Head and Neck Arterial Blood Supply

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Questions and Answers

Which of the following correctly lists the arteries that arise directly from the arch of the aorta?

  • Left common carotid, left subclavian, right vertebral
  • Brachiocephalic, right common carotid, left subclavian
  • Right common carotid, right subclavian, left vertebral
  • Brachiocephalic, left common carotid, right subclavian (correct)

The right vertebral artery arises from which of the following arteries?

  • Brachiocephalic artery
  • Right common carotid artery
  • Right subclavian artery (correct)
  • Arch of the aorta

Into which two main branches does the common carotid artery bifurcate?

  • Internal and external carotid arteries (correct)
  • Facial and lingual arteries
  • Internal and external jugular veins
  • Superior and inferior thyroid arteries

Which area does the internal carotid artery primarily supply?

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

Which of the following areas would be supplied by the external carotid artery?

<p>Neck, face, scalp, tongue, and maxilla (B)</p> Signup and view all the answers

How many main branches does the external carotid artery have?

<p>8 (B)</p> Signup and view all the answers

Which of the following is NOT a branch of the external carotid artery?

<p>Internal carotid artery (C)</p> Signup and view all the answers

Which of the following structures is supplied by the superior thyroid artery?

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

The ascending pharyngeal artery supplies:

<p>The pharynx, soft palate, and prevertebral muscles (C)</p> Signup and view all the answers

Which of the following accurately describes the terminal branches of the lingual artery?

<p>Sublingual, dorsal lingual, deep lingual (D)</p> Signup and view all the answers

What areas are supplied by the dorsal lingual artery?

<p>Base of the tongue, palatoglossal arch, tonsils, soft palate, and epiglottis (C)</p> Signup and view all the answers

What is supplied by the sublingual artery?

<p>The sublingual gland, muscles in the floor of the mouth and buccal and gingival mucous membranes. (A)</p> Signup and view all the answers

What is the terminal part of the lingual artery and what area does it supply?

<p>Deep lingual; body of tongue (B)</p> Signup and view all the answers

Which structures does the facial artery primarily supply?

<p>Muscles and skin of the face and the submandibular gland (A)</p> Signup and view all the answers

The occipital artery supplies:

<p>The muscles in the posterior neck, skin of the neck and ear, and the scalp in the occipital region (D)</p> Signup and view all the answers

Which area does the posterior auricular artery supply?

<p>The posterior neck muscles, skin over/around the ear, and ear structures (B)</p> Signup and view all the answers

The superficial temporal artery is known as one of the terminal branches of the external carotid artery, what is the other?

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

Which areas does the superficial temporal artery supply?

<p>Skin and muscles of the scalp, parotid gland, and temporomandibular joint (A)</p> Signup and view all the answers

The maxillary artery supplies blood to which of the following areas?

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

The maxillary teeth are supplied by a branch of the maxillary artery, what is this branch termed?

<p>Superior alveolar artery (C)</p> Signup and view all the answers

The superior alveolar artery supplies which area?

<p>The Maxillary teeth. (C)</p> Signup and view all the answers

From which artery does the inferior alveolar artery arise?

<p>Maxillary Artery. (C)</p> Signup and view all the answers

Which of the following best describes the distribution of the inferior alveolar artery's branches?

<p>It splits to form a dental branch, incisive branch and mental artery. (C)</p> Signup and view all the answers

Which of the following is a key branch of the external carotid artery that supplies the areas we are working in dentistry?

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

If a dental procedure inadvertently severs the sublingual artery, which structure might be directly affected by a compromised blood supply?

<p>The sublingual gland. (A)</p> Signup and view all the answers

A patient experiences numbness in the chin following a dental procedure. Which arterial branch might have been affected, leading to this sensory deficit?

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

During a tonsillectomy, which arterial branch is most at risk of being damaged, given its proximity to the tonsils?

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

If a patient presents with impaired blood flow to the forehead, which artery is most likely compromised?

<p>Internal carotid artery (C)</p> Signup and view all the answers

After extraction of a maxillary molar, a patient experiences prolonged bleeding. Which artery, or its branches, is the most likely source of the bleed?

