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DEEP CERVICAL FASCIA
AND ITS LAYERS
Presented By:
Prince Sinha
Roll- 69
MBBS 2021-2022
CONTENT
● PRETRACHEAL FASCIA
● PREVERTEBRAL FASCIA
● CAROTID SHEATH
Deep cervical fascia of neck consist of three layer.
From outside to inside these are:-
● Investing layer of deep cervical fascia
● Pretracheal fascia
● Prevertebral fascia
PRETRACHEAL FASCIA
● This layer of deep cervical fascia covers the front and
side of trachea so it is called as pretracheal layer.
● It splits and enclose the thyroid gland forming its
capsule.
ATTACHMENTS
Superiorly
Hyoid Bone
Oblique line of thyroid cartilage
Cricoid cartilage
Inferiorly
It passes behind the thyroid vein and merge with arch
of aorta and fibrous pericardium.
● A fibrous band called
Ligament of Berry is
derived from this fascia
and it connect the
capsule of lateral lobe of
thyroid to cricoid cartilage
Tracing Of Pretracheal Fascia
Horizontal tracing :- It merge with the investing layer of
deep cervical fascia enclosing the sternocleidomastoid
muscle and anterior wall of carotid sheath.
Vertical tracing :- Above it is attached to hyoid bone
and below it enter the thorax in front of trachea and blend
with fibrous pericardium.
CLINICAL CORRELATION
The thyroid gland and all thyroid
swelling move with deglutition
because the thyroid is attached
to the cartilages of larynx by the
suspensory ligament of Berry.
PREVERTEBRAL FASCIA
● It is extremely strong and lies in front of
prevertebral muscle.
● It forms the floor of posterior triangle of neck.
ATTACHMENTS
Superiorly
Base of skull
Inferiorly
It extend into the superior mediastinum where it split into
anterior and posterior layer.
Anterior layer blends with buccopharyngeal fascia and
posterior layer blend with anterior longitudinal ligament.
Tracing Of Prevertebral Fascia
Horizontal tracing- When traced laterally it cover the scalene
muscle, levator scapulae , splenius capitis , and also forming
the floor of posterior triangle.
Vertical Tracing - Above it extend up to the base of the skull, and
below it continues in front of longus colli muscle into superior
mediastinum where it blend with anterior longitudinal ligament.
RETROPHARYNGEAL SPACE
● It is the potential space created in
the neck between the
Buccopharyngeal fascia and Alar
fascia.
● This space allow the expansion
of pharynx during swallowing.
CLINICAL CORRELATION
● Tubercular caries of cervical vertebra produce abscess in prevertebral
space which is also known as Pott’s abscess.
● Pus collected in the prevertebral space due to caries of cervical vertebrae
may travel forward and create a midline bulge in posterior pharyngeal wall.
● The pus may travel first in posterior triangle and also along the axillary
sheath into the axilla.
Other Modifications Of Deep Cervical Fascia
● Carotid Sheath
● Buccopharyngeal Fascia
● Pharyngobasilar Fascia
● It is the tubular condensation of deep cervical fascia
around the main vessel of neck.
● The content of carotid sheath :-
- Common carotid artery
- Internal jugular vein
- Vagus nerve
Carotid sheath
● The carotid sheath is wedge between the three layer of deep
cervical fascia.
● The carotid sheath is attached to all these layer by loose
areolar tissue.
● In the upper part of the sheath cranial nerves IX ,X , XI ,XII are
also present, these nerve pierce the sheath at different point.
RELATIONS :-
● The ansa cervicalis are
embeded in anterior wall of
carotid sheath.
● The cervical sympathetic chain
are embeded lies behind the
sheath.
