Anatomy of the Neck

This presentation illustrates Anatomy of the Neck

Transcript

1. Cervical Fascia Dr. Sherif Fahmy
2. Superficial Fascia (Page 2) It is a thin layer of fascia that contains: 1- Platysma muscle. 2- Superficial veins. 3- Cutaneous nerves. 4- Superficial lymph nodes. Dr. Sherif Fahmy
3. Platysma Muscle Dr. Sherif Fahmy
4. Dr. Sherif Fahmy
5. Platysma m. Dr. Sherif Fahmy
6. Dr. Sherif Fahmy
7. Superficial Veins Dr. Sherif Fahmy
8. Dr. Sherif Fahmy
9. Cutaneous Nerves Dr. Sherif Fahmy
10. Great auricular n. Lesser occipital n. Transverse cutaneous n. of neck Supra-clavicular n. Cutaneous Nerves Dr. Sherif Fahmy
11. Superficial Cervical Lymph Nodes Dr. Sherif Fahmy
12. Dr. Sherif Fahmy
13. Deep Cervical Fascia (Page 4) Dr. Sherif Fahmy
14. 1- Investing Layer of Deep Fascia Dr. Sherif Fahmy
15. Dr. Sherif Fahmy
16. Platysma m. Deep investing fascia Dr. Sherif Fahmy
17. Attachments of Investing Deep Fascia 1-Upper: To symphesis menti, lower border of mandible, mastoid process, Superior nuchal line and external occipital protuberance. It splits around parotid and submandibular glands. 2-Lower: Superasternal notch, clavicle, acromion and spine. It splits above suprasternal notch which contains lower parts of anterior jugular veins, jugular arch, sternal head of sternomastoid muscle and some lymph nodes. 3-Posterior: Ligamentum nuchae and spine of C7. 4-Anterior: Symphesis menti, Body of hyoid and suprasternal notch. Dr. Sherif Fahmy
18. It forms the roof of Anterior & Posterior Triangles of the Neck Dr. Sherif Fahmy
19. Structures That pierce the deep investing fascia 1- External jugular vein (one inch above the clavicle). 2- Supraclavicular nerves )just above the clavicle). Dr. Sherif Fahmy
20. External jugular vein Supra- clavicular n. Deep investing fascia of neck Dr. Sherif Fahmy Dr. Sherif Fahmy
21. Structures which are embedded in deep investing fascaia 1- Spinal accessory nerve. 2- Inferior belly of omohyoid muscle. Dr. Sherif Fahmy
22. Spinal accessory n. Inferior belly of omohyoid m. Superior belly of omohyoid m. Hyoid bone Deep investing fascia of neck Dr. Sherif Fahmy Dr. Sherif Fahmy
23. Other Deep Fascia 2- Prevertebral fascia. 3- Pretracheal fascia (will be described with thyroid gland). 4- Carotid sheath. (will be described with carotid arteries). 5- Buccopharyngeal and pharyngeobasilar fasciae with pharynx. Dr. Sherif Fahmy
24. Prevertebral Muscles & Fascia Dr. Sherif Fahmy
25. Dr. Sherif Fahmy
28. POSTERIOR TRIANGLE OF NECK (Page 9) Dr. Sherif Fahmy Dr. Sherif Fahmy
29. Boundaries Dr. Sherif Fahmy Dr. Sherif Fahmy
30. Sternomastoid m. Trapezius m. Superior nuchal line Clavicle Dr. Sherif Fahmy Dr. Sherif Fahmy
31. Roof Dr. Sherif Fahmy
32. Platysma m. Deep investing fascia Dr. Sherif Fahmy Dr. Sherif Fahmy
33. Spinal accessory n. External jugular vein Supra- clavicular n. Inferior belly of omohyoid m. Superior belly of omohyoid m. Hyoid bone Deep investing fascia of neck Dr. Sherif Fahmy Dr. Sherif Fahmy
34. Floor Dr. Sherif Fahmy
35. Scalenus medius m. Levator scapulae m. Semispinalis capitis m. Splenius capitis m. Dr. Sherif Fahmy Dr. Sherif Fahmy
36. Sterno-mastoid m. (cut) Scalenus medius m. Levator scapulae m. Splenius m. Dr. Sherif Fahmy Dr. Sherif Fahmy
37. Contents Dr. Sherif Fahmy
38. A- Muscle •Inferior belly of omohyoid muscle. Dr. Sherif Fahmy
39. Sterno-mastoid m. (cut) Inferior belly of omo- hyoid m. Hyoid bone Superior belly of omohyoid m. Dr. Sherif Fahmy Dr. Sherif Fahmy
40. Inferior belly of omohyoid m. Dr. Sherif Fahmy Dr. Sherif Fahmy
41. B- Nerves • 1- Spinal accessory nerve. • 2- Branches of cervical plexus. • 3- Trunks of brachial plexus. Dr. Sherif Fahmy
42. Spinal accessory n. Great auricular n. Lesser occipital n. Transverse cutaneous n. of neck Supra-clavicular n. Trunks of brachial plexus Dr. Sherif Fahmy Dr. Sherif Fahmy
43. Spinal accessory n. Great auricular n. Lesser occipital n. Transverse cutaneous n. of neck Supra-clavicular n. Dr. Sherif Fahmy Dr. Sherif Fahmy
44. C- Arteries • 1- Occipital artery. • 2- Third part of subclavian artery. • 3- Suprascapular artery. • 4- Transverse cervical artery. Dr. Sherif Fahmy Dr. Sherif Fahmy
45. Occipital art. Transverse cervical art. Suprascapular art. 3rd part of subclavian art. Dr. Sherif Fahmy Dr. Sherif Fahmy
46. 1st part of subclavian art. Thyrocervical trunk 3rd part of subclavian art. Supr- ascapular art. Transverse cervical art. Scalenus anterior m. Dr. Sherif Fahmy Dr. Sherif Fahmy
47. D- Veins •1- External jugular vein. •2- Anterior jugular vein. •3- Transverse cervical vein. •4- Suprascpular vein. •5- Subclavian vein. Dr. Sherif Fahmy
48. External jugular vein Anterior jugular vein Transverse cervical vein Suprascapular vein Subclavian vein Dr. Sherif Fahmy
49. E- Lymph nodes • 1- On posterior border of sterno- mastoid m. • 2- On anterior border of trapezius m. • 3- Along spinal accessory n. • 4- Along transverse cervical vessels. Dr. Sherif Fahmy
50. Transverse cervical art. Deep lymph nodes Dr. Sherif Fahmy Dr. Sherif Fahmy
51. Applied Anatomy •1- Injury of external jugular may lead to air embolism. •2- Injury of spinal accessory leads to shoulder drop. Dr. Sherif Fahmy
52. External Jugular Vein (Page 14) Dr. Sherif Fahmy
53. External jugular vein Anterior jugular vein Transverse cervical vein Suprascapular vein Subclavian vein Dr. Sherif Fahmy
54. Dr. Sherif Fahmy
55. ANTERIOR TRIANGLE OF NECK (Page 36) Dr. Sherif Fahmy
56. Anterior triangle is divided into: •1- Carotid triangle. •2- Digastric triangle. •3- Submental triangle. •4- Muscular triangle. Dr. Sherif Fahmy
57. Sterno- mastoid m. Superior belly of omohyoid m. Digastric m. Lower border of body of mandible Midline of neck Carotid triangle Muscular triangle Digastric triangle Submental triangle Dr. Sherif Fahmy Dr. Sherif Fahmy
58. CAROTID TRIANGLE (Page 38) Dr. Sherif Fahmy
59. Boundaries of Carotid Triangle Dr. Sherif Fahmy
60. Sterno- mastoid m. Superior belly of omohyoid m. Posterior belly of digastric m. Carotid triangle Dr. Sherif Fahmy Dr. Sherif Fahmy
61. Posterior surface Floor
62. Floor of Carotid Triangle Dr. Sherif Fahmy
63. Superior belly of omohyoid m. Posterior belly of digastric m. Sterno- mastoid m. Hyoid bone Thyro-hyoid m. Hyo-glossus m. Middle constrictor m. Inferior constrictor m. Dr. Sherif Fahmy Dr. Sherif Fahmy
64. Contents of Carotid Triangle Dr. Sherif Fahmy
65. A- Arteries Dr. Sherif Fahmy
66. Common carotid artery Internal carotid art. External carotid art. Superior thyroid art. Lingual art. Facial art. Occipital art. Dr. Sherif Fahmy
67. B- Nerves & Veins Dr. Sherif Fahmy
68. Spinal accessory n. Vagus nerve Hypoglossal n. Descendens hypoglossi Nerve to thyrohyoid m. Internal jugular vein Ansa cervicalis Descendens cervicalis Dr. Sherif Fahmy
69. Vagus nerve Superior laryngeal nerve Internal laryngeal nerve External laryngeal nerve Dr. Sherif Fahmy Dr. Sherif Fahmy
70. Applied Anatomy Dr. Sherif Fahmy
71. Common carotid art. Internal carotid art. Carotid sinus Carotid body Glossopharyngeal nerve Dr. Sherif Fahmy Dr. Sherif Fahmy
72. SUBMANDIBULAR REGION (Page 70) Dr.Sherif Fahmy
73. Sterno- mastoid m. Superior belly of omohyoid m. Digastric m. Lower border of body of mandible Midline of neck
74. Muscles of Submandibular (Suprahyoid) Region 1- Digastric muscle. 2- Stylohyoid muscle. 3- Myelohyoid muscle. 4- Hyoglossus muscle. 5- Geniohyoid muscle. 6- Genioglossus muscle.
