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1. Identify the muscles of the neck and indicate their major actions and sources of innervation. Indicate the relationship of each of the muscle groups to the layers of deep fascia in the neck. Anterior triangles Prevertebral muscles Scalene muscles Suprahyoidmuscles Infrrahyoidmuscles Sternocleidomastoid Trapezius Posterior cervical triangle Sternocleidomastoid Trapezius Deep Cervical Fascia Investing layer of deep cervical fascia Prevertebral fascia Pretracheal fas cia (visceral part) Carotid sheath Buccopharyngeal fascia Alar fascia Pretracheal fascia (muscular part) T E
2. Identify the three pharyngeal constrictor muscles and their anterior attachments to bony/cartilaginous structures. Identify the three small longitudinal muscles of the pharynx. Superior constrictor Middle constrictor Inferior constrictor Pterygomandibular raphe Buccinator Stylopharyngeus Cricopharyngeus Superior constrictor Middle constrictor Inferior constrictor Stylopharyngeus Cricopharyngeus Palatopharyngeus Salpingopharyngeus
3. Identify the major cartilages of the larynx http://www.emory.edu/ANATOMY/Contents.html Anterior view Sagittal Section Posterior view Thyroid cart. Thyroid cart. Cricoid cart. Arytenoid cart. Epiglottis Hyoid Arytenoid cart. Hyoid Epiglottis Cricoid cart. Vocal Cord
4. … and the muscles which bring about their movement. Cricothyroid Lateral view (deeper) Cricothyroid Lateral Crico-arytenoid Posterior Crico-arytenoid Arytenoideus Thyro-arytenoid Posterior view Lateral view
5. Identify the role played by each of these muscles in the control of the control of the size of the rima glottidis. http://www.voice-center.com/voice_mecha.html Thyroid cart. Aryepiglottic fold Vocal cord Arytenoid cart. Rima glottidis Post. Crico-arytenoid Arytenoideus Lat. Crico-arytenoid Vocal cord Thyroid cart. Arytenoid cart Rima glottidis Actions of intrinsic laryngeal muscles
6. Follow the course of sensory and motor innervation of the larynx. Predict the functional consequences of damage to these nerves.
7. Trace the course of nerves through the neck noting especially: the sensory and motor branches of the cervical and brachial plexuses, their course and distribution in the neck and their relationship to major bony, muscular, or vascular landmarks in the region. Great auricular n. Lesser occipital n. Ansa cervicalis Hypoglossal n. (XII) Accessory n. (XI) Phrenic n. Vagus n. (X) C5 C6 C7 C8 T1 Dorsal scapular n. Nn. to longus colli and scalenes Long thoracic n. Suprascapular n. C1 C2 C3 C4 C5 Phrenic n. Great auricular n. Lesser occipital n. Hypoglossal n. (XII) Transverse cervical nn. Ansa cervicalis Supraclavicular nn. Accessory n. (XI)
8. Trace the course of nerves through the neck noting especially: the extension of the upper part of the sympathetic trunk into the neck region. Sup. Cervical gang. Cervicothoracic gang. Middle Cervical gang. Carotid plexus Glossopharyngeal (IX) Vagus (X) C2 C1 C3 C4 C5 C6 C7 C8
9. Trace the flow of arterial blood from the aorta through the neck including vessels that pass through the neck without branching and those that send branches to viscera and muscles of the neck. Two main arteries are found in the neck: Subclavian and branches and Carotid Ext. Carotid Subclavian Vertebral Thyrocervical Transverse cervical Deep cervical Suprascapular Ascending cervical Inf. thyroid Common carotid Omohyoid Digastric Lingual Sup. thyroid Sup. laryngeal Int. carotid Ext. carotid Ascending pharyngeal Superficial temporal Maxillary Facial Post. auricular
10. Trace the pathways for venous drainage from the neck into the brachial veins. Ext. jugular Int. jugular Ant. jugular Sup. thyroid Middle thyroid Inf. thyroid