<p>The superior alveolar artery (C)</p> Signup and view all the answers

A patient presents with ischemia of the tongue, which artery is mostly likely affected?

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

After undergoing surgery, a patient reports difficulty swallowing and a sore throat. Which artery may have been affected during the procedure?

<p>Ascending pharyngeal artery (C)</p> Signup and view all the answers

Injury to which artery would most significantly compromise the blood supply to the submandibular gland?

<p>The facial artery (A)</p> Signup and view all the answers

A patient who received a blow to the posterior neck experiences vision disturbances and dizziness. Which arterial system may be compromised?

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

Blood supply to hard and soft tissues of the maxilla is derived from:

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

In a patient undergoing surgery impacting the carotid sheath, which artery is at greatest risk of direct injury?

<p>Common carotid artery (C)</p> Signup and view all the answers

What blood supply to the head and neck allows for the external Carotid to give rise to the blood?

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

During a neck dissection procedure, a surgeon must be particularly careful to avoid injuring the vertebral artery where it emerges from which anatomical structure?

<p>The transverse foramen of the cervical vertebrae (A)</p> Signup and view all the answers

What is the initial vessel you need to think about when the supply is required for blood vessels?

<p>arch of the aorta (A)</p> Signup and view all the answers

What 2 bilateral arteries have a significant importance in blood supply to the head and neck?

<p>Internal and External Carotid (A)</p> Signup and view all the answers

The main arterial blood supply to the head and neck originates from:

<p>Arch of the Aorta (A)</p> Signup and view all the answers

Flashcards

What is the arch of the aorta?

The main arterial blood supply to the head and neck originates from here.

What is the brachiocephalic artery?

This gives rise to the right subclavian and right common carotid arteries.

What are right and left vertebral arteries?

These supply blood to the spinal cord and vertebral muscles.

What are the right and left common carotid arteries?

These arteries supply both sides of the head and neck in a mirror image.

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What is the internal carotid artery?

This goes deep within the face, through the carotid canal, and into the cranial cavity, supplying the brain, eyes, forehead, and part of the nose.

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What is the external carotid artery?

This remains more superficial and branches to supply many superficial elements of the head and neck including neck, face, scalp, tongue, and maxilla.

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What are the main branches of the external carotid artery?

These are the superior thyroid, ascending pharyngeal, lingual, facial, occipital, posterior auricular, superficial temporal and maxillary.

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What does the superior thyroid artery supply?

This vessel supplies the thyroid gland, some muscles of the neck, and larynx.

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What does the ascending pharyngeal artery supply?

This supplies the pharynx, soft palate, and prevertebral muscles.

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What does the lingual artery supply?

This divides into sublingual, dorsal lingual, and deep lingual branches, supplying structures of the tongue and floor of the mouth.

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What does the dorsal lingual artery supply?

This supplies the base of the tongue, palatoglossal arch, tonsils, soft palate, and epiglottis.

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What does the sublingual artery supply?

This supplies the sublingual gland, muscles in the floor of the mouth, and buccal and gingival mucous membranes.

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What does the deep lingual artery supply?

This is the terminal part of the lingual artery and gives blood supply to the body of the tongue.

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What does the facial artery supply?

This branches multiple times to supply the muscles and skin of the face and the submandibular gland.

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What does the occipital artery supply?

This supplies muscles in the posterior neck, skin of the neck and ear, and the scalp in the occipital region.

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What does the posterior auricular artery supply?

This supplies muscles in the posterior neck, skin over and around the ear, and the ear structures.

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What does the superficial temporal artery supply?

Along with the maxillary artery, this supplies some of the skin and muscles of the scalp, parotid gland, and temporomandibular joint.

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What is the Maxillary artery?

This supplies blood in the whole maxillofacial region including the hard and soft tissues of the maxilla, mandible, nasal cavity, and deep facial areas.

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How are the maxillary teeth supplied with blood?

These are supplied by the maxillary artery, specifically the superior alveolar artery which branch into posterior, middle and anterior.

