The document summarizes the major veins of the head and neck region. It begins by classifying veins and listing the major superficial and deep veins of the neck. It then discusses key facial veins like the facial vein and maxillary vein. The document also covers veins within the brain like the dural venous sinuses and cavernous sinus. It emphasizes the clinical relevance of dural sinus thrombosis which can occur from head and neck infections or injuries.
The document discusses the anatomy of the anterior triangle of the neck. It begins by outlining the boundaries and contents of the anterior triangle. It then describes how the triangle is divided into four smaller triangles - the submental, submandibular, carotid, and muscular triangles - by the digastric and omohyoid muscles. Each smaller triangle's boundaries, floor, contents, and structures are defined in detail. Key structures discussed include the thyroid gland, carotid sheath, carotid sinus, and carotid body. Blood supply and lymphatic drainage of the thyroid gland are also summarized.
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The dural venous sinuses are lined with endothelium and lack muscles and valves. They collect blood from the brain, meninges, orbit, inner ear and diploe. The superior sagittal sinus begins at the crista galli and ends at the internal occipital protuberance, draining into the confluence of sinuses. Infection from the scalp, nasal cavity or diploic tissue can lead to septic thrombosis and obstruct CSF absorption, causing increased intracranial pressure. The paired transverse sinuses and sigmoid sinuses carry blood through the posterior compartment of the jugular foramen before joining the internal jugular vein.
The document discusses the anatomy of various veins in the head and neck region. It begins with an overview of veins in general, including their structure, classification, differences from arteries, and roles. It then describes specific veins such as the internal jugular vein and its tributaries. Other veins discussed include the external jugular, anterior jugular, lingual, maxillary, superficial temporal, posterior auricular, and occipital veins. Applied anatomy concepts are also summarized, such as variations, relationships to surrounding structures, and clinical significance.
Venous drainage of head , neck and faceBhavesh Dhoke
The document summarizes the anatomy of head and neck veins. It describes the structure and layers of veins. It then discusses various superficial and deep veins of the head and neck region including the internal jugular vein, external jugular vein, anterior jugular vein, facial vein, pterygoid plexus, and venous sinuses. It notes that venous drainage of the head and neck terminates in the internal jugular vein. The document also briefly mentions diseases of veins.
VENOUS DRAINAGE OF HEAD, FACE, NECK AND BRAINDrVishal2
THIS SEMINAR ON VENOUS DRAINAGE OF HEAD, FACE, NECK AND BRAIN ENCOMPASSES ALL THE POSSIBLE DETAILED EXPLANATION ALONG WITH DIAGRAMMATIC ILLUSTRATIONS OF THE SAME. APPLIED AND SURGICAL ANATOMY ALONG WITH RECENT MODALITIES HAS BEEN ADDED HEREIN..
The Ansa cervicalis is a nerve loop that lies in the carotid sheath over the larynx and supplies the infrahyoid muscles. It is formed by a superior root from the hypoglossal nerve and first cervical nerve, and an inferior root from the second and third cervical spinal nerves. These roots join in front of the common carotid artery to innervate the sternohyoid, sternothyroid, and inferior belly of the omohyoid muscles, while separate branches from C1 also innervate the thyrohyoid and geniohyoid.
The document discusses the anatomy of the anterior triangle of the neck. It begins by outlining the boundaries and contents of the anterior triangle. It then describes how the triangle is divided into four smaller triangles - the submental, submandibular, carotid, and muscular triangles - by the digastric and omohyoid muscles. Each smaller triangle's boundaries, floor, contents, and structures are defined in detail. Key structures discussed include the thyroid gland, carotid sheath, carotid sinus, and carotid body. Blood supply and lymphatic drainage of the thyroid gland are also summarized.
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The dural venous sinuses are lined with endothelium and lack muscles and valves. They collect blood from the brain, meninges, orbit, inner ear and diploe. The superior sagittal sinus begins at the crista galli and ends at the internal occipital protuberance, draining into the confluence of sinuses. Infection from the scalp, nasal cavity or diploic tissue can lead to septic thrombosis and obstruct CSF absorption, causing increased intracranial pressure. The paired transverse sinuses and sigmoid sinuses carry blood through the posterior compartment of the jugular foramen before joining the internal jugular vein.
The document discusses the anatomy of various veins in the head and neck region. It begins with an overview of veins in general, including their structure, classification, differences from arteries, and roles. It then describes specific veins such as the internal jugular vein and its tributaries. Other veins discussed include the external jugular, anterior jugular, lingual, maxillary, superficial temporal, posterior auricular, and occipital veins. Applied anatomy concepts are also summarized, such as variations, relationships to surrounding structures, and clinical significance.
Venous drainage of head , neck and faceBhavesh Dhoke
The document summarizes the anatomy of head and neck veins. It describes the structure and layers of veins. It then discusses various superficial and deep veins of the head and neck region including the internal jugular vein, external jugular vein, anterior jugular vein, facial vein, pterygoid plexus, and venous sinuses. It notes that venous drainage of the head and neck terminates in the internal jugular vein. The document also briefly mentions diseases of veins.
VENOUS DRAINAGE OF HEAD, FACE, NECK AND BRAINDrVishal2
THIS SEMINAR ON VENOUS DRAINAGE OF HEAD, FACE, NECK AND BRAIN ENCOMPASSES ALL THE POSSIBLE DETAILED EXPLANATION ALONG WITH DIAGRAMMATIC ILLUSTRATIONS OF THE SAME. APPLIED AND SURGICAL ANATOMY ALONG WITH RECENT MODALITIES HAS BEEN ADDED HEREIN..
