Anatomy of the Neck

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Questions and Answers

Which anatomical landmark defines the superior margin of the neck?

  • Hyoid bone
  • Suprasternal notch
  • Clavicle
  • Base of the mandible (correct)

What structure marks the inferior margin of the neck?

  • Hyoid bone
  • Suprasternal notch and clavicle (correct)
  • Cricoid cartilage
  • Base of the mandible

Which of the following is a component of the hyoid bone?

  • Spinous process
  • Vertebral body
  • Greater horn (correct)
  • Transverse foramen

How many cervical vertebrae are typically found in the human neck?

<p>7 (C)</p> Signup and view all the answers

Which of the following is considered an anterior structure within the neck?

<p>Trachea (B)</p> Signup and view all the answers

Which of the following structures is located in the posterior aspect of the neck?

<p>Pharynx (A)</p> Signup and view all the answers

Which of the following structures is located in the lateral aspect of the neck?

<p>Carotid artery (B)</p> Signup and view all the answers

The skin of the neck is characterized by which of the following?

<p>Horizontal cleavage lines (A)</p> Signup and view all the answers

Nerve roots C2-C5 provide cutaneous supply to which region?

<p>Neck (B)</p> Signup and view all the answers

From which nerve root does the greater occipital nerve originate?

<p>C2 (D)</p> Signup and view all the answers

Which nerve roots contribute to the cervical plexus?

<p>C1-C4 (C)</p> Signup and view all the answers

Which nerve supplies the back of the neck and scalp up to the vertex?

<p>Greater occipital nerve (B)</p> Signup and view all the answers

Which nerve hooks around the accessory nerve (cranial nerve XI)?

<p>Lesser occipital nerve (B)</p> Signup and view all the answers

Which nerve supplies the body of the mandible, parotid gland, and surface of the auricle?

<p>Greater auricular nerve (B)</p> Signup and view all the answers

Which nerve supplies the transverse region from the body of the mandible to the sternum?

<p>Transverse cutaneous nerve (B)</p> Signup and view all the answers

The supraclavicular nerve arises from which nerve roots?

<p>C3, C4 (C)</p> Signup and view all the answers

Which division of the supraclavicular nerve crosses the medial end of the clavicle?

<p>Medial (B)</p> Signup and view all the answers

Which division of the supraclavicular nerve supplies the chest wall?

<p>Intermediate (D)</p> Signup and view all the answers

Which division of the supraclavicular nerve supplies the skin of the shoulder and upper half of the deltoid?

<p>Lateral (D)</p> Signup and view all the answers

Which muscle is located within the superficial fascia of the neck?

<p>Platysma (A)</p> Signup and view all the answers

What is the nerve supply to the platysma muscle?

<p>Facial nerve (B)</p> Signup and view all the answers

Posterior auricular vein and posterior division of retromandibular vein drain into which vein?

<p>External jugular vein (B)</p> Signup and view all the answers

What best describes the course of the external jugular vein?

<p>Crosses sternocleidomastoid muscle obliquely (B)</p> Signup and view all the answers

Which of the following veins does the external jugular vein drain into?

<p>Subclavian vein (C)</p> Signup and view all the answers

Which of the following veins is a tributary of the external jugular vein?

<p>Transverse cervical vein (C)</p> Signup and view all the answers

Where does the anterior jugular vein begin?

<p>Below the chin (C)</p> Signup and view all the answers

What structure does the anterior jugular vein form above the suprasternal notch?

<p>Jugular venous arch (B)</p> Signup and view all the answers

Regarding neck anatomy, where are superficial lymph nodes located?

<p>Along the external jugular vein (A)</p> Signup and view all the answers

The platysma muscle's primary action is to:

<p>Depress the mandible and angle of mouth (B)</p> Signup and view all the answers

A patient reports numbness on the back of their head extending up to the vertex. Which nerve is most likely involved?

<p>Greater occipital nerve (C)</p> Signup and view all the answers

A surgeon makes an incision along a horizontal cleavage line in the neck. What is the primary reason for this approach?

<p>To reduce scar visibility (A)</p> Signup and view all the answers

A patient has lost sensation to the skin overlying the upper chest wall. Which nerve is MOST likely affected?

<p>Intermediate supraclavicular (C)</p> Signup and view all the answers

If a physician is planning to cannulate a vessel deep in the lateral neck, which of the following structures should be given MOST consideration, in order to minimize the risk of causing damage?

