The triangles of the neck are bounded by neck muscles and divided by the sternocleidomastoid muscle. The anterior triangle contains structures like the thyroid gland and carotid artery. The posterior triangle contains the brachial plexus and subclavian artery. Knowledge of the neck triangles is important for procedures like evaluating jugular venous pressure, palpating carotid pulses, and performing emergency cricothyroidotomy access to the airway.
Boundaries of the carotid triangle are:
posterior belly of digastric muscle (pbd)
superior belly of the omohyoid muscle (so)
anterior border of sternomastoid muscle (st)
Boundaries of the carotid triangle are:
posterior belly of digastric muscle (pbd)
superior belly of the omohyoid muscle (so)
anterior border of sternomastoid muscle (st)
Read In detail about the surgical anatomy and applied anatomy of triangles of neck from department of oral and maxillofacial surgery department , Chennai , india , asian continent , surgical ligations and level of lymph nodes described shortly
Anatomy of the posterior triangle of the neck-The neck is limited above by the lower border of the body of the mandible and an imaginary line drawn from the angle of the mandible to the mastoid process. Below it is limited by the upper border of the clavicle.
Posteriorly , by the anterior border of the trapezius muscles.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. The triangles of the neck are the topographic areas of the neck bounded by the
neck muscles.
The sternocleidomastoid muscle divides the neck into the two major neck
triangles:-
1. The anterior triangle
2. The posterior triangle
The triangles of the neck are important because of their contents, as they house all
the neck structures, including glands, nerves, vessels and lymph nodes.
4. Anterior Triangle
The anterior triangle is situated
at the front of the neck. It is bounded:
Superiorly
inferior border of the mandible (jawbone).
Laterally
anterior border of the sternocleidomastoid.
Medially
sagittal line down the midline of the neck.
Investing fascia:
covers the roof of the triangle,
while visceral fascia covers the floor.
5. Division of Anterior
Triangle
It can be subdivided
further into four
triangles:-
1. Muscular (omo-
tracheal) triangle
2. Carotid triangle
3. Submandibular triangle
4. Submental triangle
6. Contents of Anterior Triangle
Muscles: thyrohyoid, sternothyroid, sternohyoid muscles
Organs: thyroid gland, parathyroid glands, larynx, trachea,
esophagus, submandibular gland, caudal part of the parotid gland
Arteries: superior and inferior thyroid, common carotid, external
carotid, internal carotid artery (and sinus), facial, submental, lingual
arteries
Veins: anterior jugular veins, internal jugular, common facial, lingual,
superior thyroid, middle thyroid veins, facial vein, submental vein,
lingual veins
Nerves: vagus nerve (CN X), hypoglossal nerve (CN XII), part
of sympathetic trunk, mylohyoid nerve
7. Muscular (Omotracheal) Triangle
The muscular (omotracheal) triangle
shares one margin with the anterior triangle
– the median line of the neck.
The muscular triangle begins
at the inferior border of the body of the hyoid bone.
It has two posterior borders –
the proximal part of the anterior
border of sternocleidomastoid inferiorly
the anterior part of the superior belly of
omohyoid superiorly
8. Borders of Muscular Triangle
Superior - hyoid bone
Lateral - superior belly of omohyoid
and anterior border of sternocleidomastoid
Medial - midline of neck
9. Contents of Muscular Triangle
Muscles: thyrohyoid, sternothyroid, sternohyoid
Vessels: superior and inferior thyroid arteries, anterior jugular veins :
Viscera: thyroid gland, parathyroid glands, larynx, trachea, esophagus
10. Carotid Triangle
Similar to the muscular triangle,
the carotid triangle has the
omohyoid and
sternocleidomastoid muscles
as parts of its borders
11. Borders of Carotid Triangle
Anterior
- superior belly of omohyoid muscle
Superior
- stylohyoid and posterior belly of digastric muscles
Posterior
- anterior border of sternocleidomastoid muscle
Floor:
the inferior and
middle pharyngeal constrictors,
hyoglossus and parts of thyrohyoid.
