REGIONAL ANATOMY OF THE
NECK


•REGIO CERVICALIS
•ANTERIOR ET LATERALIS
•REGIO CERVICALIS
•POSTERIOR
•

>

Krajiny krku
•
•REGIO CERVICALIS ANTERIOR
•(TRIGONUM CERVICALE MEDIALE):
•       TRIGONUM  SUBMENTALE
•       TRIGONUM  SUBMANDIBULARE
•       TRIGONUM  CAROTICUM
•       TRIGONUM MUSCULARE/
•                 OMOTRACHEALE
•
•
•
•
•
•REGIO CERVICALIS LATERALIS)
•(TRIGONUM CERVICALE LATERALE:
•    TRIGONUM OMOCLAVICULARE
•   (TRIGONUM OMOTRAPEZIUM)
•

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•1 – trigonum submentale
•2 – trigonum submandibulare
•3 – trigonum caroticum
•4 – trigonum omotrapezium
•5 – trigonum omoclaviculare
•9 – trigonum omotracheale
•

•FOSSA JUGULARIS
•FOSSA SUPRACLAVICULARIS
•                                  MINOR
•FOSSA SUPRACLAVICULARIS
•                                  MAJOR

•Hyoid bone



•PLATYSMA
Platysma platysma
https://encrypted-tbn1.gstatic.com/images?q=tbn:ANd9GcQuzNWBOdzyPbL9m9UPGIJTleVKhoru-0IEu5xVyn2jHBN
GkSINvg

Fig. 6
•PLATYSMOTOMY


Plexus cervicalis
•Punctum nervosum (Erb)
•N. OCCIPITALIS MINOR
•N. AURICULARIS MAGNUS
•N. TRANSVERSUS COLLI (R. COLLI N. FACIALIS
•                                                        - ANSA CERVICALIS SPF.)
•NN. SUPRACLAVICULARES
•V. JUGULARIS EXTERNA

Fascie krku
•FASCIA CERVICALIS:
•
•LAMINA
•     SUPERFICIALIS
•     PRAETRACHEALIS
•(FASCIA BUCCOPHARYNGEA)
•     PRAEVERTEBRALIS
•     VAGINA CAROTICA
•
•        SPATIUM
•        RETROPHARYNGEALE

•SPATIUM SUPRASTERNALE
•V. JUGULARIS ANT.
•ARCUS VENOSUS JUGULI

•TRIGONUM SUBMENTALE
•PLATYSMA
•LAMINA SPF. FASCIAE CERVIC.
•NODI LYMPH. SUBMENTALES
•M. MYLOHYOIDEUS
•M. GENIOHYOIDEUS
•M. GENIOGLOSSUS

•Nodi lymph. occipitales
•Nll. retroauriculares
•Nll. parotidei
•Nll. submandibulares
•Nll. submentales
•
•Nll. cervicales ant.spf. et prof.
•Nll. cervicales lat. spf. et prof.
• (nll. jugulares int.
•nll. supraclaviculares)
•
•
•            tr. jugularis
•Lymphatic drainage
•of the head and neck:

Nodi lymphatici, of the head and neck of an 8 year-old male

M



•TRIGONUM
•SUBMANDIBULARE


•TRACTUS
•    ANGULARIS


Gl



•Nll. submandibulares

Nodi lymphatici submandibulares

Regio submandibularis 1



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•N. LINGUALIS
•GANGLION
•  SUBMANDIBULARE

A.FACIALIS
•  - A. SUBMENTALIS
•CN XII
• (N. HYPOGLOSSUS)

•N. MYLOHYOIDEUS
•(N. ALVEOLARIS INF. – CN V)


•TRIGONUM
•CAROTICUM


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•CONTENTS:
•V. FACIALIS
•V. JUGULARIS INT.
•NL. CERVICALES PROF.
A.CAROTIS COMM.-
•                        EXT.+INT.
•N. VAGUS
•N. HYPOGLOSSUS
•ANSA CERVICALIS PROF.
•GLOMUS CAROTICUM
•SINUS CAROTICUS

A.CAROTIS EXT:
•A. THYROIDEA SUP.
•A. LINGUALIS
•A. FACIALIS
•A. PHARYNGEA ASC.
•A. OCCIPITALIS
•A. AURICULARIS POST.
•A. STERNOCLEIDOMAST.
•A. MAXILLARIS
•A.TEMPORALIS SPF.
•

