Dissect the suprahyoid region Dissect the submental triangle-1 Indentify its boundaries find 1-2 lymph n Dissect the submandibular triangle-2 Boundaries: bellies of digastric, inf border of mandible. removed the fascia of submandibular gland 1. Dissect the facial a -find if between the mandible gland 2. Dissect the mylohyoid m. n-retract the gland superiorly, cut down ant belly close to mandible, reflect it posteriory, clean up mylohyoid and search for mylohyoid n from the surface of the muscle
Dissect the submental triangle-1: Indentify its boundaries & find 1-2 lymph n. Dissect the submandibular triangle-2 Boundaries: bellies of digastric, inf.border of mandible.removed the fascia of submandibular gland, 1. Dissect the facial a.- find if between the mandible & gland; 2. Dissect the mylohyoid m.& n.- retract the gland superiorly, cut down ant .belly close to mandible, reflect it posteriory, clean up mylohyoid and search for mylohyoid n.from the surface of the muscle. Dissect the suprahyoid region 1 2 2
Dissect the suprahyoid region Dissect the structures superficial to geniohyoid: cut the geniohyoid close to hyoid bone, reflect it anteriorly and expose the geniohyoid msearch for submandiburar duct and lingual n, from the ant border of deep part of submandibualr gland find the hypoglossal n close to inf border of post belly of digastric m 茎突舌肌 sus 茎突咽肌N stylopharyng glossopharyngeal n nrnsubmandibul submandibular submandibular 颏舌肌 genioglossus hyoglossus lingual a 颏舌骨肌 geniohyoid middle/ constrictor of ph
Dissect the structures superficial to geniohyoid: cut the geniohyoid close to hyoid bone, reflect it anteriorly and expose the geniohyoid m.search for submandiburar duct and lingual n,from the ant.border of deep part of submandibualr gland.find the hypoglossal n.close to inf.border of post.belly of digastric m. Dissect the suprahyoid region
Dissect infrahyoid region and SCM region Clean the sup layer of deep cervical fascia expose the mm Dissect the sternocleidomastoid(SCM) muscle Cut the SCM from its origin, and reflect superiorly, serach for the accessory n. close to the mid. point of post border of SCM Dissect pretracheal fascia and ansa cervicalis Clean up infrahyoid mm, search for the branches of ansa cervicalis from the lat border of the infrahyoid mm, and trace along the branches to ansa cervicalis. Cut down sternohyoid m close to the sup. border of sternum, and reflect it superioly, expose sternothyroid and thyrohyoid. Cut down sternothyroid m from its lower end reflect it superiorly expose the thyroid, larynx and trachea
Clean the sup.layer of deep cervical fascia & expose the mm. Dissect the sternocleidomastoid(SCM) muscle Cut the SCM from its origin,and reflect superiorly ,serach for the accessory n. close to the mid. point of post.border of SCM. Dissect pretracheal fascia and ansa cervicalis Clean up infrahyoid mm, search for the branches of ansa cervicalis from the lat.border of the infrahyoid mm,and trace along the branches to ansa cervicalis. Cut down sternohyoid m.close to the sup.border of sternum,and reflect it superioly,expose sternothyroid and thyrohyoid.Cut down sternothyroid m.from its lower end.reflect it superiorly expose the thyroid, larynx and trachea. Dissect infrahyoid region and SCM region
Dissect the carotid sheath Cut open carotid sheath longitudinally, identify the common carotid a,int and ext carotid aa and vagus n search for sup Hypoglossal nerve (xl) laryngeal n. at both sides of the larynx Dissect the deep ext jugular lymph nodes erve to thyrohyoid m Search for lymph n. along int jugular v. accesory Dissect the carotid triangle Identify its bourdary Superior root of ansa cervicalis C3 Common carotid a cervicalis Int carotid a Carotid Sternohyoid m triangle Ext card a cervicalis Carotid sinus gus n Deep cervical lymph n Internal jugular vein NsT- wmy Sternothyroid m
Dissect the carotid sheath: Cut open carotid sheath longitudinally, identify the common carotid a,int.and ext.carotid aa.and vagus n. search for sup. laryngeal n. at both sides of the larynx. Dissect the deep.ext.jugular lymph nodes Search for lymph n. along int.jugular v. Dissect the carotid triangle: Identify its bourdary. Carotid triangle Common carotid a. Int.carotid a. Ext.carod a. Carotid sinus. Vagus n. Deep cervical lymph n
Hypoglossal nerve (Xll) Contents of carotid triangle Int jugular v& its tributaries /rve to uyoyo. Common carotid a. its branches Hypoglossal n. descending branch Hyoid bone Vagus n. its branches Accessory n Superior root of ansa Deep cervical lymph nodes Superior belly of cervical Internal jugular vein Ansa cervicalis ①④① Carotid sheath and contents
Ansa cervicalis Contents of carotid triangle: Int.jugular v & its tributaries Common carotid a.& its branches Hypoglossal n.& descending branch Vagus n. & its branches Accessory n. Deep cervical lymph nodes 3 1 2 Carotid sheath and contents