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How are the mandibular teeth supplied?

These teeth are supplied by the maxillary artery, via the inferior alveolar artery which then branches into dental, incisive, and mental arteries.

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Study Notes

  • The main arterial blood supply to the head and neck originates from the arch of the aorta.
  • The arch of the aorta gives rise to the brachiocephalic, left common carotid, and right subclavian arteries.
  • The brachiocephalic artery further divides into the right subclavian and right common carotid arteries.
  • The right subclavian artery gives rise to the right vertebral artery.
  • The right common carotid artery forms the internal and external carotid arteries.
  • The arch of the aorta directly gives rise to the left subclavian and left common carotid arteries.
  • The left subclavian artery gives rise to the left vertebral artery.
  • The left common carotid artery gives rise to the internal and external carotid arteries.
  • The right and left vertebral arteries supply blood to the spinal cord and vertebral muscles.
  • The left common carotid comes directly from the arch of the aorta.
  • The right common carotid comes from the brachiocephalic artery.
  • The right and left common carotid arteries supply both sides of the head and neck in a mirror image.

Internal Carotid Artery

  • The internal carotid artery extends deep within the face and through the carotid canal at the base of the skull, entering the cranial cavity.
  • Primarily supplies the brain, eyes, forehead, and part of the nose.

External Carotid Artery

  • The external carotid artery remains superficial.
  • Supplies the neck, face, scalp, tongue, and maxilla, branching into eight main arteries.
  • These branches include the superior thyroid, ascending pharyngeal, lingual, facial, occipital, posterior auricular, superficial temporal, and maxillary arteries.
  • These arteries supply structures within the head.

Mnemonic

  • Mnemonic can aid memorization
  • S = Superior Thyroid = She
  • A = Ascending Pharyngeal = Always
  • L = Lingual = Likes
  • F = Facial = Friends
  • O = Occipital = Over
  • P = Posterior Auricular = Papa
  • S = Superficial Temporal = Sister
  • M = Maxillary = Mama

Branch Supplies:

  • Superior Thyroid: Supplies the thyroid gland, some neck muscles, and the larynx.
  • Ascending Pharyngeal: Supplies the pharynx, soft palate, and prevertebral muscles.
  • Lingual Artery: Supplies essential structures, so is categorized further
    • Sublingual: Supplies the sublingual gland, muscles in the floor of the mouth, buccal, and gingival mucous membranes.
    • Dorsal Lingual: Supplies the base of the tongue, palatoglossal arch, tonsils, soft palate, and epiglottis.
    • Deep Lingual: Terminal portion of the lingual artery; supplies the body of the tongue.
  • Facial Artery: Supplies the muscles and skin of the face and the submandibular gland.
  • Occipital Artery: Supplies muscles in the posterior neck, skin of the neck and ear, and the scalp in the occipital region.
  • Posterior Auricular Artery: Supplies muscles in the posterior neck, skin over and around the ear, and the ear structures.
  • Superficial Temporal Artery: Supplies some skin and muscles of the scalp, the parotid gland, and the temporomandibular joint. One of two terminal branches of the external carotid artery, alongside the maxillary artery.
  • Maxillary Artery: Supplies blood to the maxillofacial region, including hard and soft tissues of the maxilla and mandible, the nasal cavity, and deep facial areas.

Teeth

  • Maxillary Artery: Supplies teeth.
    • Maxillary Teeth: Supplied by the superior alveolar artery which branches into posterior, middle, and anterior branches to supply each tooth.
    • Mandibular Teeth: Supplied by the inferior alveolar artery. Which forms a dental branch, incisive branch, and the mental artery to supply the mandibular teeth.

Summary

  • The arterial supply to the head and neck is complex.
  • The two main bilateral vessels to take note of are (internal/external carotid).
  • The external carotid supplies the blood to most of the mouth and face.
  • Key branches are; lingual, facial, and maxillary for work around the oral cavity
  • Remembering the other surrounding branches could be useful.
  • Find a pneumonic that works for you!

Caveat

  • Vessels may vary from person to person, therefore, it is best to further read and be aware.

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