75. Superficial part of submandibular gland Anterior belly of digastric m. Dr. Sherif Fahmy Posterior belly of digastric m.
76. Anterior belly of digastric m. Myelohyoid nerve Submental artery Myelohyoid m. Dr. Sherif Fahmy Posterior belly of digastric m. Stylohyoid m. Hyoglossus m. Dr.Sherif Fahmy
77. Myelohyoid m. Lingual n. Submandibular ganglion Deep part of submandibular gland Hypoglossal nerve Posterior belly of digastric m. Submandibular duct Dr. Sherif Fahmy Myelohyoid n Submental vs Anterior belly of digastric m Hyoglossus m.
78. Geniohyoid m. Hyoglossus m. Genio-glossus m. Stylo-glossus m. Lingual nerve Hypoglossal nerve Deep part of submandibular gland Submandibular duct Myelohyoid m. (cut) Dr. Sherif Fahmy
79. Styloid process Stylohyoid ligamnent Glossopharyngeal n. Middle constrictor m. First part of lingual artery 3rd part of lingual artery Geniohyoid m. Genioglossus m. Sublingual gl. Dr. Sherif Fahmy
80. Digastric Muscle (Page 70) Dr.Sherif Fahmy
81. Mastoid process Styloid process Posterior belly of digastric m. Stylohyoid m. Anterior belly of digastric m. Hyoid bone Fibrous loop Digastric fossa Mandible Intermediet tendon
82. Relations of Digastric Muscle Dr.Sherif Fahmy
83. A- Anterior Belly Dr.Sherif Fahmy
84. Superficial part of submandibular gland Anterior belly of digastric m. Superficial Relations of Anterior belly Digastric muscle Dr. Sherif Fahmy Dr.Sherif Fahmy
85. Anterior belly of digastric m. Myelohyoid nerve Submental artery Myelohyoid m. Deep Relations of Anterior belly Digastric Muscle Dr. Sherif Fahmy Dr.Sherif Fahmy
86. B- Posterior Belly Dr.Sherif Fahmy
87. Superficial part of submandibular gland Posterior belly of digastric m. Parotid gland Superficial Relations of Posterior Belly Digastric muscle Mastoid process Angle of mandible Dr. Sherif Fahmy Dr.Sherif Fahmy
88. Posterior belly of digastric m. Internal carotid art. External carotid art. Facial art. Occipital art. I.J.V. Hypoglossal n. Vagus n. Spinal accessory n. Deep relations of posterior belly of digastric m. Dr. Sherif Fahmy Dr.Sherif Fahmy
89. Relations to Borders of Posterior Belly of Digastric m. Dr.Sherif Fahmy
90. Stylohyoid m Dr. Sherif Fahmy Dr.Sherif Fahmy
91. Posterior belly of digastric m. Posterior auricular art. Occipital art. Dr.Sherif Fahmy
92. Myelohyoid Muscle (Diaphragma Oris) (Page 74) Dr.Sherif Fahmy
93. Myelohyoid muscle Myelohyoid line Median raphe Body of hyoid bone Dr. Sherif Fahmy
94. Relations of Myelohyoid M. Dr.Sherif Fahmy
95. Anterior belly of digastric m. Myelohyoid m. myelohyoid nerve Submental artery Beginning of anterior jugular vein Superficial Submental lymph nodes Dr. Sherif Fahmy Dr.Sherif Fahmy
96. Superficial part of submandibular gland Dr. Sherif Fahmy
97. Geniohyoid m. Hyoglossus m. Genio-glossus m. Stylo-glossus m. Lingual nerve Hypoglossal nerve Deep part of submandibular gland Submandibular duct Myelohyoid m. (cut) Deep Dr. Sherif Fahmy
98. Submental Triangle (Page 40) Dr.Sherif Fahmy
99. Anterior belly of digastric m. Myelohyoid m. Submental artery Beginning of anterior jugular vein Body of hyoid bone Submental lymph nodes Dr. Sherif Fahmy
100. Hyoglossus Muscle (Page 78) Dr.Sherif Fahmy
101. Greater horn of hyoid m. tongue Hyoglossus m. Dr. Sherif Fahmy
102. Relations of Hyoglossus M. Dr.Sherif Fahmy
103. Myelohyoid m. Lingual n. Submandibular ganglion Deep part of submandibular gland Hypoglossal nerve Posterior belly of digastric m. Superficial Relations of Hyoglossus Muscle Submandibular duct Dr. Sherif Fahmy
104. Styloid process Styloglossus m. Lingual nerve Submandibular ganglion Deep part of submandibular gland Hypoglossal n. Dr. Sherif Fahmy
105. Styloid process Stylohyoid ligamnent Glossopharyngeal n. Middle constrictor m. First part of lingual artery 3rd part of lingual artery Geniohyoid m. Genioglossus m. Deep, anterior and posterior relations Sublingual gl. Dr. Sherif Fahmy
106. Stylohyoid Muscle (Page 76) Dr.Sherif Fahmy
107. Dr. Sherif Fahmy
108. Geniohyoid Muscle (Page 70) Dr.Sherif Fahmy
109. Geniohyoid m. Genial tubercles Body of hyoid bone Dr. Sherif Fahmy
110. Genioglossus Muscle (Page 78) Dr.Sherif Fahmy
111. Hypoglossal nerve Genioglossus m. Dr. Sherif Fahmy
112. Submandibular Salivary Gland Page 82 Dr.Sherif Fahmy
113. Parts, site and extensions • Parts: superficial & deep to myelohyoid muscle. • Site: Upper part is deep to mandible (submandibular fossa) while the lower part in digastric triangle. • Extensions: Anterior: mental foramen. Posterior: Angle of mandible. Superior: myelohyoid line. Inferior: intermediate tendon of digastric muscle. Dr.Sherif Fahmy
114. Superficial part of submandibular gland Posterior belly of digastric m. Anterior belly of digastric m. Parotid gland Dr. Sherif Fahmy
115. Relations of the superficial part Dr.Sherif Fahmy
116. Lateral surface Inferolateral surface Medial pterygoid m. Facial artery Facial vein Cervical branch of facial nerve Submandibular lymph nodes Body of mandible Lateral & inferolateral relations Dr. Sherif Fahmy
117. Myelohyoid m. Lingual n. Submandibular ganglion Deep part of submandibular gland Hypoglossal n. Posterior belly of digastric m. Dr. Sherif Fahmy
118. Relations of deep part and course of the duct Dr.Sherif Fahmy
119. Hyoglossus m. Myelohyoid m. Lingual n. Hypoglossal n. Submandibular duct Deep part of submandibular gland Styloglossus m. Sublingual gland Dr. Sherif Fahmy
120. Frenulum of tongue Sublingual fold Opening of submandibular duct Dr.Sherif Fahmy
121. Nerve supply: 1- Sensory 2- Sympathetic. 3- Parasympathetic. Blood supply. By facial vessels. Dr.Sherif Fahmy
122. Myelohyoid m. Lingual n. Submandibular ganglion Dr. Sherif Fahmy
123. Applied Anatomy • Formation of a stone in its duct is common because its secretion is muco-serous and more viscid. • In this case the gland swell during chewing. Dr.Sherif Fahmy
