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BIO 226
Cross-sectional Anatomy
Head & Neck
presented by
John Moore – Professor
Parkland College
Structure list
• CCA/ICA/ECA
• choroid plexus
• crista galli
• dens (odontoid process)
• esophagus
• external auditory meatus
• falx cerebri
• frontal sinus
• hard palate
• IHF - inter hemispheric fissure (a.k.a. - longitudinal
fissure)
• IJV/EJV
• larynx
• MAC
Structure list (cont.)
• maxillary sinus
• nasal cavity
• nasal conchae (turbinates)
• nasal septum
• nasopharynx/oropharynx
• optic n.
• pituitary gland
• rectus mm.
• septum pellucidum
• spinal cord
• superior sagittal sinus
• thyroid gland
• trachea
• transverse foramen
• ventricles (lateral, 3rd., 4th.)
• vertebral a.
• The head & neck region has several
characteristics that make it difficult to
comprehend, and several that make it easy.
The major concept that adds difficulty is the
amount of detail that is found in the head & neck
regions. (As an example, the Dental Hygiene
Program offers a complete course in Head &
Neck Anatomy!!!!) Fortunately, for an
introductory level course such as this, we will not
be going into tremendous amounts of detail --
only basic reference structures.
The good news is that the head &
neck have more symmetry than any
other area of the body. This symmetry
is not only useful for study purposes,
but also for diagnostics. Generally, if
you see something on one side of the
head/neck, and you don’t see it on the
other -- something is wrong
somewhere.
Some of the “applied” anatomy concepts we will
be covering during the head & neck segment
will include:
• the concept of a “closed” cranial cavity
• blood supply to/from the head
• communication between intracranial and extra cranial blood
systems
• blood supply of the brain itself
• a brief overview of the regions of the brain, and associated
functions
Zygomatic arch
Sternocleidomastoid m.
Platysma m.
Sternothyroid m.
Sternohyoid m.
SCM
Hyoid bone
Scalene muscles
R1
clavicle
Thyroid carilage
GENERAL NECK
ANATOMY
sphenoid nasal
maxilla
zygomatic
lacrimal
ethmoid
Perpendicular
plate of
ethmoid
sphenoid
frontal
parietal
temporal
occipital
external auditory
meatus
TMJ
mastoid
process
ethmoid
Palatine (hard
palate)
Perpendicular
plate
Septal
cartilage
vomer
Sphenoid sinus
Sella turcica
Cribriform plate of ethmoid
Frontal sinus
Cribriform plate / ethmoid
Sella turcica / sphenoid
Crista galli / ethmoid
Foramen magnum
Anterior clinoid
process
Posterior clinoid process
Cribriform plate
ETHMOID – FRONTAL VIEW
Crista galli
Perpendicular plate
Middle
nasal
concha
Cribriform plate
Crista galli
Perpendicular
plate
Ethmoid air cells
Maxillary sinus
Frontal sinus
Sphenoidal sinus
Maxillary sinuses
Ethmoid air cells
Frontal sinus
Spenoid
sinus
Frontal
sinus
Perpendicular
plateMaxilla
Ethmoid
sinus
conchae
Maxillary
sinus
Frontal
sinus
Mastoid air
cells
Sphenoid
sinus
MAC
Foramen
magnum
MAC
brain
Pia mater
Arachnoid mater
Dura mater
Subarachnoid space
Subdural space
parietal lobe
occipital lobe
cerebellum
central sulcus (fissure)
temporal lobe
medulla
pons
brain stem
frontal lobe
spinal cord
medulla oblongata
pons
cerebral aqueduct
pituitary gland
corpus callosum
cerebellum
4th
ventricle
Lateral ventricle
3rd
ventricle
4th
ventricle
Frontal hornOccipital
horn
Temporal
horn
Cerebral
aqueduct
Foramen of
Monro
POSTERIOR
VIEW
SUPERIOR
VIEW
4th
ventricle
4th
ventricle
Cerebral aqueduct
Superior sagittal sinus
Transverse sinus
Internal
jugular vein
Confluence of sinuses
Straight sinus
Sigmoid sinus
Inferior sagittal
sinus
Falx cerebri
CIRCLE OF WILLIS
Anterior cerebral artery
Anterior communicating
artery
Middle cerebral artery
Internal carotid artery
Posterior
communicating artery
Posterior cerebral artery
Basilar artery
Vertebral artery
Longitudinal
fissure
S.S.S.
Frontal
bone
Falx cerebri
Body of
right lateral
ventricle
Septum
pellucidum
Body of right
lateral
ventricle
Choroid
plexus
Anterior horn
Left lateral
ventricle
3rd
ventricle
thalamus
Frontal sinus
4th
ventricle
cerebellum
cerebellum
pituitary
Anterior
clinoidPosterior
clinoid
S.S.S.
S.S.S.
Longitudinal
fissure
skull
scalp
Body of
right lateral
ventricle Corpus
callosum
Right
lateral
ventricle
Septum
pellucidum
Anterior
horn right
lateral
ventricle
Posterior
horn left
lateral
ventricle
Optic n.
Cerebral
aqueduct
Globe of
eye
pons
4th
ventricle
cerebellum cerebellum
Neck
oropharynx
nasopharynx
laryngopharynx
Vocal cords
Sphenoid sinus
Frontal sinus
Salivary Glands
• Sublingual
• Parotid
• Submandibular
Parotid gland
Accessory parotid gland
Stenson’s duct
Wharton’s duct
Sublingual gland
Submandibular gland
epiglottis
hyoid
Thyroid
cart.
Cricoid
cart.
Corniculate cart.
Arytenoid cart.
Laryngeal prominence trachea
Thyroid Gland
• Right/left lobe
• Pyramidal lobe
• Location in neck
• Contains iodine
Pyramidal lobe
isthmus
Left lobe
Right lobe
trachea
Blood Vessels
• Arteries
– Right/left common carotid
• Right/left internal carotid
• Right/left external carotid
– Vertebral
Blood Vessels
• Veins
– Internal jugular – drains into subclavian
– External jugular – drains into subclavian
IJV
pharynx
SCM
Spinal
cord
epiglottis
SCM
Erector
spinae
m.
IJV
VA
CCA
ECA
ICAIJV
Hyoid bone
Submandibular
salivary gland
Thyroid cartilage
WHERE IS THE ESOPHAGUS?
Notice differences in CCA/ICA/ECA on the two sides
Thyroid
gland
trachea
FINALLY – a good look at the
esophagus!!!!
49 yo female with progressive weakness
• CT precontrast
• C
Head and Neck
Head and Neck
Head and Neck
Head and Neck

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