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Introduction to the Neck Dan Topping, MD Clinical Assistant Professor Head and Neck Anatomy February 20, 2008.

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Presentation on theme: "Introduction to the Neck Dan Topping, MD Clinical Assistant Professor Head and Neck Anatomy February 20, 2008."— Presentation transcript:

1 Introduction to the Neck Dan Topping, MD Clinical Assistant Professor Head and Neck Anatomy February 20, 2008

2 The neck is a biomechanical wonder! Connects the head to the trunk Conduit for blood vessels, nerves, and hollow organs All of these complicated structures are packed in a very narrow area that allows for a great deal of mobility for the head as it moves relative to the ground

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7 Emergency Cricothyroidotomy Step One: Transverse skin incision over CT membrane

8 Emergency Cricothyroidotomy Step Two: Pop through the membrane and make some space

9 Emergency Cricothyroidotomy Step Three: Create an orifice (straw, ballpoint pen, etc.)

10 Emergency Cricothyroidotomy Improvise if you have to!

11 Sternocleidomastoid Flexes and rotates the head Innervation is by CN XI

12 Trapezius Moves and stabilizes the scapula, extends the head Innervation is by CNXI

13 Suprahyoid Muscles

14 (geniohyoid)

15 Infrahyoid (Strap) Muscles

16 Actions of Suprahyoid and Infrahyoid Muscles

17 Deep Cervical (Prevertebral) Muscles

18 Platysma Muscle of Facial Expression Innervated by the cervical branch of the facial nerve

19 Innervation and Venous Drainage of the Neck

20 SVC Syndrome Occlusion of the SVC causes engorgement of the superficial veins that drain the head and neck (usually due to cancer)

21 Practical Application of Anatomy! A little pressure to the cervical plexus and... VOILA!

22 Deep Cervical Fascia Form the boundaries of compartments Fascial spaces can communicate infection or fluid to other regions of the body Used as a guide to surgical dissection Allow the neck structures to glide past one another Supports the thyroid, lymph nodes and blood vessels

23 Deep Cervical Fascia

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25 Deep Cervical Fascial Spaces Retropharyngeal - b/n prevertebral and buccopharyngeal Pretracheal - b/n infrahyoids and trachea Lateral pharyngeal - lat to pharynx and communicate with RP and SM spaces Submandibular - below tongue –deep portion above mylohyoid –superficial portion below mylohyoid

26 Submandibular Space

27 Submandibular Abscess in a person with Diabetes

28 Posterior Triangle of the Neck

29 Anterior Triangle of the Neck

30 Anterior Triangle

31 Submental Triangle

32 Carotid Triangle

33 Muscular Triangle

34 Submandibular Triangle


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