<p>Vagus nerve (B)</p> Signup and view all the answers

Following a surgical procedure in the posterior triangle of the neck, a patient exhibits weakness in shoulder shrugging. which nerve was MOST likely injured?

<p>Accessory Nerve (B)</p> Signup and view all the answers

Why might a surgeon choose to make an incision along a horizontal cleavage line when operating on the neck?

<p>To promote faster healing and minimize the appearance of scars (B)</p> Signup and view all the answers

What is the specific location of the supraclavicular nerves in relation to the clavicle?

<p>They emerge and radiate outward from a point superior to the clavicle. (B)</p> Signup and view all the answers

During an anatomical dissection, a student notes a nerve coursing along the posterior border of the sternocleidomastoid muscle and supplying the lateral part of the occipital region. which of the following is the nerve in question?

<p>Lesser occipital nerve (A)</p> Signup and view all the answers

A patient is diagnosed with a lesion affecting the ansa cervicalis. Which muscles would MOST likely be affected by this condition?

<p>Omohyoid, sternohyoid, sternothyroid (A)</p> Signup and view all the answers

Flashcards

Superior margin of the neck

The superior margin of the neck, which is at the base of the mandible.

Inferior margin of the neck

The inferior margin of the neck, which is at the suprasternal notch and clavicle.

Hyoid Bone

A U-shaped bone in the neck that aids in tongue movement and swallowing.

Cervical Vertebrae

The section of the spine in the neck composed of seven vertebrae (C1-C7).

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Anterior content of the neck

Includes the respiratory system, larynx, and trachea.

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Posterior content of the neck

Includes the GIT, pharynx, and esophagus.

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Lateral content of the neck

Includes the carotid arteries, internal jugular vein, vagus nerve, and deep cervical lymph nodes.

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Horizontal cleavage lines of neck skin

Lines in the skin of the neck that tend to run horizontally.

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C2-C5 Nerves

Nerves C2-C5 provides sensory supply of the neck.

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C2 Nerve Root

The nerve root C2, provides innervation to the greater occipital nerve.

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C1-C4 Nerve Root

The cervical plexus, formed by nerve roots C1-C4.

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Greater Occipital Nerve

The area supplied by the greater occipital nerve, from nerve root C2, includes the back of the neck and scalp up to the vertex.

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Lesser Occipital Nerve

Originates from the nerve root C2, hooks around accessory nerve (cranial nerve XI), goes to posterior border of sternocleidomastoid, supplies occipital region and medial auricle surface.

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Greater Auricular Nerve

Originates from the nerve roots C2 and C3, moves across the sternocleidomastoid muscle, and goes upward to supply the body of mandible, parotid gland, and auricle surface.

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Transverse Cutaneous Nerve

Originates from the nerve roots C2 and C3, moves behind the sternocleidomastoid muscle to supply the transverse region, mandible, sternum, and ant/lat neck.

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Supraclavicular Nerve

Originates from the nerve roots C3 and C4.

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Medial Supraclavicular Nerve

This nerve corsses the medial end of clavicle and supplies skin of median plane.

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Intermediate Supraclavicular Nerve

This nerve crosses the mid of clavicle and supplies the chest wall.

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Lateral Supraclavicular Nerve

This nerve crosses the lateral end of clavicle, supplies skin of shoulder and upper half of the deltoid, and covers the posterior aspect of shoulder upto the spine of scapula.

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Platysma

A muscle in the superficial fascia of the neck.

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Platysma Origin

Attaches to the deep fascia over the pectoralis major and deltoid muscles.

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Platysma Insertion

Attaches to the body of the mandible and angle of mouth.

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Platysma Nerve Supply

The nerve that supplies the platysma muscle.

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Platysma Action

Depresses the mandible and angle of mouth.

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External Jugular Vein

A superficial vein of the neck that drains blood from the posterior auricular vein and posterior division of the retromandibular vein.

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Origin of External Jugular Vein

Starts from behind the angle of the mandible.

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External Jugular Vein Path

The vein crosses the sternocleidomastoid muscle obliquely

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External Jugular Vein and Clavicle

Before draining to the subclavian, this vein comes over the clavicle

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External Jugular Vein Termination

The external jugular vein pierces this structure before draining into the subclavian vein.