Roof: deep and superficial fascia,
platysma and skin
12. Contents of Carotid Triangle
Arteries: common carotid, external carotid (and branches except maxillary, superficial
temporal and posterior auricular), internal carotid artery (and sinus)
Veins: internal jugular, common facial, lingual, superior thyroid, middle thyroid veins
Nerves: vagus nerve (CN X), hypoglossal nerve (CN XII), part of sympathetic trunk
14. Borders of submandibular Triangle
Superior
- inferior border of mandible
Lateral
anterior belly of digastric muscle
Medial
- posterior belly of digastric muscle
Inferiorly:
formed by the posterior belly of the
digastric and stylohyoid muscles posteriorly,
and the anterior belly of the digastric muscle anteriorly.
Apex: of the triangle rests at the
intermediate tendon of the digastric muscle.
Floor: is formed by the mylohyoid and hyoglossus,
while it is roofed by skin, fascia and platysma
15. Contents of submandibular Triangle
Viscera:
submandibular gland and lymph nodes (anteriorly), caudal part of the parotid gland
(posteriorly)
Vessels:
facial artery and vein, submental artery and vein, lingual arteries and veins
Nerves:
mylohyoid, hypoglossal (CN XII)
18. Posterior Triangle
The posterior triangle is a
triangular area found posteriorly
to the sternocleidomastoid muscle.
It has three borders;
Anterior border
posterior margin of the sternocleidomastoid muscle.
posterior border
is the anterior margin of the trapezius muscle,
inferior border
is the middle one-third of the clavicle.
19. Posterior Triangle
Roof:
The investing layer of deep cervical fascia
Floor:
covered with the prevertebral fascia along with levator scapulae, splenius capitis and
the scalene muscles.
The inferior belly of omohyoid subdivides the posterior triangle into a small
supraclavicular, and a large occipital, triangle
20. Division of Posterior Triangle
The posterior Triangle is divided into:-
Occipital Triangle
Supraclavicular (Omoclavicular) Triangle
21. Occipital Triangle
The anterior and posterior margins
of the occipital triangle are the same
as those of the posterior triangle
22. Borders of Occipital Triangle
Anterior
- posterior margin of sternocleidomastoid muscle
Posterior
- anterior margin of trapezius muscle
Inferior
inferior belly of omohyoid muscle
Floor:
splenius capitis, levator scapulae and middle scalene
Roof:
(from superficial to deep)
skin, superficial and deep fascia
23. Contents of Occipital Triangle
Accessory nerve (CN XI),
branches of the cervical plexus,
upper most part of brachial plexus,
supraclavicular nerve
25. Borders of Subclavian Triangle
Superior
inferior belly of omohyoid muscle
Anterior
- posterior edge of sternocleidomastoid muscle
Posterior
- anterior edge of trapezius muscle
26. Contents of Subclavian Triangle
Third part of the subclavian artery,
brachial plexus trunks,
nerve to subclavius muscle,
lymph nodes
27. Clinical Significance
Important for clinical examinations and surgical procedures. These clinical and
surgical procedures include,
Evaluation of the jugular venous pressure
Evaluation of the pulses in a cardiovascular examination
Emergency airway management
28. Jugular Venous Pressure
Jugular venous pressure (JVP) is an indirect measurement of the pressure within the
venous system.
This is possible because the internal jugular vein has valveless communication with
right atrium, therefore blood can flow backward into the vessel.
With the patient lying at a 30 - 45 degree angle and their head turned to the left, an
elevated JVP will appear as a collapsing pulsation between the distal parts of the
sternocleidomastoid in the supraclavicular triangle and can extend as far as the lobule
of the ear.
The JVP is measured as the vertical distance from the sternal angle of Louis to the top
of the pulsation. An elevated JVP (greater than 3 cm) is indicative of several
pathologies, including but not limited to pulmonary hypertension, hepatic congestion
and right heart failure
30. Carotid Artery Pulsation
Identification of the carotid artery pulsation is important in the examination of the
cardiovascular system
. It is often compared with the pulsation of the radial artery.
The pulsation of the carotid artery can be appreciated by palpating the region of
the carotid triangle.