124. DIGASTRIC TRIANGLE (Page 36) Dr.Sherif Fahmy
125. Boundaries Dr.Sherif Fahmy
126. Digastric m. Lower border of body of mandible Dr. Sherif Fahmy
127. Posterior belly of digastric m. Stylohyoid m. Anterior belly of digastric m. Mandible Dr. Sherif Fahmy
128. Floor of Digastric Triangle Dr.Sherif Fahmy
129. Myelohyoid m. Hyoglossus m. Dr. Sherif Fahmy
130. Contents Dr.Sherif Fahmy
131. Lateral surface Inferolateral surface Medial pterygoid m. Facial artery Facial vein Cervical branch of facial nerve Submandibular lymph nodes Body of mandible Lateral & inferolateral relations Dr. Sherif Fahmy
132. Myelohyoid m. Lingual n. Submandibular ganglion Deep part of submandibular gland Hypoglossal n. Posterior belly of digastric m. Dr. Sherif Fahmy
133. Sublingual Salivary Gland Dr.Sherif Fahmy
134. Sublingual salivary gland Submandibular salivary gland Parotid gland Dr.Sherif Fahmy
135. Myelohyoid m. Lingual n. Submandibular duct Deep part of submandibular gland Sublingual gland Dr. Sherif Fahmy
136. Dr. Sherif Fahmy
137. Submandibular Ganglion (Page 88) Dr.Sherif Fahmy
138. Dr.Sherif Fahmy
139. COMMON CAROTID ARTERY (Page 54) Dr.Sherif Fahmy
140. Arch of aorta Rt. Common carotid a. Left common carotid a. Thyroid cartilage External carotid a. Internal carotid a. Brachio-cephalic art. Course Dr.Sherif Fahmy
141. Relations Dr.Sherif Fahmy
142. Common carotid a. Ext. carotid art. Int. carotid art. Dr.Sherif Fahmy
143. Lobe of thyroid gland Common carotid a. Internal jugular vein Omohyoiod m. Sternothyroid m. Sternohyoid m. Sternomastoid m. Vagus n. Superficial, medial and lateral realtions Dr.Sherif Fahmy
144. -Deep relations of CCA, ICA, IJV & carotid sheath -Relations of sympathetic chain and cervical plexus Dr.Sherif Fahmy
145. Longus coli m. Scalenus anterior m. 1st part of subclavian art. Vertebral artery Thyro-cervical trunk Internal carotid a. Longus capitis m. Superior laryngeal n. Superior sympathetic ganglion Phrenic n. Internal jugular vein Rectus capitis lateralis m. Cervical plexus Inferior thyroid a. Scalenus medius m. Levator scapulae m. Dr.Sherif Fahmy
146. Longus coli m. 1st part of subclavian art. Vertebral artery Inferior thyroid a. Deep relations of common carotid artery Lower part of sympathetic chain Dr.Sherif Fahmy
147. Vagus n. Rt recussent laryngeal n. Rt common carotid a. Lt common carotid a. Thoracic duct Dr.Sherif Fahmy
148. Internal Carotid Artery (page 64) Dr.Sherif Fahmy
149. Course & Relations Dr.Sherif Fahmy
150. Common carotid a. Internal carotid a. External carotid a. Cervical part (1st) Dr.Sherif Fahmy
151. Brachio-cephalic art. Common carotid a. External carotid a.(cut) Internal carotid a. Vertebral artery Dr.Sherif Fahmy
152. Relations of First Part (Cervical) Dr.Sherif Fahmy
153. Internal carotid a. Hypoglossal n. Common facial vein Lingual vein Posterior belly of digastric m. Ext. carotid art. Int. jugular vein Vagus n. Descendens hypoglossi Dr.Sherif Fahmy
154. Common carotid a. External carotid a. Internal carotid a. Styloglossus m. Styloid process Stylopharyngeus m. Glossopharyngeal n. Pharyngeal br. Of vagus n. Dr.Sherif Fahmy
155. Internal carotid a. Longus capitis m. Superior laryngeal n. Superior sympathetic ganglion Deep Relations Dr.Sherif Fahmy
156. Petrous bone Carotid canal Internal carotid a. Cartilage closing the lower aspect of foramen lacerum Cavernous sinus Intra-cranial course Dr.Sherif Fahmy
157. Body of sphenoid Sphenoidal air sinus Internal carotid art. Abducent n. Dr.Sherif Fahmy Cavernous sinus Dr.Sherif Fahmy
158. Branches Dr.Sherif Fahmy
159. Petrous bone Carotid canal Internal carotid a. Cartilage closing the lower aspect of foramen lacerum Cavernous sinus Intra-cranial course Dr.Sherif Fahmy
160. Anterior cerebral a. Middle cerebral a. Posterior communicating a. Anterior choroidal a Int. carotid art (cut) Dr.Sherif Fahmy
161. External Carotid Artery (Page 56) Dr.Sherif Fahmy
162. Rt. Common carotid a. Thyroid cartilage External carotid a. Internal carotid a. Dr.Sherif Fahmy
163. Common carotid a. External carotid a. Parotid gland Internal carotid a. Superficial temporal a. Dr.Sherif Fahmy
164. Common carotid a. Internal carotid a. External carotid a. Superficial temporal a. Maxillary a. Dr.Sherif Fahmy
165. Relations Dr.Sherif Fahmy
166. Hypoglossal n. Common facial vein Lingual vein Posterior belly of digastric m. Ext. carotid art. Parotid gl. Facial nerve Retro-mandibular vein Superficial Relations Dr.Sherif Fahmy
167. External carotid a. Internal carotid a. Styloglossus m. Styloid process Stylopharyngeus m. Glossopharyngeal n. Pharyngeal br. Of vagus n. Deep Relations Dr.Sherif Fahmy
168. Branches Dr.Sherif Fahmy
169. 1-Superior thyroid a. Superior laryngeal a. Infrahyoid a. 2-Lingual a. 3-Facial a. 6-Ascending pharyngeal a. 4-Occipital a. 5-Posterior auricular a. 7-Maxillary a 8-Superficial temporal a. Dr.Sherif Fahmy
170. 1- Superior Thyroid Artery Dr.Sherif Fahmy
171. Superior thyroid a. Superior laryngeal a. Infrahyoid a. Anterior & posterior glandular brs. To sternomastoid m. To cricothyroid m. Superior thyroid A. Dr.Sherif Fahmy
172. 2- Lingual Artery Dr.Sherif Fahmy
173. 1st part of lingual a. 3rd part of lingual a. Hyoglossus m. Sublingual br. E.C.A. Lingual artery 2nd part deep to hyoglossus m. Dr.Sherif Fahmy
174. 3- Facial Artery Dr.Sherif Fahmy
175. Facial artery Dr.Sherif Fahmy
176. Ext. carotid art. Facial art. Ascending palatine art. Tonsillar br. Glandular br. Submental br. Facial artery in neck Superior constrictor Dr.Sherif Fahmy
177. Dr. Sherif Fahmy Dr.Sherif Fahmy
178. 4- Occipital Artery Dr.Sherif Fahmy
179. Posterior belly of digastric m. Sterno- mastoid m. Internal carotid art. Facial art. Occipital art. Dr.Sherif Fahmy
180. Occipital art. Transverse cervical art. Suprascapular art. 3rd part of subclavian art. Dr.Sherif Fahmy
