muscles and osteofascial compartments of the neck ...anat.lf1.cuni.cz/souhrny/azubz_08.pdf ·...
TRANSCRIPT
Muscles and osteofascial compartments of the neck, innervation. Vascular and nervous stems in the neck
MUDr. Veronika Němcová CSc.
SCM
TROH
Mm.scaleniLS
SC
SH
TH
ST
Dig
StyloH
Hyoglossus
Muscles of the neck
Neck muscles -innervation• MUSCLES • from the 1-st branchial arch V/3 – m.mylohyoideus,
m.digastricus v.a.• from the 2-nd branchial arch VII – m.stylohyoideus,
m.digastricus, m. platysma• in the superficial fascia XI - m.sternocleidomastoideus,
m.trapezius• infrahyoid ansa cervicalis profunda (C1-C3) –
m.sternohyoideus, m.sternothyroideus, m.thyrohyoideus, m.omohyoideus
• deep cervical muscles anterior branches of cervical nerves– m.scaleni, m.longus colli, m.longus capitis, m.rectus capitis ant.+lat.
Neck muscles layers
• 1-m.platysma• 2-m.sternocleidomastoideus,
m.trapezius• 3-mm.suprahyoidei +
mm.infrahyoidei• 4-mm.scaleni, m.longus capitis,
m.longus colli, m.rectus capitis ant., m.obliquus capitis ant.
F
F.colli superficialis
F.colli media(pretrachealis)
F.colli profunda(prevertebralis)
Neck fascias
Spatium retroviscerale
Spatium suprasternale
Spatium pretracheale
Vagina carotica
Spatium paraviscerale
Suprahyoid and infrahyoid muscles
Suprahyoid and infrahyoid muscles
Mylohyoid and geniohyoid
Styloid septum muscles
posterior belly of digastricus
stylohyoid
styloglossusstylopharyngeus
prestyloid space – external carotid arteryretrostyloid space – internal carotid artery
SPh
SG
S-H
DiSCM
Styloid septum muscles
crossection
Submandibular triangle
mandible
Digastricus - posterior belly
SH
hyoid boneDigastricus - anterior belly
mylohyoid
hyoglossus
Submandibular triangle
M.mylohyoideus
Gl.submandibularisA.facialis
V.facialis
A.submentalis
r.mylohyoideus
Submandibular trianglesuperficial layer
TS
LF
CI CE
JI
Lingual nerve and submandibular ganglion
Submandibular duct
Arcus n.XII
Submandibular triangledeep layer
Lingual artery in the Beclard´s angle
Trigonum Pirogovi
Beclard´s angle and trig.Pirogov´s trigon
A.lingualis
Trigonum submandibularesuperficial layer
Nodi lymfatici cervicales profundi
Trigonum submandibularedeep layerrepetition
Regio colli anterior - muscles
Platysma
Internal jugular vein and omohyoid
Regio colli anteriorsuperficial and pretracheal fascia removed
Infrahyoid muscles
Infrahyoid and deep neck muscles
Deep neck muscles
Scalene muscles
Neck-deep layer
Anterior neck region
Anterior neck region – infrahyoids removed
Anterior neck region – infrahyoids removed
Arcus venosus juguli
v.thyroidea inferior
Ansa cervicalis
Head and neck regions
Trig. caroticum
Trig.submandibulare
Trig.submentale
Trigonum omoclaviculare
Trig.omotrapeziumP A
Head and neck region carotid triangle
SCM
OH
DGvp
Trigonum caroticumborders
Trigonum caroticumcontent
C3-4 common carotid
External carotid artery branches:3 anterior2 -3 posterior1 medial2 terminal
internal external
Trigonum caroticumcontent
C3-4
A.facialis
A.lingualis (Beclard´s angle)
A.thyroidea sup.
N.XII (arcus n.hypoglossi
N.laryngeus sup(z n.vagus)
V.jugularis interna
Radix superior ansae cervicalis
A.occipitalis
A.auricularis post
External carotid artery branches:3 anterior2 -3 posterior1 medial2 terminal
TS
LF
IJ IC
SPh
Dig
R.SCM
Tongue muscles
Infrahyoids
Vascular and nervous bundle of the neck
Schema of the neck muscles and vesselsarrangement
Platysma
Punctum nervosum(Cervical plexus – general sensory branches)
Lateral neck region
V.jugularis externa
Nn.supraclaviculares
N.transversus colli
N.auricularis magnus
N.occipitalis minor
Sternocleidomastoid region –fascia colli superficialis removed
Plexus brachialis
Omoclavicular and omotrapezoid triangle
in the scalene fissure !
Krk zboku hluboká vrstvaLateral neck regiondeep layer
Truncus sympaticus(f.colli profunda)
N.vagus(vagina carotica)
N.frenicus(m.scalenus ant.)
3 vertically running nerves !!!
A.vertebralis
Tr.thyreocervicalis
A.subclavia
A.transversa colli
Plexus brachialis
Superior thoracis aperture
vv. brachicephalicae
VCS
Plexus brachialis
a. subclavia
v. subclavia
N.frenicus
n.vagus
Tr.sympaticus
Ductus thoracicus
Superior thoracis aperturerepetition
Superior mediastinumcrossection
Neck crossection repetition
Sources• Petrovický et al., Anatomie I• Grim, Základy anatomie• Čihák, Anatomie I• Sobotta, Atlas anatomie člověka• Bertolini/Leutert, Atlas der Anatomie des
Menschen• Netter, Atlas • Grayś Anatomy