Anatomical and Physiological Substantiations of the Operative Interventions on the Neck Region Anatomical and Physiological Substantiations of the Operative Interventions on the Neck Region Associate-professor Kovryha M.F.

Regions of the Head and Neck

Neck triangles. Morphological Grounding of the Middle and Lateral Triangles

Scheme of the Neck Triangles

Neck Fasciae: 1. Superficial fascia; 2. proper fascia; 3. deep lamina of the proper fascia; 4. endocervical fascia; 5. prevertebral fascia.

Superficial Muscles of the Neck

Neck Fasciae

Interfascial Spaces: 1. Spatium interaponeuroticum suprasternale; 2. Spatium m. sternocleidomastoideus; 3. Saccus ceccus retrosternocleidomastoideus; 4. Saccus gl. submandibulare; 5. Spatium vasoneurorum; 6. Spatium previscerale; 7. Spatium retroviscerale; 8. Spatium prevertebrale; 9. Spatium anterscalenum; 10. Spatium interscalenum; 11. Spatium scalenovertebrale.

Neck Fasciae

Lateral Triangle of the Neck

Muscles and Fasciae of the Neck

Neck Fasciae. Sternocleidomastoid Region

Neurovascular Bundles and Deep Muscles

Branches of External carotid Artery: 1. Superior thyroid artery 2. Lingual artery 3. Facial artery 4. Maxillary artery 5. Pharyngeal ascending artery 6. Superficial temporal artery 7. Occipital artery The internal carotid artery gives off no branches in the neck!

Neck Veins

Neck incision Must realize wide approach to organs or another anatomical structures Must realize wide approach to organs or another anatomical structures Must realize visibility of deep landmarks inside the wound Must realize visibility of deep landmarks inside the wound The postoperative wound must heal as a narrow scar The postoperative wound must heal as a narrow scar

Organs of the Neck

Nerves and Organs

Thyroid Gland

Parathyroid glands

Organs of the Neck

Vertebral Surface of the Pharynx. Neurovascular Bundles.

Pharynx

Lateral Neurovascular Bundle

Scalenovertebral Triangle

Larynx

Tracheostomy

Thank You for Attention!