BIBLIOGRAPHY
● Gray’s anatomy for students: 3rd edition
● Netter’s Atlas of Human Anatomy: 7th edition
● BD Chaurasia’s Human Anatomy (Volume 3): 8th edition
● Vishram Singh Textbook of Anatomy (Volume 3): 3rd
edition
Thank you

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Deep cervical fascia of neck.pptx

  • 1. DEEP CERVICAL FASCIA AND ITS LAYERS Presented By: Prince Sinha Roll- 69 MBBS 2021-2022
  • 2. CONTENT ● PRETRACHEAL FASCIA ● PREVERTEBRAL FASCIA ● CAROTID SHEATH
  • 3. Deep cervical fascia of neck consist of three layer. From outside to inside these are:- ● Investing layer of deep cervical fascia ● Pretracheal fascia ● Prevertebral fascia
  • 4.
  • 5. PRETRACHEAL FASCIA ● This layer of deep cervical fascia covers the front and side of trachea so it is called as pretracheal layer. ● It splits and enclose the thyroid gland forming its capsule.
  • 6. ATTACHMENTS Superiorly Hyoid Bone Oblique line of thyroid cartilage Cricoid cartilage Inferiorly It passes behind the thyroid vein and merge with arch of aorta and fibrous pericardium.
  • 7. ● A fibrous band called Ligament of Berry is derived from this fascia and it connect the capsule of lateral lobe of thyroid to cricoid cartilage
  • 8.
  • 9. Tracing Of Pretracheal Fascia Horizontal tracing :- It merge with the investing layer of deep cervical fascia enclosing the sternocleidomastoid muscle and anterior wall of carotid sheath. Vertical tracing :- Above it is attached to hyoid bone and below it enter the thorax in front of trachea and blend with fibrous pericardium.
  • 10. CLINICAL CORRELATION The thyroid gland and all thyroid swelling move with deglutition because the thyroid is attached to the cartilages of larynx by the suspensory ligament of Berry.
  • 11. PREVERTEBRAL FASCIA ● It is extremely strong and lies in front of prevertebral muscle. ● It forms the floor of posterior triangle of neck.
  • 12. ATTACHMENTS Superiorly Base of skull Inferiorly It extend into the superior mediastinum where it split into anterior and posterior layer. Anterior layer blends with buccopharyngeal fascia and posterior layer blend with anterior longitudinal ligament.
  • 13.
  • 14. Tracing Of Prevertebral Fascia Horizontal tracing- When traced laterally it cover the scalene muscle, levator scapulae , splenius capitis , and also forming the floor of posterior triangle. Vertical Tracing - Above it extend up to the base of the skull, and below it continues in front of longus colli muscle into superior mediastinum where it blend with anterior longitudinal ligament.
  • 15. RETROPHARYNGEAL SPACE ● It is the potential space created in the neck between the Buccopharyngeal fascia and Alar fascia. ● This space allow the expansion of pharynx during swallowing.
  • 16. CLINICAL CORRELATION ● Tubercular caries of cervical vertebra produce abscess in prevertebral space which is also known as Pott’s abscess. ● Pus collected in the prevertebral space due to caries of cervical vertebrae may travel forward and create a midline bulge in posterior pharyngeal wall. ● The pus may travel first in posterior triangle and also along the axillary sheath into the axilla.
  • 17.
  • 18. Other Modifications Of Deep Cervical Fascia ● Carotid Sheath ● Buccopharyngeal Fascia ● Pharyngobasilar Fascia
  • 19. ● It is the tubular condensation of deep cervical fascia around the main vessel of neck. ● The content of carotid sheath :- - Common carotid artery - Internal jugular vein - Vagus nerve Carotid sheath
  • 20. ● The carotid sheath is wedge between the three layer of deep cervical fascia. ● The carotid sheath is attached to all these layer by loose areolar tissue. ● In the upper part of the sheath cranial nerves IX ,X , XI ,XII are also present, these nerve pierce the sheath at different point.
  • 21. RELATIONS :- ● The ansa cervicalis are embeded in anterior wall of carotid sheath. ● The cervical sympathetic chain are embeded lies behind the sheath.
  • 22. BIBLIOGRAPHY ● Gray’s anatomy for students: 3rd edition ● Netter’s Atlas of Human Anatomy: 7th edition ● BD Chaurasia’s Human Anatomy (Volume 3): 8th edition ● Vishram Singh Textbook of Anatomy (Volume 3): 3rd edition