•R. THYROHYOIDEUS (CN XII)
•N. LARYNGEUS SUP. (CN X)


http://crashingpatient.com/wp-content/images/part1/ij%20and%20subclav.jpg
http://www.acep.org/uploadedImages/ACEP/LibraryItems/2efbaa27e1af47cea9d26cecdefa7f661.jpg


Regio infrahyoidea
•TRIGONUM
•MUSCULARE

Pretracheální žilní pleteň



Gll



•
•
•coniotomy
•(cricothyrotomy)
•tracheotomy
•
•
•coniotomy
•(cricothyrotomy)
•tracheotomy
•
•
•Coniotomy/
•Cricothyrotomy
•Inferior tracheotomy

http://www.jmedicalcasereports.com/content/download/figures/1752-1947-5-381-1.jpeg
http://www.medskills.eu/dropbox/enlarge/36.jpg


http://www.marpac.biz/wp-content/uploads/2012/10/twopiececollar-300x195.jpg
https://wiki.uiowa.edu/download/attachments/52858034/051%20pod%2055.jpg?api=v2


•
•REGIO
•STERNOCLEIDO-
•MASTOIDEA




•Punctum nervosum
•(Erb’s point)


•TRIGONUM
•SCALENOVERTEBRALE
•S. SUBCLAVIAE
•CONTENTS:
•V. SUBCLAVIA
•V. JUGULARIS INT.
•V. JUGULARIS EXT.
•DUCTUS THORACICUS
•(TR. LYMPH. DEXTER)
•A. CAROTIS COMM.
•A. SUBCLAVIA
•TR. SYMPATICUS
•ANSA SUBCLAVIA
•N. VAGUS
•NN.+RR. CARDIACI
•N. PHRENICUS




•TRIGONUM COLLI LATERALE



•TRIGONUM
•OMOCLAVICULARE
•TRIGONUM
•OMOTRAPEZIUM
•A. ET V. CERVICALIS SPF.
•A. DORSALIS SCAPULAE
•CN XI
•PLEXUS CERVICALIS
•N. DORSALIS SCAPULAE
•N. THORACICUS LONGUS
•N. SUPRASCAPULARIS
•V. SUBCLAVIA
•A. SUBCLAVIA
•A. SUPRASCAPULARIS
•PLEXUS BRACHIALIS
•NL. SUPRACLAVICULARES

•PLEXUS CERVICALIS



•C1
•C2
•C3
•C4
•C5
•N. occipitalis minor
•N. auricularis magnus
•N. transversus colli
•Ansa cervicalis spf.
•(r. colli CN VII)
•Nn. supraclaviculares
•Rr. musculares
•  - m. rectus capitis ant.
•  - m. rectus capitis lateralis
•  - m. longus capitis
•  - m. longus colli
•  - mm. scaleni
•N. phrenicus
•Ansa cervicalis prof.
•     - radix superior
•     - radix inferior
•
•
•
•CN XII
•PLEXUS CERVICALIS (C1 – C4)

•m. thyrohyoideus












•N. phrenicus (C3 – C5)















•Illustrations were copied from:
•Atlas der Anatomie des Menschen/Sobotta.
•Putz,R., und Pabst,R. 20. Auflage. München:
•Urban & Schwarzenberg, 1993)
•
•Čihák R: Anatomie 2 (Splanchnologia). Avicenum,
•zdravotnické nakladatelství, Praha, 1988.
•

http://upload.wikimedia.org/wikipedia/commons/thumb/0/03/Kayan_woman_with_neck_rings.jpg/640px-Kaya
n_woman_with_neck_rings.jpg
•Illustrations were copied from:
•Atlas der Anatomie des Menschen/Sobotta.
•Putz,R., und Pabst,R. 20. Auflage. München:
•Urban & Schwarzenberg, 1993)
•Netter: Interactive Atlas of Human Anatomy.
•Windows Version 2.0
•Čihák R: Anatomie 2 (Splanchnologia).
•Avicenum, zdravotnické nakladatelství,
•Praha, 1988.
•Platzer W. Atlas topografické anatomie.
•Grada Publishing 1996
•Thank you for your attention