181. Supra- trochlear a. Supra-orbital a. Superficial temporal a. Occipital a. Posterior auricular a. Dr.Sherif Fahmy
182. 5- Posterior Auricular Artery Dr.Sherif Fahmy
183. 1-Superior thyroid a. Superior laryngeal a. Infrahyoid a. 2-Lingual a. 3-Facial a. 6-Ascending pharyngeal a. 4-Occipital a. 5-Posterior auricular a. 7-Maxillary a 8-Superficial temporal a. Dr.Sherif Fahmy
184. 6- Ascending Pharyngeal Artery Dr.Sherif Fahmy
185. 1-Superior thyroid a. Superior laryngeal a. Infrahyoid a. 2-Lingual a. 3-Facial a. 6-Ascending pharyngeal a. 4-Occipital a. 5-Posterior auricular a. 7-Maxillary a 8-Superficial temporal a. Dr.Sherif Fahmy
186. JUGULAR VEINS Dr.Sherif Fahmy
187. Anterior & External Jugular Veins (page 14) Dr.Sherif Fahmy
188. Anterior facial vein Posterior division of retromandibular vein Posterior auricular vein External jugular vein Dr.Sherif Fahmy
189. External jugular vein Anterior jugular vein Transverse cervical vein Suprascapular vein Subclavian vein Dr.Sherif Fahmy
190. Internal Jugular Vein (page 66) Dr.Sherif Fahmy
191. Course & Relations Dr.Sherif Fahmy
192. Beginning of internal jugular vein Dr.Sherif Fahmy Sigmoid sinus Dr.Sherif Fahmy
193. Superior bulb Inferior bulb Dr.Sherif Fahmy
194. Internal jugular vein Subclavian vein Brachiocephalic vein Dr.Sherif Fahmy
195. Relations Dr.Sherif Fahmy
196. Posterior belly of digastric m. Sternomastoid m. Spinal accessory n. Descendens cervicalis Upper deep cervical Omohyoid m. Lower deep cervical l.n. Sternothyroid m. Sternohyoid m Sternomastoid Superficial Relations Dr.Sherif Fahmy
197. Scalenus anterior m. 1st part of subclavian art. Thyro-cervical trunk Phrenic n. Internal jugular vein Rectus capitis lateralis m. Cervical plexus Levator scapulae m. Scalenus medius m. Deep Relations Transverse pr C1 Dr.Sherif Fahmy
198. Tributaries Dr.Sherif Fahmy
199. Inferior petrosal sinus Common facial vein Lingual vein Superior thyroid vein Middle thyroid vein Pharyngeal vein Internal jugular vein Dr.Sherif Fahmy
200. Carotid Sheath (Page 6) A tube of deep fascia that surrounds big vessels and nerves in the neck. Attachments: Above: To tympanic plate and petrous bone. Below: To fibrous pericardium. Anterior: to pretracheal fascia. Posterior: Prevertebral fascia. Dr.Sherif Fahmy
201. Contents: • Common and internal carotid arteries. • Internal jugular vein. • Vagus nerve. In the upper part lower 4 cranial nerves are present in the upper part of sheath. Structures embeded: -Ansa cervicalis in anterior wall. -Sympathetic chain in posterior wall. Dr.Sherif Fahmy
202. Relations: 1- Anterior (superficial). 2- Posterior (deep). 3- Medial. Dr.Sherif Fahmy
203. Posterior belly of digastric m. Sternomastoid m. Spinal accessory n. Descendens cervicalis Upper deep cervical Omohyoid m. Lower deep cervical l.n. Sternothyroid m. Sternohyoid m Sternomastoid m Superficial Relations Dr.Sherif Fahmy
204. Longus coli m. Scalenus anterior m. 1st part of subclavian art. Vertebral artery Thyro-cervical trunk Phrenic n. Internal jugular vein Rectus capitis lateralis m. Cervical plexus Levator scapulae m. Scalenus medius m. Deep Relations Dr.Sherif Fahmy
205. Cervical Plexus (Page 36) Dr.Sherif Fahmy
206. Cervical plexus Levator scapulae m. Scalenus medius m. Internal jugular vein Phrenic nerve Cervical Plexus Dr.Sherif Fahmy
207. Great auricular n. Lesser occipital n. Transverse cutaneous n. of neck Supra-clavicular n. Dr.Sherif Fahmy
208. Cervical Part of Sympathetic Trunk (Page 100) Dr.Sherif Fahmy
209. Internal carotid a. Longus capitis m. Superior sympathetic ganglion Middle sympathetic ganglion Inferior sympathetic ganglion Longus coli m. Common carotid artery (cut) Dr.Sherif Fahmy
210. Branches C7 C8 Dr.Sherif Fahmy
211. Facial Nerve (Page 89) Dr.Sherif Fahmy
212. Pons Motor nucleus Sup. Salivary n. N.Solitarius Internal auditory meatus Vestibulo- cochlear nerve Motor root Nervus intermedius Facial nerve Dr.Sherif Fahmy
213. Pons Medulla Facial nerve Petrous bone Internal auditory meatus Vestibule of internal ear Geniculate ganglion Medial wall Posterior wall Stylo- mastoid fr. Styloid process Parotid gland Course of facial N. Dr.Sherif Fahmy
214. Facial nerve Geniculate ganglion Stylo- mastoid fr. 1- Greater superficial petrosal n. F.Lacerum Pterygoid canal Spheno- palatine ganglion 2-N. To stapedius m. 3-Chorda tympani n. 4- Posterior auricular n. 5- N. to posterior belly of digastric & stylohyoid ms. Lingual n. Submandibular ganglion Branches of facial n. Dr.Sherif Fahmy
215. Dr.Sherif Fahmy
216. Handle of malleus Chorda tympani n. Dr.Sherif Fahmy
217. Facial nerve Posterior auricular n. Temporal brs. Zygomatic brs. Buccal brs. Mandibular br. Cervical br. Dr.Sherif Fahmy
218. LAST 4 CRANIAL NERVES (Page 92)
219. Deep Origin (Nuclei) of Last 4 cranial nerves 9th C.N. 10th C.N. 11th C.N. 12th C.N. Motor -Nucleus Ambiguus Hypo- glossal nucleus Sensory Spinal nucleus of trigeminal nerve No No Taste Nucleus solitarius No No Para- sympathetic Inf. Salivary (9th) & dorsal nucleus (10th) No No -Upper 5 cervical segments
220. Medulla oblongata Pons Midbrain Inferior view of the Brain
221. 9th & 10th CN 11th CN 12th CN Medulla oblongata
222. Parotid gland Carotid sheath Lower 4 cranial ns Styloid process
223. Stylopharyngeus m. Glossopharyngeal nerve
224. Glossopharyngeal n. Hyoglossus m.
225. Superior belly of omohyoid m. Posterior belly of digastric m. Sterno- mastoid m. Spinal accessory n. Vagus nerve Hypoglossal n. Descendens hypoglossi Nerve to thyrohyoid m. Internal jugular vein Ansa cervicalis
226. Spinal accessory n.
227. Glosso-pharyngeal nerve (9th C.N.) (Page 92)
228. Medulla Glosso- pharyngeal n. Jugular foramen Superior ganglion Inferior ganglion Int. jugular vein Int. carotid art. Carotid sinus Ext. carotid art. Middle constrictor m. Hyoglossus m. Post 1/3 of tongue Palatine tonsil Soft palate Course Styloid process Stylopharyngeus m.
