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Anatomický kroužek

Topographical Anatomy of the Neck

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Regio cervicalis anterior

Trigonum cervicale anterius

impair triangle

  • cranially: lower margin of corpus mandibulae
  • laterally: ventral border of m. sternocleidomastoideus
  • trigonum submandibulare
  • trigonum submentale
  • trigonum caroticum
  • trigonum musculare (omotracheale)
  • Trigonum submandibulare

  • cranially: lower margin of corpus mandibulae
  • medially: venter ant. m. digastrici
  • laterally: venter post. m. digastrici
  • bottom: m. mylohyoideus and m. hyoglossus
  • glandula submandibularis
  • vasa facialia (+ their branches)
  • ductus submandibularis
  • n. lingualis
  • ganglion submandibulare
  • a. lingualis
  • n. hypoglossus + v. comitans n. hypoglossi
  • nodi lymphoidei submandibulares
  • Trigonum caroticum

    (Malgaigne)

  • cranially: venter post. m. digastrici
  • caudally: venter sup. m. omohyoidei
  • laterally: m. sternocleidomastoideus
  • n. hypoglossus (running as arcus n. XII ventrally of the blood vessels) + v. comitans n. hypoglossi
  • truncus sympathicus + ganglion cervicale superius
  • n. accessorius
  • nodi lymphoidei cervicales profundi
  • glandula thyroidea

    in vagina carotica:

  • a. carotis communis – branching at the level of C4 (med.)
  • a. carotis int.
  • a. carotis ext. + its branches and their veins
  • v. jugularis int. + its tributaries (laterodors.)
  • radix sup. ansae cervicalis profundae (ventr.)
  • n. vagus + n. laryngeus sup. (dors.)
  • Trigonum musculare

    (Fossa suprasternalis)

    (Trigonum omotracheale)

  • cranially: corpus ossis hyoidei
  • caudally: incisura jugularis sterni
  • craniolaterally: vent. sup. m. omohyoidei
  • caudolaterally: m. sternocleidomastiodeus
  • larynx → trachea
  • glandula thyroidea + its vessels and nerves
  • m. sternothyroideus, m. sternohyoideus and m. thyrohyoideus
  • arcus venosus jugularis
  • Trigonum submentale

  • laterally: ventera ant. mm. digastricorum
  • ventrocranially: corpus mandibulae
  • caudally: corpus ossis hyoidei
  • bottom: mm. mylohyoidei
  • vasa submentalia
  • nodi lymphoidei submentales
  • nn. mylohyoidei
  • Trigonum a. lingualis

    (Trigonum Pirogovi)

  • cranially: n. hypoglossus
  • ventrally: dorsal border of m. mylohyoideus
  • caudally: venter post. m. digastrici
  • bottom: m. hyoglossus
  • a. lingualis (ligation)
  • (v. lingualis)
  • Angulus Béclardi

  • cranially: venter post. m. digastrici + m. stylohyoideus
  • caudally: cornu majus ossis hyoidei
  • a. lingualis (ligation)
  • Regio sternocleidomastoidea

    Fossa supraclavicularis minor

  • medially + laterally: origins of m. sternocleidomastoideus
  • caudally: clavicula
  • cupula pleurae projects in the depth
  • Regio cervicalis lateralis

    Regio cervicis lateralis

  • cranially - top: proc. mastoideus
  • ventrally: dorsal border of m. sternocleidomastoideus
  • dorsally: ventral border of m. trapezius
  • caudally: clavicula
  • trigonum omotrapezium
  • trigonum omoclaviculare
  • Trigonum omoclaviculare

    corresponds to superficial Fossa supraclavicularis major

  • cranially: venter inf. m. omohyoidei
  • caudally: clavicula
  • ventrally: doral border ofj m. sternocleidomastoideus
  • vasa subclavia
  • angulus venosus (+ estuary of ductus thoracicus (left) / ductus lymphaticus dx. + its tributaries)
  • plexus brachialis
  • nodi lymphoidei supraclaviculares (Virchow-Troisier)
  • n. phrenicus
  • a. cervicalis ascendents + v. vertebralis anterior
  • a. transversa cervicis (or only its branch r. superficialis)
  • vasa suprascapularia
  • nn. supraclaviculares
  • v. jugularis externa
  • Trigonum omotrapezium

  • ventrally: doral border of m. sternocleidomastoideus
  • dorsally: ventral border of m. trapezius
  • caudally. venter inf. m. omohyoidei
  • v. jugularis externa (+its tributarie, e.g. vv. transversae colli)
  • a. transversa colli (+ its branches)
  • a. cervicalis ascendents + v. vertebralis anterior + n. phrenicus
  • vasa cervicalia profunda
  • a. transversa cervicis (or only its branches)
  • punctum nervosum + its branches
  • n. accessorius
  • pars supraclavicularis plexus brachialis
  • nodi lymphoidei cervicales
  • ...and in depth

    Trigonum scalenovertebrale

    (in the depth of trig. omoclaviculare)

  • dorsally: m. longus colli
  • laterally: m. scalenus ant.
  • caudally: cupula pleurae
  • medially: trachea, esophagus, glandula thyroidea
  • ventrally: m. sternocleidomastoideus
  • a. subclavia (pars intrascalenica)
  • plexus brachialis
  • truncus sympathicus (ggl. stellatum) + ansa subclavia
  • nn. cardiaci cervicales
  • ductus thoracicus (on the left side only)!
  • Fissura scalenorum

  • ventrally: m. scalenus anterior
  • dorsally: m. scalenus medius
  • caudally: clavicula
  • a. subclavia (subclavian vein runs in front of m. scalenus ant.)
  • a. transversa cervicis (or only its branch r. profundus)
  • plexus brachialis
  • Trigonum Killiani

  • cranially: pars (m.) thyropharyngea m. constrictoris pharyngis inferioris
  • caudally: pars (m.) cricopharyngea m. constrictoris pharyngis inferioris
  • weakened wall - possible site of pulse diverticle (of Zenker) occurence

    Trigonum Laimeri

  • cranially: pars (m.) cricopharyngea m. constrictoris pharyngis inferioris
  • caudally: superior oblique fibres of longitudinal oesophageal muscle layer
  • floor: circular oesophageal muscle layer
  • weakened wall - possible site of pulse diverticle occurence

     

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    Copyright: David Kachlík - 2002