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JUGULAR VEINS
Dr.Sherif Fahmy
Anterior & External
Jugular Veins
(page 14)
Dr.Sherif Fahmy
Anterior facial
vein
Posterior division of
retromandibular vein
Posterior
auricular
vein
External
jugular vein
Dr.Sherif Fahmy
External jugular
vein
Anterior
jugular vein
Transverse
cervical
vein
Suprascapular
vein
Subclavian vein
Dr.Sherif Fahmy
Internal Jugular Vein
(page 66)
Dr.Sherif Fahmy
Course &
Relations
Dr.Sherif Fahmy
Beginning of internal
jugular vein
Dr.Sherif Fahmy
Sigmoid
sinus
Dr.Sherif Fahmy
Superior bulb
Inferior bulbDr.Sherif Fahmy
Internal
jugular
vein
Subclavian
vein
Brachiocephalic
vein
Dr.Sherif Fahmy
Relations
Dr.Sherif Fahmy
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
mSternomastoid
Superficial
Relations
Dr.Sherif Fahmy
Scalenus anterior
m.
1st
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
Tributaries
Dr.Sherif Fahmy
Inferior petrosal
sinus
Common facial vein
Lingual vein
Superior thyroid
vein
Middle thyroid vein
Pharyngeal
vein
Internal jugular
vein
Dr.Sherif Fahmy
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
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
Relations:
1- Anterior (superficial).
2- Posterior (deep).
3- Medial.
Dr.Sherif Fahmy
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
mSternomastoid m
Superficial
Relations
Dr.Sherif Fahmy
Longus coli m.
Scalenus anterior
m.
1st
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
Cervical Plexus
(Page 36)
Dr.Sherif Fahmy
Cervical plexus
Levator
scapulae
m.
Scalenus
medius m.
Internal jugular
vein
Phrenic
nerve
Cervical Plexus
Dr.Sherif Fahmy
Great auricular n.
Lesser
occipital n.
Transverse
cutaneous n. of
neck
Supra-clavicular n.
Dr.Sherif Fahmy
Cervical Part of
Sympathetic Trunk
(Page 100)
Dr.Sherif Fahmy
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
Branches
C7
C8
Dr.Sherif Fahmy

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