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Tributaries of External Jugular Vein

Receives blood from veins such as the posterior auricular, retromandibular division, posterior external jugular, transverse cervical, and suprascapular veins.

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Location of Anterior Jugular Vein

Just below the chin, close to midline, and above the suprasternal notch.

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Anterior Jugular Vein to...

The anterior jugular vein drains into this vein.

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Superficial Lymph Nodes

Located along the external jugular vein and passes superficial to sternocleidomastoid muscle.

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Study Notes

Margins of the Neck

  • Superior margin: Base of mandible
  • Inferior margin: Suprasternal notch and clavicle

Bones of the Neck

  • Hyoid bone consists of the body, greater horn, and lesser horn
  • Cervical vertebrae range from C1 to C7

Content of Neck

  • Includes anterior, posterior, and lateral content

Anterior Content

  • Respiratory system
  • Larynx
  • Trachea

Posterior Content

  • GIT
  • Pharynx
  • Esophagus

Lateral Content

  • Carotid arteries
  • Internal jugular vein
  • Vagus nerve
  • Deep cervical lymph nodes

Skin of Neck

  • Has horizontal cleavage lines

Cutaneous Nerves of Neck

  • Includes C1-C8
  • C1 has no cutaneous supply
  • C2 to C5 supply the neck
  • C1-C4 forms the cervical plexus

C2 Nerve Root

  • Greater occipital nerve

C1-C4 Nerve Root (Cervical Plexus)

  • Lesser occipital nerve
  • Greater auricular nerve
  • Transverse cutaneous nerve
  • Supraclavicular nerve

Greater Occipital Nerve

  • Supplies the back of neck and scalp up to the vertex
  • Originates from nerve root C2

Lesser Occipital Nerve

  • Nerve root C2
  • Hooks around the accessory nerve (cranial nerve XI)
  • Goes to the posterior border of the sternocleidomastoid muscle
  • Supplies the lateral part of the occipital region and the medial surface of the auricle

Greater Auricular Nerve

  • Nerve roots C2 and C3
  • Moves across the sternocleidomastoid muscle and goes upward
  • Supplies the body of the mandible, parotid gland, and surface of the auricle

Transverse Cutaneous Nerve

  • Nerve roots C2 and C3
  • Moves behind the sternocleidomastoid muscle
  • Supplies transversely to the transverse region from the body of the mandible to the sternum and the anterior and lateral surface of the neck

Supraclavicular Nerve

  • Nerve roots C3 and C4
  • Consists of medial, intermediate, and lateral branches

Medial Supraclavicular Nerve

  • Crosses the medial end of the clavicle
  • Supplies skin of the median plane

Intermediate Supraclavicular Nerve

  • Crosses the middle of the clavicle
  • Supplies the chest wall

Lateral Supraclavicular Nerve

  • Crosses the lateral end of the clavicle
  • Supplies skin of the shoulder plus the upper half of the deltoid
  • Supplies the posterior aspect of the shoulder up to the spine of the scapula

Superficial Fascia of Neck

  • Platysma muscle
  • Superficial veins, including the external jugular vein
  • Superficial lymph nodes

Platysma

  • Originates from the deep fascia over the pectoralis major and deltoid muscles
  • Insertion: Body of the mandible and angle of the mouth
  • Nerve supply: Facial nerve
  • Action: Depresses the mandible and angle of the mouth

External Jugular Vein

  • Posterior auricular vein and posterior division of retromandibular vein drain into external jugular vein
  • Course:
    • Starts from behind the angle of the mandible
    • Crosses the sternocleidomastoid muscle obliquely
    • Comes over the clavicle
    • Pierces the deep fascia
    • Drains into the subclavian vein

External Jugular Vein Tributaries

  • Posterior auricular vein
  • Posterior division of retromandibular vein
  • Posterior external jugular vein
  • Transverse cervical vein
  • Suprascapular vein

Anterior Jugular Vein

  • Begins just below the chin
  • Runs downward to the neck close to the midline
  • Above the suprasternal notch, forms the jugular venous arch
  • Turns laterally and crosses the sternocleidomastoid muscle
  • Drains into the external jugular vein

Superficial Lymph Nodes

  • Lies along the external jugular vein
  • Passes superficial to the sternocleidomastoid muscle
  • Includes mastoid lymph nodes and occipital lymph nodes, and deep lymph nodes

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