Jugular Veins, Sympathetic Chain & Cervical Plexus (Anatomy of the Neck)

Jugular Veins, Sympathetic Chain & Cervical Plexus

1. JUGULAR VEINS
Dr.Sherif Fahmy

2. Anterior & External
Jugular Veins
(page 14)
Dr.Sherif Fahmy

3. Anterior facial
vein
Posterior division of
retromandibular vein
Posterior
auricular
vein
External
jugular vein
Dr.Sherif Fahmy

4. External jugular
vein
Anterior
jugular vein
Transverse
cervical
vein
Suprascapular
vein
Subclavian vein
Dr.Sherif Fahmy

5. Internal Jugular Vein
(page 66)
Dr.Sherif Fahmy

6. Course &
Relations
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7. Beginning of internal
jugular vein
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Sigmoid
sinus
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8. Superior bulb
Inferior bulbDr.Sherif Fahmy

9. Internal
jugular
vein
Subclavian
vein
Brachiocephalic
vein
Dr.Sherif Fahmy

10. Relations
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11. Posterior belly of
digastric m. Sternomastoid
m.
Spinal
accessory n.
Descendens
cervicalis
Upper deep cervical
Omohyoid m.
Lower deep
cervical l.n.
Sternothyroid
m.
Sternohyoid
m
Sternomastoid
m
Superficial
Relations
Dr.Sherif Fahmy

12. Scalenus anterior
m.
1
st
part of
subclavian art.
Thyro-cervical
trunk
Phrenic n.
Internal jugular vein
Rectus capitis
lateralis m.
Cervical plexus
Levator
scapulae m.
Scalenus
medius m.
Deep Relations
Transverse pr C1
Dr.Sherif Fahmy

13. Tributaries
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14. Inferior petrosal
sinus
Common facial vein
Lingual vein
Superior thyroid
vein
Middle thyroid vein
Pharyngeal
vein
Internal jugular
vein
Dr.Sherif Fahmy

15. Carotid Sheath (Page 6)
A tube of deep fascia that surrounds big
vessels and nerves in the neck.
Attachments:
Above: To tympanic plate and petrous
bone.
Below: To fibrous pericardium.
Anterior: to pretracheal fascia.
Posterior: Prevertebral fascia.
Dr.Sherif Fahmy

16. Contents:
•Common and internal carotid arteries.
•Internal jugular vein.
•Vagus nerve. In the upper part lower 4
cranial nerves are present in the upper
part of sheath.
Structures embeded:
-Ansa cervicalis in anterior wall.
-Sympathetic chain in posterior wall.
Dr.Sherif Fahmy

17. Relations:
1- Anterior (superficial).
2- Posterior (deep).
3- Medial.
Dr.Sherif Fahmy

18. Posterior belly of
digastric m. Sternomastoid
m.
Spinal
accessory n.
Descendens
cervicalis
Upper deep cervical
Omohyoid m.
Lower deep
cervical l.n.
Sternothyroid
m.
Sternohyoid
m
Sternomastoid m
Superficial
Relations
Dr.Sherif Fahmy

19. Longus coli m.
Scalenus anterior
m.
1
st
part of
subclavian art.
Vertebral artery
Thyro-cervical
trunk
Phrenic n.
Internal jugular vein
Rectus capitis
lateralis m.
Cervical plexus
Levator
scapulae m.
Scalenus
medius m.
Deep Relations
Dr.Sherif Fahmy

20. Cervical Plexus
(Page 36)
Dr.Sherif Fahmy

21. Cervical plexus
Levator
scapulae
m.
Scalenus
medius m.
Internal jugular
vein
Phrenic
nerve
Cervical Plexus
Dr.Sherif Fahmy

22. Great auricular n.
Lesser
occipital n.
Transverse
cutaneous n. of
neck
Supra-clavicular n.
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23. Cervical Part of
Sympathetic Trunk
(Page 100)
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24. Internal carotid a.
Longus capitis m.
Superior sympathetic
ganglion
Middle sympathetic
ganglion
Inferior sympathetic
ganglion
Longus coli m.
Common carotid
artery (cut)
Dr.Sherif Fahmy

25. Branches
C7
C8
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