229. Glosso- pharyngeal n. Jugular foramen Inferior ganglion Carotid sinus 5- sensory to post. 1/3 of tongue 6- to palatine tonsil 7- to soft palate Branches 1-Tympanic br. Lesser superficial petrosal n. Stylo- phayngeus m. 2-N.to stylo- pharyngeus m. 3- Carotid n. 4- Pharyngeal br. To pharyngeal plexus
230. Vagus Nerve (10th CN) (Page 94)
231. Medulla Vagus Sup. ganglion Inf. ganglion Carotid sheath Styloid pr. Post. Belly of digastric m. subclavian art. Int. carotid art. Int. jugular vein Course
232. Branches 1- Meningeal br. 2- Auricular br. 3- Pharyngeal br. 4- Superior laryngeal br. Internal laryngeal br. External laryngeal br. 5- Superior cardiac 6-Inferior cardiac 7- Recurrent laryngeal n.
234. Accessory Nerve (11th CN) (Page 96)
235. Posterior belly of digastric m. Sterno- mastoid m. Spinal accessory n. Internal jugular vein
236. Spinal accessory n.
237. Cranial root Spinal root Vagus nerve Accessory nerve Carotid sheath Styloid process Posterior belly of digastric m. Sterno- mastoid m. Trapezius m. Spinal accessory n. Course & Branches Jugular foramen
238. Spinal accessory n. Sternomastoid m. Trapezius m.
239. Hypoglossal Nerve (12th CN) (Page 98)
240. Superior belly of omohyoid m. Posterior belly of digastric m. Sterno- mastoid m. Hypoglossal n. Descendens hypoglossi Nerve to thyrohyoid m. Internal jugular vein Ansa cervicalis
241. Hypoglossal n. Br. From C1 Nerve Hypoglossal canal Carotid sheath Styloid process Posterior belly of digastric m Int. jugular vein Descendens cervicalis Ansa cervicalis Descendens hypoglossi N. To thyro- hyoid m. N. To genio- hyoid m. To all muscles of tongue except palato-glossus Course & Branches ICA Medulla
242. Oral (Mouth) Cavity (Page 102)
243. Parts of Oral Cavity 1- Vestibule: between lips and teeth. 2- Mouth cavity proper: Inner to teeth.
244. Vestibule Mouth cavity proper
245. Boundaries of Mouth Cavity Proper 1- Infront & sides: Teeth 2- Roof: Palate (hard & soft) 3- Floor: A- Upper surface of anterior 2/3 of tongue. B- Lower surface of tongue. C- Below tongue. D- Myelohyoid muscle and its relations.
246. Vestibule Frenulum of tongue Deep lingual vein Pilca fimberiata
247. Anterior belly of digastric m. Myelohyoid m. myelohyoid nerve Submental artery Beginning of anterior jugular vein Superficial
248. Geniohyoid m. Hyoglossus m. Genio-glossus m. Stylo-glossus m. Lingual nerve Hypoglossal nerve Deep part of submandibular gland Submandibular duct Myelohyoid m. (cut) Deep
249. TONGUE (Page 106)
250. External Features
251. Oral part Pharyngeal part Upper Surface
252. Sulcus terminalis Foramen cecum Lingual tonsil Circumvallate papillae Filiform papillae Fungiform papillae
253. Frenulum of tongue Deep lingual vein Plica fimberiata Sublingual fold Sublingual papilla
254. Frenulum of tongue Sublingual fold Sublingual papilla receiving opening of submandibular duct
255. Muscles of the Tongue Intrinsic 1- Transverse. 2- Vertical 3- Superior longitudinal. 4- Inferior longitudinal Extrinsic 1- Styloglossus 2- Hyoglossus. 3- Genioglossus. 4- Palato-glossus.
256. A- Extrinsic Muscles
257. Palato- glossus m. Stylo-glossus m. Hyo-glossus m. Genio-glossus m.
258. B- Intrinsic Muscles
259. Vertical muscle Transverse muscle Superior longitudinal m. Inferior longitudinal m. Intrinsic muscles T.S L.S.
260. Blood Supply of Tongue
261. Arterial Supply
262. Ext. carotid art. Lingual art. Dorsal lingual arteries Deep artery of tongue
263. Venous Drainage
264. Deep lingual vein Dorsal lingual veins Hypoglossal nerve Common lingual vein
265. Lymph Drainage
266. Submental nodes Submandibular nodes Jugulo- digastric nodes Jugulo-omohyoid nodes
267. Submental nodes Submandibular nodes Jugulo-digastric node Jugulo-omohyoid node Post. Belly of digastric m. I.J.V Omo-hyoid m.
268. Nerve Supply • Motor: Hypoglossal nerve except palato-glossus muscle. • Sensory: Anterior 2/3: lingual & Chorda tympani. Posterior 1/3: Glossopharyngeal nerve
269. SOFT PALATE (Page 114)
270. Uvula (median part of soft palate) Hard palate Palato-glossal fold Palato- pharyngeal fold
271. Naso- pharynx Soft palate Palato-glossus m. Sagittal Section
272. Importance of Soft Palate - Closses nasopharynx during swallowing and blowing.
273. Site of soft palate
274. Hard palate Soft palate Naso-pharynx Oro-phrynx
275. Parts of Soft Palate
276. Uvula (median part of soft palate) Palato-glossal fold Palato- pharyngeal fold Palatine tonsil Parts of Soft Palate
277. Hard palate Uvula (median part of soft palate) Palatine tonsils Palato- glossal fold
278. Muscles of Soft Palate A- Extrinsic Muscles: • 1- Tensor palati. • 2- Levator palati. • 3- Palato-glossus. • 4- Palato-pharyngeus. B- Intrinsic Muscle: • - Musculus uvulae.
279. Sulcus for auditory tube Scaphoid fossa Petrous bone
280. Scaphoid fossa Auditory tube Lateral pterygoid plate 1-Tensor palatine m. Pterygoid hamulus Palato- glossus m. Palatine aponeurosis Palato- pharyngeus m. 2-Levator palati m Maxilla Mandible (Cut) Thyroid cartilage
281. Palatine aponeurosis Posterior nasal spine Musculus uvulae m. Intrinsic Muscle
282. Nerve Supply 1- Motor: Cranial accessory through vagus n. except tensor palati from mandibular n. 2- Sensory: - Glossopharyngeal n. - Lesser palatine n.
283. Blood Supply 1- Lesser palatine art. from greater palatine from maxillary. 2- Ascending palatine art. from facial art. 3- Ascending pharyngeal art. from ext. carotid art.
