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25 Cards in this Set
- Front
- Back
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Inferior triangle of the neck: borders
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anterior midline, anterior border of SCM, inferior border of mandible/angle of mandible to mastoid process
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Inferior triangle of the neck: roof and floor
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roof: investing cervical fasciae
floor: vertebral column with anterior prevertebral muscles |
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Inferior triangle of the neck: subtriangles
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submental (small top left), submandibular (top right), carotid (bottom right), visceral (bottom left)
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submental triangle contents
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mylohyoid muscle, submental lymph nodes, anterior jugular veins
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submandibular triangle contents
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submandibular lymph nodes, submandibular gland, hypoglossal nerve, parotid gland
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carotid triangle contents
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carotid bifurcation, carotid body and sinus, hypoglossal nerve
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visceral triange contents
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thyroid gland, larynx, trachea, espohagus
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neck fascia layers: names and organizations
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superficial layer, investing layer, infrahyoid layer (muscles), carotid sheath (common carotid, internal jugular)
visceral fascia (organs) - pretrachial- thyroids/parathyroids, anterior - buccopharyngeal- posterior of pharynx prevertebral fascia |
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alar fascia
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makes T shape, precursor to prevertebral
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fascia danger zone
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prevertebral space
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facial expression muscle: innervation and derivation
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derived from second pharyngeal arch, innervated by facial nerve (C7)
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Inferior triangle of the neck: superficial veins
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anterior jugular veins, exterior jugular veins, arch of jugular vein
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Inferior triangle of the neck: superficial nerves
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greater auricular, transverse cervical, supraclavicular
motor: cervical branch of facial nerve |
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infrahyoid muscles
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innervated by C1-C3 of ventral rami (ansa cervacalis), used in vocalization and swallowing
thyrohyoid only innervated by C1 |
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thyroid glands
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thyroid - has right and left lobe, isthmus in middle.
Cricothyroid cartilage above it, middle of that is pyramidal lobe |
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parathyroid glands
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posterior to thyroid glands, 2 pairs - inferior and superior. superior and inf thyroid artery runs near them
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Thyroid gland covering
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Internal layer is thin and divides gland into lobules, connected to external gland which is tough, between is space with parathyroid glands
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Thyroid gland blood supply
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External carotid - superior thryoid artery
Subclavian artery - Thyrocervical trunk - inferior thyroid artery be careful for thyroid ima artery when getting to trachea |
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Thyroid gland innervations:
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vagus nerve (with carotid art and internal jugular vein), superior laryngeal nerve - external (lateral) and internal (medial), right recurrent laryngeal nerve (usual left), left recurrent laryngeal nerve (usual right)
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Thyroid gland drainage
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superior and middle thyroid vein - internal jugular.
inferior thyroid vein - left brachiocephalic vein Thyroid venous plexus |
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Thyroid gland lymph nodes organization
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superficial and deep rings connected by deep cervical trunk
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thryoid gland lymph nodes
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superior deep cervical, inferior deep cervical, prelaryngeal, pretracheal, paratracheal
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thyroid gland development
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starts at basal midline of tongue and migrates to tracheal cartilage
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parathyroid gland development
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superior pair from fourth pharyngeal arch, inferior pair from the third pharyngeal arch
ultimobranchial body (has parafollucular cells that secrete calcitonin) is from fifth pharyngeal arch |
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Cysts and fistulas in neck
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Medial cysts and fistulas are remnants of thyroglossal duct, failure to regress - cyst (neck mass)
lateral cysts/fistulas remnants of ductal portions of cervical sinus, from tissue migration during embryonic development |