3 carotid triangle___9th_10th_cn
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Transcript of 3 carotid triangle___9th_10th_cn
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CAROTID TRIANGLE
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Carotid TriangleBoundaries Post. Belly of digastric m
sup. Belly of omohyoid
Ant. border of sternomastoid
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Carotid TriangleContents
I. Carotid sheath
is a column of fascia that surrounds the blood vessels and nerves as they pass through the neck
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I. Carotid sheath
Attachment:
• Sup.: Base of skull (Carotid and jugular foramina)
• Inf.: Arch of aorta
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I. Carotid sheath
Contents:
• Above post. Belly of digastric: ICA, IJV & lower 4 CNs
• Below post. Belly of digastric: CCA, IJV & vagus nerve
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Carotid TriangleContents
II. 3 Carotid arteries: CCA, ICA & ECA
III. IJV
IV. 10, 11 & 12 CN
V. 3 small nerves: descending hypoglossi & cervicalis & nerve to thyrohyoid
VI. Cervical lymph nodes
VII. Sympathetic chain
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Common Carotid aOrigin:
• Rt CCA: from innominate a
• Lt CCA: from arch of aorta
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Common Carotid aTermination: at C3-4 or at upper border of thyroid cartilage by dividing into 2 terminal branches ICA & ECA
Branches: ICA and ECA
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Internal Carotid aOrigin: at C3-4 or at upper border of thyroid cartilage from CCA
Termination: intracranially by dividing into anterior and middle cerebral a
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Internal Carotid aDivide into parts : cervical, intrapetrous, intracavernous & intracranial• Termination of Cervical part: at carotid canal
• Branches of cervical part : NO BRANCHES
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External Carotid aOrigin: at C3-4 or at upper border of thyroid cartilage from CCA
Termination: in parotid g. by dividing into superficial temporal a & maxillary a
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Branches: 63 ant2 post1 medial
External Carotid a
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Internal jugular vein
Beginning: sigmoid venous sinus
Termination: join subclavian V to form innominate V
Has 2 dilatations (sup. & inf. Bulbs)
Tributaries:
1. Inf. Petrosal sinus
2. Pharyngeal V
3. Lingual V
4. Common facial V
5. Sup. Thyroidal V
6. Middle thyroidal V
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CRANIAL NERVES 9TH & 10TH
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The Glossopharyngeal nervea.Functions: mixed (motor, sensory & parasympathetic)b.Deep origin: in the medulla oblongata c.Foramen: middle of the jugular foramen e.Ganglia:
• Superior ganglion: small and has no branches • Inferior ganglion: large give tympanic branch
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17
The Glossopharyngeal nerve
Course : • At the base of the skull the
nerve lies between the internal jugular vein and the internal carotid artery deep to the styloid process and structures attached to it and the posterior belly of digastric
• Then leave carotid sheath & passes forward with stylopharyngeus muscle between the internal and external carotid arteries
9th CN
Stylopharyngeus
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The Glossopharyngeal nerve
Course : then curves forwards between the superior and middle constrictor muscles of pharynx to end by breaking into its terminal branches
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The Glossopharyngeal nerve
Branches:
Tympanic nerve: become the lesser petrosal nerve ……….otic ganglion. supplies the parotid gland
Carotid branch: to the carotid sinus and body,
Pharyngeal branches: sensory
Nerve to the stylopharyngeus
Tonsillar branches: sensory from the palate and the tonsils
Lingual branches: carry general and taste fibres from the posterior 1/3 of the tongue
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The Vagus nervea.Functions: mixed (motor, sensory & parasympathetic)b.Deep origin: in the medulla oblongata c.Foramen: middle of the jugular foramen e.Ganglia:
• Superior ganglion: small give 2 branches• Inferior ganglion: large give 2 branches. Cranial accessory
root (XI) join it
Cranial part
of XI
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Vagus nerveCourse : At the base of the skull the nerve lies between the internal jugular vein and the internal carotid artery deep to the styloid process and structures attached to it and the posterior belly of digastric
10th CN
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Vagus nerveCourse : The nerve descends vertically within the carotid sheath between the common carotid artery and the internal jugular vein until it reaches the root of the neck, it crosses in front of the first part of the subclavian artery to the thorax
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Vagus nerve
Branches:
I. From sup. ganglionMeningeal nAuricular n
II. From inf. ganglionPharyngeal n (motor)Superior laryngeal n (mixed)
III. Cardiac branch (parasym.)
IV. Recurrent laryngeal n (mixed)