284. PHARYNX (Page 117) Dr.Sherif Fahmy
285. Shape & Extensions Shape: Funnle-shaped. Extensions: - Above: base of skull. - Below: Esophagus at level of C6 vertebra. Length: 5 inches Diameter: 3.5 cm at upper end & 1.5 cm at lower end. Dr.Sherif Fahmy
286. Parts of Pharynx •1- Naso-pharynx •2- Oro-pharynx •3- Laryngo-pharynx Dr.Sherif Fahmy
287. Naso- pharynx oro- pharynx Laryng- pharynx Soft palate Epiglottis Larynx Sagittal Section Dr.Sherif Fahmy
288. Relations of pharynx Dr.Sherif Fahmy
289. Larynx Nasal cavity Oral cavity Dorsum of tongue Upper 6 cervical vertebrae Anterior & Posterior Relations Dr.Sherif Fahmy
290. Lobe of thyroid gland Common carotid art. Styloid apparatus Lateral Relations Dr.Sherif Fahmy
291. Layers of Wall of pharynx 1- Mucosa. 2- Submucosa. 3- Pharyngo-basilar fascia. 4- Muscle layer. 5- Buccopharyngeal fascia. Dr.Sherif Fahmy
292. Muscles of Pharynx A- Constrictor muscles B- Longitudinal muscles Dr.Sherif Fahmy
293. Constrictor Muscles (Page 119) Dr.Sherif Fahmy
294. Crico- pharyngeus m Thyro- pharyngeus m 3- Inferior Constrictor m Cricoid Thyroid Hyoid Stylohyoid lig. 2- Middle constrictor m Pterygoid hamulus Pterygo- mandibular lig. 1- Superior constrictor m Pharyngeal tubercle Pharyngeal raphe Dr.Sherif Fahmy
295. Gaps Between Constrictor Muscles Dr.Sherif Fahmy
296. Cricoid Thyroid Hyoid Tensor palati m. Auditory tube Tensor palati m. Stylopharyngeus m. Glossopharyngeal nerve Superior laryngeal art. Internal laryngeal nerve Thyro-hyoid membrane Dr.Sherif Fahmy
297. Dr.Sherif Fahmy
298. Longitudinal Muscles of Pharynx • 1- Stylo-pharyngeus muscle • 2- Palato-pharyngeus muscle • 3- Slapingo-phryngeus muscle Dr.Sherif Fahmy
299. Auditory tube Salpingo- pharyngeus m. Soft palate Palato- pharyngeus m Stylo- pharyngeus m Thyroid cartilage Wall of pharynx Styloid process Dr.Sherif Fahmy
300. Cavity of Pharynx Dr.Sherif Fahmy
301. Naso- pharynx oro- pharynx Laryng- pharynx Soft palate Epiglottis Larynx Sagittal Section Dr.Sherif Fahmy
302. A- Naso-pharynx 1- Boundaries. 2- Communications. 3- Internal features. Dr.Sherif Fahmy
303. Naso-pharyngeal tonsil Opening of auditory tube Tubal elevation Salpingo- pharyngeal fold Pharyngeal recess Dr.Sherif Fahmy
304. B- Oro-pharynx 1- Boundaries. 2- Communications. 3- Internal features. Dr.Sherif Fahmy
305. Palatine tonsil Dr.Sherif Fahmy
306. Palatine tonsils Palato- glossal fold Palato- pharyngeus fold Dr.Sherif Fahmy
307. Uvula (median part of soft palate) Palato-glossal fold Palato- pharyngeal fold Palatine tonsil Dr.Sherif Fahmy
308. Palatine Tonsil (Page 124) Dr.Sherif Fahmy
309. Palatine tonsil Dr.Sherif Fahmy
310. Relations of Palatine Tonsil Dr.Sherif Fahmy
311. Palatine tonsil Dr.Sherif Fahmy
312. Palato-glossal fold Palato- pharyngeal fold Palatine tonsil Dr.Sherif Fahmy
313. Intra-tonsillar cleft Tonsillar crypts capsule Superior constrictor m. Paratonsillar vein Facial art. Ascending palatine art. I.C.A. Medial Dr.Sherif Fahmy
314. Arterial supply of palatine tonsil: 1- Tonsillar branch of facial artery. 2- Ascending pharyngeal artery. 3- Ascending palatine artery. 4- Lesser palatine artery. 5- Dorsal lingual arteries from lingual artery. Nerve supply: 1- Glossopharyngeal nerve. 2- Lesser palatine nerve. Lymph drainage: 1- Jugulo-digastric nodes. Surface anatomy: - Oval area on ramus of mandible, above and infront angle of mandible. Dr.Sherif Fahmy
315. C- Laryngo-pharynx 1- Boundaries. 2- Communications. 3- Internal features. Dr.Sherif Fahmy
316. Posterior view Posterior wall of pharynx (Cut) Piriform recess Inlet of larynx Pathway of food during swallowing Dr.Sherif Fahmy
317. Waldeyer’s Ring of Lymphoid Tissue • 1- Nasopharyngeal tonsil • 2- Palatine tonsils • 3- Lingual tonsil • 4- Tubal tonsils Dr.Sherif Fahmy
318. Palatine tonsil Naso- pharyngeal tonsil Tubal tonsil Lingual tonsil Dr.Sherif Fahmy
319. Arterial Supply of Pharynx • 1- Ascending pharyngeal artery. • 2- Ascending palatine artery. • 3- Pharyngeal branch from maxillary artery. • Pharyngeal plexus: • 1- Pharyngeal branch of glosso-pharyngeal nerve (sensory). • 2- Pharyngeal branch of vagus (Motor). • 3- Pharyngeal branch from superior cervical sympathetic ganglion (sympathetic) Dr.Sherif Fahmy
320. Dr.Sherif Fahmy
321. Dr.Sherif Fahmy
322. LYMPH DRAINAGE OF HEAD & NECK Dr.Sherif Fahmy
323. Dr.Sherif Fahmy
324. Dr.Sherif Fahmy
325. Superficial Lymph Nodes • A- Circular Group: • 1- Buccal nodes. • 2- Parotid nodes. • 3- Mastoid nodes. • 4- Occipital nodes. • 5- Submental nodes. • 6- Submandibular nodes. • B- Vertical Group: • 1- Anterior cervical nodes. • 2-superficial cervical nodes. Dr.Sherif Fahmy
326. Submental nodes Submandibular nodes Parotid nodes Mastoid nodes Occipital nodes Ext. jugular vein with superficial cervical nodes Anterior cervical nodes Buccal nodes Superficial nodes in H&N Dr.Sherif Fahmy
327. Dr.Sherif Fahmy
328. Dr.Sherif Fahmy
329. Deep Lymph nodes 1- Median group: -Retropharyngeal, infrahyoid, prelaryngeal, pretracheal and paratracheal. 2- At side of neck along I.J.V.: - Upper & lower deep cervical nodes. Dr.Sherif Fahmy
330. Dr.Sherif Fahmy
331. Dr.Sherif Fahmy
332. Fate of lymph drainage of head & neck Dr.Sherif Fahmy
333. Dr.Sherif Fahmy
334. Nose (Page 130) Dr.Sherif Fahmy
335. Bony skeleton of nose Nasal bones Frontal process of maxilla Nasal process of frontal bone Dr.Sherif Fahmy
336. NASAL CAVITY (Page 130) Dr.Sherif Fahmy
337. Roof & Floor Dr.Sherif Fahmy
338. Nasal bone Frontal bone Cribriform plate of ethmoid Body of sphenoid Hard palate Soft palate Dr.Sherif Fahmy
339. Nasal Septum (medial wall) Dr.Sherif Fahmy
340. Dr.Sherif Fahmy
341. Lateral Wall of Nasal Cavity Dr.Sherif Fahmy
342. Cartilage Medial surface of ethmoidol labyrinth Superior concha Middle concha Maxilla Inferior concha Perpendicular plate of palatine bone Spheno- palatine foramen Dr.Sherif Fahmy
343. Superior concha Middle concha Inferior concha Dr.Sherif Fahmy
344. Spheno-ethmoidal recess Sup. Concha (cut) Superior meatus Middle concha (cut) Middle meatus Inferior concha (cut) Inferior meatus Vestibule Atrium Dr.Sherif Fahmy