32. Cricothyroidotomy
A cricothyroidotomy is an emergency procedure used to establish a patent airway
when other less invasive procedures (endotracheal intubation, laryngeal mask
airway, etc) are contraindicated or would provide suboptimal care.
It is a sterile procedure that involves incision of the cricothyroid membrane
The membrane is an avascular plane deep to the region of the muscular triangle
that allows for quick access to the airway until a formal tracheostomy can be
performed
35. Platysma Muscle
The platysma is a thin sheet-like muscle that lies superficially within the anterior
aspect of the neck
lie deep to the subcutaneous tissue, the platysma is situated within the
subcutaneous tissue of the neck (superficial layer of the cervical fascia).
36. Platysma Muscle
Origin: Skin/fascia of infra- and supraclavicular
regions
Insertion: Lower border of mandible, skin of
buccal/cheek region, lower lip, modiolus,
orbicularis oris muscle
Innervation: Cervical branch of facial nerve (CN
VII)
Blood Supply: submental artery (facial artery),
suprascapular artery (thyrocervical trunk
Action: Depresses mandible and angle of
mouth, tenses skin of lower face and anterior
neck
37. Sternocleidomastoid Muscle
The sternocleidomastoid muscle is a two-headed neck muscle,
name bears attachments to the manubrium of sternum (sterno-),
the clavicle (-cleido-),
the mastoid process of the temporal bone (-mastoid).
38. Sternocleidomastoid Muscle
Origin: Sternal head: superior part of anterior surface of
manubrium sterni
Clavicular head: superior surface of medial third of the
clavicle
Insertion: Lateral surface of mastoid process of the
temporal bone, Lateral half of superior nuchal line of the
occipital bone
Innervation: Accessory nerve (CN XI), branches of
cervical plexus (C2-C3)
Function:
Unilateral contraction: cervical spine: neck ipsilateral
flexion, neck contralateral rotation
Bilateral contraction: atlantooccipital joint/ superior
cervical spine: head/neck extension; Inferior cervical
vertebrae: neck flexion; sternoclavicular joint: elevation of
clavicle and manubrium of sternum
40. Suprahyoid Muscles
The suprahyoid muscles are a group of four muscles located superior to
the hyoid bone of the neck.
They all act to elevate the hyoid bone – an action involved in swallowing.
The arterial supply to these muscles is via branches of the facial artery, occipital
artery, and lingual artery
41. Stylohyoid Muscle
The stylohyoid muscle is a thin muscular
strip, which is located superiorly to the
posterior belly of the digastric muscle.
Attachments: Arises from the styloid
process of the temporal bone and attaches
to the lateral aspect of the hyoid bone.
Actions: Initiates a swallowing action by
pulling the hyoid bone in a posterior and
superior direction.
Innervation: Stylohyoid branch of the facial
nerve (CN VII). This arises proximally to
the parotid gland.
42. Digastric Muscle
Two muscular bellies present connected by tendon
Attachments:
The anterior belly arises from the digastric fossa of the
mandible.
The posterior belly arises from the mastoid process of the
temporal bone.
The two bellies are connected by an intermediate tendon,
which is attached to the hyoid bone via a fibrous sling.
Actions: Depresses the mandible and elevates the hyoid
bone.
Innervation:
The anterior belly is innervated by the inferior alveolar
nerve, a branch of the mandibular nerve (which is derived
from the trigeminal nerve, CN V).
The posterior belly is innervated by the digastric branch of
the facial nerve.
43. Mylohyoid Muscle
The mylohyoid is a broad, triangular shaped
muscle. It forms the floor of the oral cavity
and supports the floor of the mouth.
Attachments: Originates from the
mylohyoid line of the mandible, and attaches
onto the hyoid bone.
Actions: Elevates the hyoid bone and the
floor of the mouth.
Innervation: Inferior alveolar nerve, a
branch of the mandibular nerve (which is
derived from the trigeminal nerve)
44. Geniohyoid
The geniohyoid is located close to the
midline of the neck, deep to the
mylohyoid muscle.
