Name the four infrahyoid muscles
What is the ansa cervicalis?
A loop of nerves that are part of the cervical plexus (C1-C3); lies superficial to internal jugular vein in carotid triangle; name means ‘handle of the neck’ in Latin
Which infrahyoid muscles are innervated by the ansa cervicalis?
Sternothyroid, sternohyoid, and omohyoid muscles
Which infrahyoid muscle is NOT innervated by ansa cervicalis and what innervates it?
Thyrohyoid muscle; innervated by C1 via the hypoglossal nerve
What nerve roots form the superior root of ansa cervicalis?
C1 (travels in hypoglossal nerve before separating in carotid triangle)
What does the superior root of ansa cervicalis innervate?
Superior belly of omohyoid muscle, and upper parts of sternothyroid and sternohyoid muscles
What nerve roots form the inferior root of ansa cervicalis?
C2-C3
What does the inferior root of ansa cervicalis innervate?
Inferior belly of omohyoid muscle, and lower parts of sternothyroid and sternohyoid muscles
What are the two paired arteries that supply the head and neck?
Common carotid artery and subclavian artery
What is the origin of the left common carotid artery?
Arises from the aortic arch within the superior mediastinum
What is the origin of the right common carotid artery?
Arises from the brachiocephalic trunk posterior to the right sternoclavicular joint
What are the two branches of the common carotid artery bifurcation?
What is the internal jugular vein a run-off of?
Sigmoid sinus
Where does the internal jugular vein arise and exit the cranium?
Arises in posterior cranial fossa, exits through jugular foramen
What structures accompany the internal jugular vein in the carotid sheath?
Vagus nerve (posteriorly) and common carotid artery (anteromedially) - forms neurovascular bundle
What does the internal jugular vein combine with to form the brachiocephalic vein?
Subclavian vein at the junction of neck and thorax
Which cranial nerve is the vagus nerve and what does its name mean?
10th cranial nerve; ‘wandering nerve’ in Latin (describes its wide distribution)
What percentage of cranial parasympathetic function does the vagus nerve carry?
0.75
Where does the vagus nerve exit the skull?
Through the jugular foramen
What are the branches of the vagus nerve in the neck?
Pharyngeal, superior laryngeal, recurrent laryngeal nerve (right only), superior/inferior cervical cardiac branches
What muscles does the recurrent laryngeal nerve innervate?
All intrinsic muscles of the larynx EXCEPT cricothyroid muscles
Describe the asymmetry of the recurrent laryngeal nerves
Left nerve loops under aortic arch; Right nerve loops under right subclavian artery; both travel alongside trachea
What is the only muscle that can open the vocal folds and what innervates it?
Posterior cricoarytenoid muscle; innervated by recurrent laryngeal nerve
What are the clinical consequences of bilateral recurrent laryngeal nerve injury?
Inability to speak, severe breathing difficulty, potentially life-threatening