345. Spheno-ethmoidal recess Superior meatus Inferior meatus Sphenoidal air sinus Opening of post. Ethmoidal sinus Bulla ethmoidalis Hiatus semilunaris Lower end of naso-lacrimal duct Frontal sinus Dr.Sherif Fahmy
346. Lining of Nasal Cavity Skin: at vestibule. Olfactory mucosa: at upper 1 cm of nasal septum, spheno-ethmoidal recess and superior concha. Respiratory mucosa: lines the rest of the cavity. Dr.Sherif Fahmy
347. Blood & Nerve Supply of Nasal Cavity Dr.Sherif Fahmy
348. Anterior ethmoidal a. Post. Ethmoidal a. Spheno- palatine art. Greater palatine a. Anterior superior alveolar Dr.Sherif Fahmy
349. Area of Epistaxis (Little’ Area) Dr.Sherif Fahmy
350. Dr.Sherif Fahmy
351. Anterior ethmoidal nerve Olfactory nerves Medial nasal Lateral nasal Greater palatine n. Anterior superior alveolar n. Dr.Sherif Fahmy
352. Dr.Sherif Fahmy
353. Dr.Sherif Fahmy
354. Paranasal Sinuses (Page 138) Dr.Sherif Fahmy
355. Frontal sinuses Ethmoidal sinuses Maxillary sinuses Dr.Sherif Fahmy
356. Frontal sinus Ethmoidal sinuses Sphenoidal sinus Maxillary sinus Dr.Sherif Fahmy
357. Maxillary Sinus (Page 138) Dr.Sherif Fahmy
358. Dr.Sherif Fahmy
359. Dr.Sherif Fahmy
360. Opening of maxillary sinus Dr.Sherif Fahmy
361. Spheno- palatine art Posterior superior alveolar art. Infra- orbital art. Anterior superior alveolar art. Middle superior alveolar art Dr.Sherif Fahmy Dr.Sherif Fahmy
362. Joints of Atlas and Axis (Page 162) Dr.Sherif Fahmy
363. ATLANTO-OCCIPITAL AND ATLANTO-AXIAL JOINTS Dr.Sherif Fahmy
364. Atlanto-occipital J. Dr.Sherif Fahmy
365. Dr.Sherif Fahmy
366. Superior aspect of atlas Facet for dens of axis Superior articular process Transverse ligament of atlas Dr.Sherif Fahmy
367. Anterior arch of atlas Anterior longitudinal ligament Anterior atlanto- occipital membrane Occipital bone of skull Dr.Sherif Fahmy
368. External occipital protuberance Posterior atlanto- occipital membrane Posterior aspect Dr.Sherif Fahmy
369. Atlanto-axial J. Dr.Sherif Fahmy
370. Superior aspect of atlas Facet for dens of axis Superior articular process Transverse ligament of atlas Dr.Sherif Fahmy
371. Transverse ligament of atlas Dens of axis Superior aspect of median atlanto-axial joint Anterior arch of atlas Dr.Sherif Fahmy
372. Transverse ligament of atlas Alar ligament Lateral atlanto- axial joint Dr.Sherif Fahmy
373. Dr.Sherif Fahmy
374. Posterior longitudinal lig. Membrana tectoria Transverse lig. Inf. Longitudinal lig. Sup. Longitudinal lig. Cuciform ligament Alar ligaments Anterior aspect with removed anterior parts of vertebrae Basilar part of occipital bone Dr.Sherif Fahmy
375. Membrana tectoria (cut) Membrana tectoria (cut) Superior longitudinal lig. (cut) Apical ligament Alar ligament Accessory atlanto- axial ligament Transverse ligament Clivus Dr.Sherif Fahmy
376. Posterior longitudinal lig. Membrana tectoria Transverse lig. Inf. Longitudinal lig. Sup. Longitudinal lig. Cuciform ligament Alar ligaments Anterior aspect with removed anterior parts of vertebrae Basilar part of occipital bone Dr.Sherif Fahmy
377. Membrana tectoria (cut) Membrana tectoria (cut) Superior longitudinal lig. (cut) Apical ligament Alar ligament Accessory atlanto- axial ligament Transverse ligament Clivus Dr.Sherif Fahmy
378. Transverse ligament of atlas Dens of axis Superior aspect of median atlanto-axial joint Anterior arch of atlas Dr.Sherif Fahmy
379. Transverse ligament of atlas Alar ligament Lateral atlanto- axial joint Dr.Sherif Fahmy
380. THE EAR (Page 154) Dr.Sherif Fahmy
381. A- External Ear Dr.Sherif Fahmy
382. Dr.Sherif Fahmy
383. Auricle Lobule External auditory meatus Ear drum Dr.Sherif Fahmy
384. Auricle Lobule of ear External auditory meatus Ear drum Dr.Sherif Fahmy
385. Tympanic memebrane (Ear drum) Dr.Sherif Fahmy
386. Tympanic membrane External auditory meatus Malleus Middle ear Dr.Sherif Fahmy
387. Pars tensa Pars flaccida Cone of light Handle of malleus Dr.Sherif Fahmy
388. Tympanic membrane Malleus Middle ear Umbo Handle of malleus Dr.Sherif Fahmy
389. Blood & Nerve Supply of Tympanic Membrane • 1- Nerve Supply: • A- Outer surface: is supplied by auriculo- temporal and auricular branch of vagus. • B- Inner surface: tympanic plexus. • 2- Blood Supply: • 1- Outer surface: deep auricular artery. • 2- Inner surface: from anterior tympanic artery. Dr.Sherif Fahmy
390. Dr.Sherif Fahmy
391. Outer aspect of tymoanic membrane Handle of malleus Cone of light Dr.Sherif Fahmy
392. Otitis media Dr.Sherif Fahmy
393. B- Middle Ear (Page 156) Dr.Sherif Fahmy
394. Epitympanic recess Tympanic cavity Parts of middle ear cavity Dr.Sherif Fahmy
395. Roof Floor Anterior wall Posterior wall Medial wall Walls of middle ear Dr.Sherif Fahmy
396. Tegmen tympani Dr.Sherif Fahmy
397. Roof Tegman tympani Floor Int. jugular vein Tympanic br. Of Glosso- pharyngeal n. Roof & Floor Dr.Sherif Fahmy
398. Anterior wall Posterior wall Promontory Tympanic plexus Oval windowe Round window Br. From sympathetic plexus around I.C.A. Tympanic br. Of 9th CN Canal for facial N. Medial wall Dr.Sherif Fahmy
399. Roof Floor Anterior wall Posterior wall Tensor tympani m. Auditory tube Internal carotid art. Sympathetic plexus Anterior wall Dr.Sherif Fahmy
400. Aditus ad antrum Pyramid Facial canal Chorda tympani Posterior wall Dr.Sherif Fahmy
401. External auditory meatus Ear drum Lateral wall Dr.Sherif Fahmy
402. Contents of middle ear 1- Ossicles: Malleus, incus and stapes. 2- Muscles: Tensor tympani & Stapedius. 3- Nerves: Tympanic plexus and chorda tympani. 4- Blood vessels: Tympanic arteries. Dr.Sherif Fahmy
403. Malleus Middle ear Incus Stapes Ossicles Dr.Sherif Fahmy
404. Malleus Incus Stapes Ossicles Head Handle Body Long process Head Neck Limbs Foot plate Short process Anterior process Dr.Sherif Fahmy
405. Pharyngo-tympanic tube Dr.Sherif Fahmy
406. Middle ear Lateral wall of naso- pharynx Pharyngo- tympanic tube Dr.Sherif Fahmy
407. Dr.Sherif Fahmy
408. Opening of pharyngeotympanic tube Dr.Sherif Fahmy
409. Inner Ear (Page 160) Dr.Sherif Fahmy
410. Internal acoustic meatus Dr.Sherif Fahmy
411. Petrous Semicircular canals Vestibule Cochlea Bony labyrinith Dr.Sherif Fahmy
412. saccule Utricle Cochlear duct Semicircular ducts Endolymphatic duct Membranous labrynith Dr.Sherif Fahmy
