Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Deep Cervical Facia of neck, Study notes of Anatomy

Layers of deep cervical fascia with the extent of each and relations.

Typology: Study notes

2022/2023

Available from 08/29/2024

groundd
groundd 🇮🇳

9 documents

1 / 4

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
deep
cervical
·
superficial
cervical
fascia
is
also
called
cervical
subcutaneous
tissue
.
It
is
a
layer
of
fatty
connective
tissue
in
between
the
investing
layer
of
deep
cervical
fascia
and
dermis
of
the
skin
.
It
contains
blood
vessels
,
lymphatic
vessels
,
lymph
nodes
.
Anterolaterally
it
has
the
platysma
.
·
Deep
cervical
fascia
:
also
called
fascia
colli
,
it
has
the
following
layers
:
a
.
Investing
layer
:
·
it
lies
deep
into
the
platysma
,
and
surrounds
the
neck
like
a
collar
.
It
forms
roof
of
anterior
and
posterior
triangle
.
·
Superiorly
(horizontal
extent)
:
1)
External
occipital
protuberence
2)
Nuchal
lines
3)
Mastoid
process
,
styloid
process
4)
External
acoustic
meatus
,
tympanic
plate
5)
Base
of
mandible
·
Between
the
mastoid
process
and
base
of
the
mandible
,
the
fascia
splits
to
enclose
the
parotid
gland
.
·
superficial
lamina
is
thick
and
dense
and
attaches
to
the
zygomatic
arch
.
-PaROTID
fascia
·
Deep
Lamina
is
thin
and
attaches
to
styloid
process
,
tympanic
plate
and
base
of
mandible
·
Between
styloid
process
and
angle
of
mandible
the
fascia
thickens
to
form
stylomandibular
ligame
-
it
which
separates
the
parotid
gland
from
the
submandibular
gland
.
·
At
the
base
of
the
mandible
it
encloses
the
submandibular
gland
.
·
inferiorly
(vertical
extent)
:
1)
spine
of
scapula
2)
Acromion
process
3)
clavicle
4)
manubrium
·
the
fascia
splits
to
enclose
suprasternal
and
supraclavicular
spaces
·
Posteriorly
:
1)
ligamentum
nuchae
2)
Spine
of
7th
cervical
vertebra
·
anteriorly
:
1)
Hyoid
bone
2)
symphysis
menti
pf3
pf4

Partial preview of the text

Download Deep Cervical Facia of neck and more Study notes Anatomy in PDF only on Docsity!

deep cervical

· superficial cervical fascia is also called cervical subcutaneous tissue. It is a layer of fatty

connective tissue in between the investing layer of deep cervical fascia and dermis of the^ skin.

It contains blood vessels , lymphatic vessels , lymph nodes. Anterolaterally it has the platysma.

· Deep cervical fascia : also called fascia colli , it has the following layers :

a. Investing layer :

· it lies deep into the platysma, and surrounds the neck like a collar. It forms roof

of anterior

and posterior triangle.

· Superiorly (horizontal extent) :

1) External^ occipital protuberence

2) Nuchal^ lines

3) Mastoid^ process , styloid process

4) External^ acoustic^ meatus , tympanic plate

5) Base^ of mandible

· Between the mastoid process and base of the mandible , the fascia splits to enclose the parotid

gland.

· superficial lamina is thick and dense and attaches to the zygomatic arch. -PaROTID fascia

· Deep Lamina is thin and attaches to styloid process , tympanic plate and base of mandible

· Between styloid process and angle of mandible the fascia thickens to form stylomandibular ligame

  • it (^) which (^) separates the

parotid gland from^ the^ submandibular^ gland.

· At the base of the mandible it encloses the submandibular gland.

· inferiorly (vertical extent) :

1) spine of scapula

2) Acromion^ process

3) clavicle

4) manubrium

· the fascia splits to enclose suprasternal and supraclavicular spaces

· Posteriorly : 1) ligamentum nuchae

2)Spine of 7th^ cervical^ vertebra

· anteriorly : 1) Hyoid bone

2)symphysis menti

· other features : &

d. Suprasternal space :^ 1) Jugular venous arch

Space of Burns 2) lymph node

3) sternal head of sternocleidomastoid

4) interclavicular^ ligament

b SUPRaClaviCULAR space :^ 1) External jugular vein

2) supraclavicular nerves

· fascia thickens twice to form : 1) stylomandibular ligament

2) Partidomassetric^ fascia

· covers- 2 muscles : Trapezius + sternocidomastoid

2 spaces : Suprasternal + supraclavicular

2 glands :^ Parotid + submandibular

2 facial slings :^ inferior body of amohyoid +^ intermediate tendon^ of diagastric

· it forms

pulleys for^ the^ attachment^ of tendon^ of^ diagastric and^ omonyoid

· applied anatomy : 2. Parotid swelling can be very painful

b. While excising submandibular gland , we should be careful about the

external carotid artery as it can slip from stylomandibular ligament

and cause severe bleeding.

c. Division of external jugular vein in supraclavicular space can cause air

embolism (^).

b. Pretracheal fascia :

· superiorly : 1) Hyoid bone (medially

  1. Oblique line^ of thyroid cartilage (laterally

3) cricoid cartilage (more laterally)

· inferiorly : it encloses inferior thyroid veins , passes behind brachiocephalic veins and

finally

blends with arch (^) of aorta and fibrous (^) pericardium.

· on either side : it forms the carotid sheath and fuses with deep fascia of sternoceidomastoid.

· features : a. Posterior layer of thyroid capsule is thick , it extends a ligament called suspens

  • ory ligament which attaches to the cricoid (^) cartilage or the (^) thyroid gland. It

prevents the^ gland^ from^ sinking^ into^ the^ mediastinum.

b. Fascia^ provides a slippery surface for movement of trachea during swallowing

· Relations : 1. The ansa cervicalis lies embedded in the anterior wall

of carotid

sheath .

2. The^ cervical^ sympathetic chain^ lies^ behind^ the^ sheath.

  1. It is^ overlapped (^) by the anterior border^ of sternocleidomastoid.

d. Buccopharyngeal fascia^ :^ it covers the^ constrictor muscles externally and^ extends supe

  • efficially to buccinator muscle (^) and attaches to the pharyngeal tubercle.

· Retropharyngeal space lies posterior to fascia.

· Alar Fascia is an (^) ancillary layer that divides (^) retropharyngeal space in (^2)

parts

· the (^) posterior space between alar (^) and (^) prevertebral fascia is called 'dangerous

area of neck!

e. PHARYNGOBASILAR Fascia^ :^ it is^ especially thickened between the (^) upper (^) part of superior constrictor^ muscle^ and^ base^ of shull.^ Lies^ deep in^ pharyngeal

muscles.