Attachments: Arises from the inferior
mental spine of the mandible. It then
travels inferiorly and posteriorly to attach
to the hyoid bone.
Actions: Depresses the mandible and
elevates the hyoid bone.
Innervation: C1 nerve roots that run
within the hypoglossal nerve
45. Infrahyoid Muscles of Neck
The infrahyoid muscles are a group of four muscles that are located inferiorly
to the hyoid bone in the neck. They can be divided into two groups:
Superficial plane – omohyoid and sternohyoid muscles.
Deep plane – sternothyroid and thyrohyoid muscles.
The arterial supply to the infrahyoid muscles is via the superior and
inferior thyroid arteries, with venous drainage via the corresponding veins.
46. Omohyoid Muscle
Comprised 02 bellies connected by muscular
tendon
Attachments:
The inferior belly of the omohyoid arises from
the scapula. It runs superomedially underneath
the sternocleidomastoid muscle.
It is attached to the superior belly by an
intermediate tendon, which is anchored to
the clavicle by the deep cervical fascia.
From here, the superior belly ascends to attach to
the hyoid bone.
Actions: Depresses the hyoid bone.
Innervation: Anterior rami of C1-C3, carried by a
branch of the ansa cervicalis
47. Sternohyoid Muscle
The sternohyoid muscle is located within
the superficial plane.
Attachments: Originates from the
sternum and sternoclavicular joint. It
ascends to insert onto the hyoid bone.
Actions: Depresses the hyoid bone.
Innervation: Anterior rami of C1-C3,
carried by a branch of the ansa cervicalis
48. Sternothyroid Muscle
The sternothyroid muscle is wider and
deeper than the sternohyoid. It is located
within the deep plane.
Attachments: Arises from the manubrium
of the sternum, and attaches to the
thyroid cartilage.
Actions: Depresses the thyroid cartilage.
Innervation: Anterior rami of C1-C3,
carried by a branch of the ansa cervicalis
49. Thyrohyoid Muscle
The thyrohyoid is a short band of muscle,
thought to be a continuation of the
sternothyroid muscle.
Attachments: Arises from the thyroid
cartilage of the larynx, and ascends to
attach to the hyoid bone.
Actions: Depresses the hyoid. If the hyoid
bone is fixed, it can elevate the larynx.
Innervation: Anterior ramus of C1, carried
within the hypoglossal nerve.
50. Scalene Muscles of Neck
The scalene muscles are three paired muscles (anterior, middle and posterior),
located in the lateral aspect of the neck.
Collectively, they form part of the floor of the posterior triangle of the neck.
The scalenes act as accessory muscles of respiration, and perform flexion at the
neck
51. Scalenus Anterior
The anterior scalene muscle lies on the
lateral aspect of the neck, deep to the
prominent sternocleidomastoid muscle.
Attachments: Originates from the anterior
tubercles of the transverse processes of C3-
C6, and attaches onto the scalene tubercle,
on the inner border of the first rib.
Function: Elevation of the first rib. Ipsilateral
contraction causes ipsilateral lateral flexion
of the neck, and bilateral contraction causes
anterior flexion of the neck.
Innervation: Anterior rami of C5-C6
52. Scalenus Medius
The middle scalene is the largest and longest of
the three scalene muscles.
It has several long, thin muscles bellies arising
from the cervical spine, which converge into one
large belly that inserts into the first rib.
Attachments: Originates from the posterior
tubercles of the transverse processes of C2-C7, and
attaches to the scalene tubercle of the first rib.
Function: Elevation of the first rib. Ipsilateral
contraction causes ipsilateral lateral flexion of the
neck.
Innervation: Anterior rami of C3-C8
53. Scalenus Posterior
The posterior scalene is the smallest and
deepest of the scalene muscles.
Unlike the anterior and middle scalene
muscles, it inserts into the second rib.
Attachments: Originates from the posterior
tubercles of the transverse processes of C5-
C7, and attaches into the second rib.
Function: Elevation of the second rib, and
ipsilateral lateral flexion of the neck.
Innervation: Anterior rami of C6-C8