question 14

Pretracheal Fascia
Ligament of Berry …

Answer 14

… binds Thyroid Gland to Larynx

Question 15

Pretracheal Fascia
Function of Ligament of Berry

Answer 15

Prevents Thyroid from Slipping into Thorax
Causes Thyroid Gland to move up and down with Deglutition

Question 16

Pretracheal Fascia
Where is the Buccopharyngeal Fascia?

Answer 16

Posterior to the Thyroid Gland

The Buccopharyngeal Fascia is weak

Question 17

Pretracheal Fascia
Thyroid Swelling of Buccopharyngeal Fascia causes …

Answer 17

compression of Esophagus and Trachea

Question 18

Pretracheal Fascia
Vertical Pathway

Answer 18

Superior: Attached to Hyoid Bone, Oblique Line of Thyroid Cartilage and Cricoid Cartilage
Inferior: Passes in front of Trachea to blend with Arch of Aorta

Question 19

Prevertebral Fascia
Also called …

Answer 19

Deep Layer

Question 20

Prevertebral Fascia
What structures does the Prevertebral Fascia form?

Answer 20

Tubular Sheath: Covers Vertebral Column and its Muscles
Floor of Posterior Triangle

Question 21

Prevertebral Fascia
Location

Answer 21

Anterior to Prevertebral Muscles
Posterior to Visceral Compartment of Neck

Question 22

Prevertebral Fascia
Anterior Extension is called …

Answer 22

Alar Fascia

Question 23

Prevertebral Fascia
Vertical Extent

Answer 23

From Base of Skull to Superior Mediastinum where it blends with T3

Question 24

Prevertebral Fascia
Retropharyngeal Space location

Answer 24

Between Buccopharyngeal Fascia Anteriorly and Alar Fascia Posteriorly

Question 25

**Prevertebral Fascia** How is the Retropharyngeal Space sealed inferiorly?

Answer 25

Fasciae sealed together at Level of T2 ## Footnote Prevents downward spread of Abcess

Question 26

**Prevertebral Fascia** What causes Abcess of Retropharyngeal Space?

Answer 26

Transferred infection from Ear or Sinus

Question 27

**Prevertebral Fascia** What does Abcess of Retropharyngeal Space cause?

Answer 27

Stridor due to Compression of Trachea

Question 28

**Prevertebral Fascia** Danger Space location

Answer 28

Loose Connective Tissue between Alar Fascia and Prevertebral Fascia Extends to T12 and Diaphragm

Question 29

**Prevertebral Fascia** Why is the Danger Space dangerous?

Answer 29

At its Inferior Boundary, it communicates with Peritoneum In case of infection - could cause Peritonitis

Question 30

**Prevertebral Fascia** What can cause infection in the Danger Space?

Answer 30

Posterior Rupture of Retropharyngeal Abcess

Question 31

**Carotid Sheath** What structures does it surround?

Answer 31

Common Carotid Internal Carotid Internal Jugular Vein Vagus Nerve