413. Vestibulo-cochlear Nerve (Page 160) Dr.Sherif Fahmy
414. Vestibular nerve Cochlear nerve Internal auditory meatus Vestibulo- cochlear nerve Dr.Sherif Fahmy
415. Vestibular ganglia Vestibular nerve Spiral ganglia Cochlear nerve Vestibulo- cochlear nerve Internal auditory meatus Ponto- cerebellar angle Dr.Sherif Fahmy
416. Transmission of sound Tympanic membrane Malleus Incus Stapes Oval window Round window closed with 2dry tympanic membrane Dr.Sherif Fahmy
417. Spiral gangliom Dr.Sherif Fahmy
418. Applied Anatomy 1- Otitis media. 2- Intracranial injury of facial n. -At internal auditory meatus. -At medial wall of middle ear. 3- High tone deafness. Dr.Sherif Fahmy
419. Larynx (Page 142) Dr.Sherif Fahmy
420. Skeleton of larynx A- Cartilages: 1- Single: Thyroid, cricoid and epiglottis. 2- Paired: Arytenoid, corniculate and cuneiform. B- Membranes: Thyrohyoid, cricothyroid, cricotracheal and quadrangular. Dr.Sherif Fahmy
421. Thyroid cartilage Dr.Sherif Fahmy
422. Thyroid cartilage Cricoid cartilage Quadrilateral lamina Laryngeal prominence (Adam’s apple) Hyoid bone Dr.Sherif Fahmy
423. Laryngeal prominence Thyroid notch Superior horn Inferior horn Oblique line Thyoid cartilage Quadrilateral plate of cartilage Dr.Sherif Fahmy
424. Cricoid Cartilage Dr.Sherif Fahmy
425. Cricoid cartilage Anterior arch Posterior quadrate lamina Articulation with inferior horn of thyroid cartilage Site for arytenoid Crico-tracheal ligament Dr.Sherif Fahmy
426. Epiglottis Dr.Sherif Fahmy
427. Epiglottis Stalk Right thyroid lamina Thyroepiglottic lig. Dr.Sherif Fahmy
428. Epiglottis Thyroid cartilage Arytenoid cartilage Posterior quadrate cricoid cartilage Thyro- epiglottic lig. Posterior concave smooth surface Posterior aspect Dr.Sherif Fahmy
429. Arytenoid cartilage Thyroid cartilage (cut) Quadrangular membrane Epiglottis Thyro-epiglottic lig. Upper border Lower border Cricoid cartilage Crico-thyroid membrane Dr.Sherif Fahmy
430. Thyroid cartilage (cut) Thyro-epiglottic lig. Hyoid bone Hyo-epiglottic lig. Vestibular fold Arytenoid cartilage Ary-epiglottic fold Epiglottis Quadrangular membrane Dr.Sherif Fahmy
431. Oral part Pharyngeal part Median glosso- epiglottic lig. Lateral glosso- epiglottic folds Epiglottis Dr.Sherif Fahmy
432. Arytenoid Cartilages Dr.Sherif Fahmy
433. Arytenoid cartilage Apex Base Vocal process Muscular process Cricoid cartilage Muscular process Dr.Sherif Fahmy
434. Cricoid cartilage Arytenoid cartilage Vocal process Vocal cord Posterior quadrate lamina Muscular processes Dr.Sherif Fahmy
435. Corniculate & Cuneiform Cartilages Dr.Sherif Fahmy
436. Cricoid cartilage (cut) Arytenoid cartilage Thyroid cartilage (cut) Quadrangular membrane Corniculate cartilage Cuneiform cartilage Epiglottis Dr.Sherif Fahmy
437. Ligaments, Membranes & Folds Dr.Sherif Fahmy
438. 1- Thyro-hyoid Memrane Dr.Sherif Fahmy
439. Thyroid cartilage Hyoid bone Median thyrohyoid lig. Lateral thin part Perforation for passage of int. laryngeal n. and sup. Laryngeal art. Lateral thyrohyoid lig. Dr.Sherif Fahmy
440. 2- Ligaments & folds attached to epiglottis Dr.Sherif Fahmy
441. Arytenoid cartilage Thyroid cartilage (cut) Quadrangular membrane Epiglottis Thyro-epiglottic lig. Upper border Lower border Dr.Sherif Fahmy
442. Thyroid cartilage (cut) Thyro-epiglottic lig. Epiglottis Hyoid bone Hyo-epiglottic lig. Vestibular fold Arytenoid cartilage Ary-epiglottic fold Quadrangular membrane covered with mucus membrane Dr.Sherif Fahmy
443. Pharyngeal part Median glosso- epiglottic lig. Lateral glosso- epiglottic folds Epiglottis Dr.Sherif Fahmy
444. 3- Ligaments attached to Cricoid cartilage Dr.Sherif Fahmy
445. Ligaments attached to Cricoid cartilage Crico-tracheal ligament 1st tracheal ring Cricoid cartilage Dr.Sherif Fahmy
446. Crico-thyroid lig. Crico-vocal lig. Cricoid cartilage Thyroid cartilage Dr.Sherif Fahmy
447. Cricoid cartilage (cut) Vocal process Crico-vocal lig. Cricothyroid lig. Thyroid cartilage (cut) Arytenoid cartilage Vocal cord Sagittal section of skeleton of larynx Dr.Sherif Fahmy
448. Cavity of Larynx (Page 148) Dr.Sherif Fahmy
449. Vestibular fold Arytenoid cartilage Ary-epiglottic fold Vestibule Sinus Infraglottic part Cavity of larynx Vocal fold Epiglottis Sagittal section Dr.Sherif Fahmy
450. Vestibule Infra-glottic part Sinus Cavity of Larynx Epiglottis Ary-epiglottic fold Vestibular fold Vocal fold Coronal section Saccule Dr.Sherif Fahmy
451. Inlet of Larynx Dr.Sherif Fahmy
452. Posterior view Posterior wall of pharynx (Cut) Piriform recess Inlet of larynx Pathway of food during swallowing Dr.Sherif Fahmy
453. Upper border of epiglottis Ary-epiglottic fold Inter-arytenoid fold Cuneiform cartilage Corniculate cartilage Inlet of larynx Dr.Sherif Fahmy
454. Ary-epiglottic fold Vestibular fold Vocal fold Sinus of larynx Thyroid cartilage (cut) Dr.Sherif Fahmy
455. Muscles of Larynx Dr.Sherif Fahmy
456. Crico-thyroid m. Dr.Sherif Fahmy
457. Epiglottis Thyroid cartilage Arytenoid cartilage Posterior aspect Transverse arytenoid Oblique arytenoid m. Ary-epiglottic m. Posterior crico- arytenoid m. Cricoid cartilage Dr.Sherif Fahmy
458. Cricoid cartilage Arytenoid cartilage Vocal cord Muscular processes Lateral crico- arytenoid m. Vocalis m. Dr.Sherif Fahmy
459. Posterior crico- arytenoid m. Lateral crico- arytenoid Transverse arytenoid Oblique arytenoid Vocalis m. Arytenoid cartilage Cricoid cartilage Thyroid cartilage Dr.Sherif Fahmy
460. Lateral crico-arytenoid m. Posterior crico- arytenoid m. Thyro-arytenoid m. Thyro-epiglottic m. Ary-epiglottic m. Dr.Sherif Fahmy
461. Superior view Arytenoid Vocal lig Vocalis m. Thyro- arytenoid m. Dr.Sherif Fahmy
462. Quiet respiration Deep inspiration Dr.Sherif Fahmy
463. Abduction of vocal cord Adduction of vocal cords Closure of rima glottidis Dr.Sherif Fahmy
464. Nerve Supply 1- Superior laryngeal Nerve. 2- Recurrent laryngeal Nerve. Dr.Sherif Fahmy
465. Blood Supply 1- Superior laryngeal artery. 2- Inferior laryngeal artery. Dr.Sherif Fahmy
466. Applied Anatomy Tracheostomy: A hole which is done in trachea or crico-thyroid membrane in case of laryngeal obstruction. Dr.Sherif Fahmy