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Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Dec 26, 2015

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Karen Stephens
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Page 1: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.
Page 2: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Posterior Triangle

Anterior Triangle Mandibl

e

Median Plane

Sternocleidomastoid

Page 3: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Omohyoid (superior

belly)

Sternocleidomastoid

Median plane

Contents: Infrahyoid mm Cricothryoid m Thyroid gland Parathyroid

gland

Page 4: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.
Page 5: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Thyroid Cartilage Thyrohyoid

membrane Cricoid Cartilage

Cricothyroid ligament

Thyrohyoid Membrane

Thyroid Cartilage

Cricoid Cartilage

Laryngeal Prominence

Superior Horn

Inferior HornOblique

line

Cricothyroid ligament

Page 6: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Omohyoid Superior Belly Inferior Belly

Sternohyoid Sternohyoid

Omohyoid

Fascial sling of omohyoid

Page 7: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Sternothyroid Thyrohyoid Sternohyoi

d

OmohyoidSternothyroid

Thyrohyoid

Page 8: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

External Laryngeal N.

Cricothyroid

Page 9: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Variation Pyramidal lobe

Vasculature Superior Thyroid A Inferior Thyroid A Thyroid Ima

(occassionally)

Superior Thyroid

A

Inferior Thyroid A

Page 10: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Considerations Thyroid Ima A Recurrent Laryngeal

NN

Thyroid Ima

A

Recurrent Laryngeal N

Parathyroid Glands

Page 11: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

The Center for Advanced Head and Neck Surgery. http://www.waent.org/archives/2009/vol2-1/parathyroid/parathyroid.htm

Recurrent Recurrent

Page 12: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Digastric Anterior Belly Posterior Belly

Stylohyoid Mylohyoid Geniohyoid

Digastric (ant)

Mylohyoid

Stylohyoid

Digastric (ant)

Stylothyoid

Digastric (post)

Digastric (post)

Geniohyoid

Page 13: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Sternocleidomastoid

Omohyoid (superior

belly)

Digastric (posterior belly) Contents:

Common Carotid A.

Internal Carotid A. External Carotid A.

Branches Internal Jugular V. Hypoglossal N. Vagus N.

(branches) Parts of Cervical

Plexus

Page 14: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Bifurcation Branches

Superior Thyroid A. Superior Laryngeal A.

Lingual A. Facial A. Ascending Pharyngeal A. Occipital A. Others:

Maxillary A. Superficial Temporal A. Posterior Auricular A.

Subclavian A.

Common Carotid A.

Superior Thyroid A.

Lingual A.

Occipital A.

Ascending Pharyngeal A.Facial A.

Page 15: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Investing Fascia

Pretracheal Fascia Prevertebral Fascia

Carotid Sheath

Carotid Sheath Internal Jugular V. Vagus N. Common Carotid A.

Then, Internal Carotid A

Sternocleidomastoid (cut)

Carotid Sheath

Page 16: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

VPR C1-C4 Phrenic nerve Cutaneous branches* already seen in the posterior

triangle

Muscular branches

Fig 8.11 Clinically Oriented Anatomy 5th Ed. Moore & Dalley

Page 17: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

. Ansa cervicalis

Superior root (C1) Inferior root (C2,3)

N. to thyrohyoid

Hypoglossal N (CN XII)

VPR C1

Nerve to Thyrohyoid

Superior root of Ansa Cervicalis

Inferior root of Ansa Cervicalis

Phrenic N

C2

C3

Page 18: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Phrenic N Unnamed nerves

prevertebral mm.

N. to thyrohyoid Ansa cervicalis

Superior root Inferior root

Fig 7.8, Grant’s Dissector 14th Ed.

Page 19: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Mandible

Digastric(Post. Belly)

Digastric(Ant. Belly)

Contents: Submandibular

gland Facial A. & V. Stylohyoid M. Lymph Nodes Hypoglossal N

(portion)

Page 20: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Hypoglossal N (CN XII)

Page 21: Posterior Triangle Anterior Triangle Mandibl e Median Plane Sternocleidomastoid.

Digastric (Ant. Bellies)

Hyoid

Contents: Submental

Lymph Nodes