Posterior Cervical Triangle Anterior Triangles

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Identify the muscles of the neck and indicate their major actions and sources of innervation.

Indicate the relationship of each of the muscle groups to the layers of deep fascia in the neck.

Posterior cervical triangle

Anterior triangles

Suprahyoid muscles

Infrrahyoid muscles

Trapezius

Sternocleidomastoid
Carotid sheath

Investing layer of deep cervical fascia Pretracheal fascia (visceral part)

Sternocleidomastoid

T E

Pretracheal fascia (muscular part) Prevertebral muscles Alar fascia Scalene muscles

Buccopharyngeal fascia Prevertebral fascia

Trapezius

Deep Cervical Fascia

Identify the three pharyngeal constrictor muscles and their anterior attachments to bony/cartilaginous structures. Identify the three small longitudinal muscles of the pharynx.

Buccinator

Superior constrictor

Stylopharyngeus Superior constrictor Middle constrictor Inferior constrictor

Salpingopharyngeus Palatopharyngeus

Stylopharyngeus
Middle constrictor Pterygomandibular raphe Inferior constrictor

Cricopharyngeus Cricopharyngeus

Identify the major cartilages of the larynx


Epiglottis Epiglottis Hyoid

Hyoid

Thyroid cart. Thyroid cart. Arytenoid cart. Arytenoid cart. Vocal Cord

Cricoid cart.

Cricoid cart.

Anterior view

Posterior view

Sagittal Section

http://www.emory.edu/ANATOMY/Contents.html

and the muscles which bring about their movement.

Arytenoideus

Cricothyroid

Posterior Crico-arytenoid Thyro-arytenoid Lateral Crico-arytenoid

Cricothyroid

Lateral view

Lateral view (deeper)

Posterior view

Identify the role played by each of these muscles in the control of the control of the size of the rima glottidis.
Post. Crico-arytenoid Lat. Crico-arytenoid Arytenoid cart. Rima glottidis

Arytenoid cart Aryepiglottic fold Rima glottidis Vocal cord Thyroid cart. Thyroid cart.

Vocal cord

Arytenoideus

Actions of intrinsic laryngeal muscles


http://www.voice-center.com/voice_mecha.html

Follow the course of sensory and motor innervation of the larynx. Predict the functional consequences of damage to these nerves.

Trace the course of nerves through the neck noting especially: the sensory and motor branches of the cervical and brachial plexuses, their course and distribution in the neck and their relationship to major bony, muscular, or vascular landmarks in the region.
Great auricular n. Hypoglossal n. (XII) Great auricular n. Lesser occipital n.

C1 C2
Lesser occipital n.

Transverse cervical nn.

C3 C4
Accessory n. (XI) Hypoglossal n. (XII) Ansa cervicalis

C5
Supraclavicular nn.
Phrenic n. Accessory n. (XI)

Ansa cervicalis

C5
Dorsal scapular n.

C6
Vagus n. (X)

Nn. to longus colli and scalenes Suprascapular n.

C7 C8
Phrenic n.

T1

Long thoracic n.

Trace the course of nerves through the neck noting especially: the extension of the upper part of the sympathetic trunk into the neck region.

Vagus (X)
C1 Sup. Cervical gang. C2

C3 Carotid plexus C4 Middle C5 Cervical gang.


C6 C7 Cervicothoracic C8 gang.

Glossopharyngeal (IX)

Trace the flow of arterial blood from the aorta through the neck including vessels that pass through the neck without branching and those that send branches to viscera and muscles of the neck.

Two main arteries are found in the neck: Subclavian and branches and Carotid
Vertebral Deep cervical Ascending cervical Transverse cervical Inf. thyroid Thyrocervical Suprascapular Ascending pharyngeal Omohyoid Int. carotid
Post. auricular

Superficial temporal
Maxillary

Facial

Digastric
Lingual

Ext. carotid Sup. thyroid Sup. laryngeal

Common carotid

Subclavian

Ext. Carotid

Trace the pathways for venous drainage from the neck into the brachial veins.

Sup. thyroid

Ext. jugular

Int. jugular Middle thyroid

Inf. thyroid
Ant. jugular

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