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Slides 25 Neck1 HeadNeckAnatomy Updated
Slides 25 Neck1 HeadNeckAnatomy Updated
Anterior
Posterior
Anterior
Submandibular triangle
Digastric,
posterior belly
Mandible
Digastric,
anterior belly
Submandibular triangle
• Contents
• Submandibular gland
• Lymph nodes
Submental triangle
Digastric,
anterior belly
Midline
Hyoid bone
Submental triangle
• Contents
• Submental lymph
nodes
Carotid triangle
Digastric,
posterior belly
Sterno-
cleidomastoid
Omohyoid,
superior belly
Carotid triangle
• Contents
• Vagus nerve
• Hypoglossal nerve
• Conventional carotid
endarterectomy surgically
exposes the common and internal
carotid arteries to remove
atherosclerotic lesions
Muscular triangle
Hyoid bone
Omohyoid,
superior belly
Sterno-
cleidomastoid
Muscular triangle
• Contents
• Infrahyoid muscles
• Pharynx
• Thyroid gland
• Parathyroid glands
• Subclavian vein
• Subclavian artery
• Accessory nerve
• Cervical plexus
• Phrenic nerve
• Subclavian vein
• Cervical plexus
Subclavian vein
• Puncture of subclavian
artery and pneumothorax
are two potential
complications
Cervical plexus
Occipital triangle
Omoclavicular
triangle
Visceral
Vascular
(CCA and IJV)
Vascular
(CCA and IJV)
Vertebral
• Deep fascia is
divided into several
distinct layers.
Investing
Investing
Carotid
sheath
Investing
Prevertebral
Retropharyngeal
space
Space within
prevertebral
layer
Paulsen and Waschke, Atlas of Human
Malikkah Malhotra, Anatomy, 15th edition, Elsevier GmbH 2011
malikkah.malhotra75@gmail.com
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Fascial Spaces
Infections
• Infections in the pretracheal
space may extend inferiorly Pretracheal
into the anterior space
mediastinum.
• If invasion occurs,
cancer can spread into
Retropharyngeal
these potential
fascial spaces. space
• Retropharyngeal space
can spread down and
infect the posterior Space within
mediastinum.
prevertebral
Abscesses can form in
layer
this space.
Paulsen and Waschke, Atlas of Human
Malikkah Malhotra, Anatomy, 15th edition, Elsevier GmbH 2011
malikkah.malhotra75@gmail.com
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© www.lecturio.com | This document is protected by copyright.
Surgical Access to Trachea
Approaches
Coniotomy can also be called
cricothyrotomy or simply crike.
Coniotomy
Upper
tracheotomy
Lower
tracheotomy
Cricothyroid
incision
Upper
tracheotomy
Lower
tracheotomy
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