muscles and triangles of the face Flashcards
root of neck
the thoracocervical region that forms a boundary between the neck and the thorax and is occupied by structures that enter or leave the thoracic cavity.
hyoid bone
- this bone divides the muscles of the neck based on their location to it
- is a horseshoe-shaped bone situated in the anterior midline of the neck between the chin and the thyroid cartilage
- bones can be suprahyoid: above the hyoid bone and cause elevation of the hyoid
- bones can be infrahyoid: below the hyoid bone and cause depression
superficial fascia
the subcutaneous layer of the skin in the neck. This thin layer contains the muscles of facial expression, including the platysma muscle in the neck.
platysma
this is a large muscle that leads to tensing the skin of the inferior face and neck
- it is also able to depress the jaw
deep fascial layers
- lies deep to the superficial fascia and platysma muscle.
- This fascia is organised into several layers. These layers act like a shirt collar, supporting the structures and vessels of the neck.
- Pretrachial fascia
- Prevertebral fascia
- Alar fascia
- Carotid sheath
- Prevertebral space
pretrachial fascia
pretracheal fascia has two components which are continuous layers of fascia.
- A cervical layer that ensheathes cervical viscera including the larynx/trachea, pharynx/esophagus, thyroid and parathyroid glands
- a muscular layer which ensheathes the infrahyoid muscles or the suprahyoid depending on where we are in cross section
prevertebral fascia
- surrounds the vertebral column and its associated muscles; scalene muscles, prevertebral muscles, and the deep muscles of the back
alar fascia
a thin fibroareolar membrane separating the (anterior) true retropharyngeal space from the (posterior) danger space.
carotid sheath
contains the carotid artery, jugular vein, vagus nerve (CN 10) , and sympathetic plexus
preverterbral space
a space in the neck. On one side it is bounded by the prevertebral fascia.
- It includes the prevertebral muscles (longus colli and longus capitis), vertebral artery, vertebral vein, scalene muscles, phrenic nerve and part of the brachial plexus.
sternocleidomastoid
this is deep to the platysma
- it originates at the manubrium and clavicle and inserts onto the pastoid process
action:
- bilaterally: it flexes the neck and brings the ear to teh shoulder
- unilaterally: it causes lateral flexion, rotation of the head to the opposite side
innervation: accessory nerve (CN XI)
anterior middle and posterior scalenes
- these originate at the transverse process of the cervical vertebra and they insert onto the 1st and 2nd rib
- action: flexes the neck and elevates the 1st and 2nd ribs during forced inhalation
- innervation: cervical spinal nerves
suprahyoid muscles
- digastric
- geniohyoid
- stylohyoid
- myohyoid
these all insert onto the hypoid
diagastric
- a suprahyoid muscle
- this muscle has two bellies
- action: depresses mandible, elevates hyoid
geniohyoid
- a suprahyoid muscle
action: elevates hyoid
mylohyoid:
- a suprahyoid muscle
- this muscle makes up most of what is below the tongue
action: elevates hyoid, melevates the floor of the mouth
stylohyoid
- a suprahyoid muscle
- this originates at the stylohyoid of the temporal bone
action: elevates the hyoid
infrahyoid muscles
omohyoid
sternohyoid
thyrohyoid
sternothyroid
these all insert onto the hyoid bone
omohyoid
- this is an infrahyoid muscle
action: depresses the hyoid
sternohyoid:
- this is an infrahyoid muscle
origin: sternum (manubrium)
action: depresses hyoid
thyrohyoid
- this is an infrahyoid muscle
origin: thyroid cartilage
action: depresses hyoid, elevates thyroid cartilage