The Ansa cervicalis is a nerve loop that lies in the carotid sheath over the larynx and supplies the infrahyoid muscles. It is formed by a superior root from the hypoglossal nerve and first cervical nerve, and an inferior root from the second and third cervical spinal nerves. These roots join in front of the common carotid artery to innervate the sternohyoid, sternothyroid, and inferior belly of the omohyoid muscles, while separate branches from C1 also innervate the thyrohyoid and geniohyoid.
The common carotid artery arises from the brachiocephalic artery and divides into the external and internal carotid arteries. It travels up the neck and bifurcates at the thyroid cartilage. The internal carotid supplies the brain while the external carotid supplies the head and neck. Key branches of the external carotid include the maxillary and superficial temporal arteries. The internal carotid gives off ophthalmic and anterior cerebral arteries in the skull. These vessels anastomose to form the circle of Willis at the brain's base.
The document describes the common carotid artery and its branches. It discusses the course and relations of the common carotid artery as it divides into the external and internal carotid arteries. It then focuses on the internal carotid artery, describing its course through the neck and skull. It outlines the branches and distributions of the external carotid artery.
The facial artery arises from the external carotid artery in the carotid triangle. It has two parts - the cervical part and facial part. The cervical part passes beneath muscles in the neck before curving upward over the mandible. The facial part enters the face and runs tortuously upward across the cheek, along the side of the nose, and ends at the medial corner of the eye. It supplies structures of the face, palate, and nose and is accompanied by the facial vein throughout its course.
The cavernous sinus is located in the middle cranial fossa on either side of the body of the sphenoid bone and sella turcica. It contains the internal carotid artery and cranial nerves III, IV, V1, and VI. The cavernous sinus drains into the angular vein, pterygoid venous plexus, and intercavernous sinuses which connect the two cavernous sinuses. Clinical implications include spread of infection or thrombosis from the face into the cavernous sinus via connections to facial veins.
The document describes the infratemporal fossa, which is located between the pharynx and ramus of the mandible below the middle cranial fossa. It contains muscles like the temporalis, masseter, and lateral and medial pterygoid muscles. It also contains vessels like the maxillary artery and pterygoid plexus of veins, as well as nerves like the mandibular nerve and otic ganglion. The maxillary artery and its branches in the infratemporal fossa are described. The muscles of mastication, their attachments, nerve supply and actions are outlined. The temporomandibular joint and its movements are also briefly discussed.
The document discusses the facial artery, which arises from the external carotid artery. It has both cervical and facial parts. The cervical part runs upwards in the neck, allowing movement of neck structures. It gives off branches like the ascending palatine and tonsillar arteries. The facial part enters the face by piercing the mandible. In the face, it gives branches like the inferior and superior labial arteries and terminates by anastomosing with the ophthalmic artery. The document also discusses the common carotid artery and its branches.
1) The anterior neck contains two groups of muscles - suprahyoid and infrahyoid. The suprahyoid muscles include the geniohyoid, mylohyoid, digastric and stylohyoid, while the infrahyoid muscles attach below the hyoid bone.
2) The carotid triangle contains important structures like the common carotid artery, internal and external carotid arteries, the vagus nerve (CN X), spinal accessory nerve (CN XI), and hypoglossal nerve (CN XII). The internal jugular vein also passes through this triangle.
3) The ansa cervicalis lies anterior to the carotid sheath and supplies all the infrahyoid muscles except for the thyrohy
The document summarizes key anatomical structures related to the dura mater and cavernous sinus. It describes the layers of the meninges and identifies four dural folds - the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sella. It also details the location, relations, tributaries, and communications of the cavernous sinus.
The document summarizes the major veins and lymph drainage of the neck. It describes the courses and tributaries of the external jugular, anterior jugular, internal jugular, and subclavian veins. It also outlines the regional cervical lymph nodes, including the occipital, retroauricular, parotid, buccal, submandibular, submental, anterior cervical, and superficial cervical nodes. Finally, it discusses the deep cervical lymph nodes located along the internal jugular vein within the carotid sheath.
The main arterial supply to the upper limb begins with the subclavian artery. It arises from the brachiocephalic trunk on the right side and directly from the aorta on the left. The subclavian artery passes lateral to the anterior surface of the cervical pleura and becomes the axillary artery at the outer border of the first rib. It gives off several branches that supply the neck, thorax and upper limb including the vertebral, internal thoracic, and thyrocervical trunks. The internal thoracic artery supplies the anterior chest wall and is often used in coronary bypass grafts.
1. The document discusses the dural venous sinuses, their characteristics, classification, and the cavernous sinus in detail.
2. The dural venous sinuses drain blood from the brain and cranial cavity, absorb CSF, and receive valveless emissary veins. They are classified into unpaired and paired sinuses.
3. The cavernous sinus is a paired dural venous sinus located near the sphenoid bone. It contains the internal carotid artery and cranial nerves III and IV. Thrombosis or rupture of the cavernous sinus or internal carotid artery can cause symptoms like exophthalmos and ophthalmoplegia.
The internal carotid artery has 7 segments from its origin at the common carotid artery bifurcation to where it enters the cranium. Each segment has unique anatomic features and branches. The segments are named cervical, petrous, lacerum, cavernous, clinoid, ophthalmic, and communicating. The petrous, cavernous, and ophthalmic segments each have important branches including the vidian artery, meningohypophyseal trunk, and ophthalmic artery respectively.
The document summarizes the key anatomical structures and contents of the temporal and infratemporal regions. The temporal fossa is bounded by bones and contains the temporalis muscle and arteries. The infratemporal fossa below contains muscles like the lateral and medial pterygoids and nerves like the mandibular nerve. The maxillary artery branches throughout these regions, including the pterygopalatine fossa which communicates between structures. The temporalis, masseter, and pterygoid muscles are involved in mastication.
The document discusses the venous drainage of the head and neck. It begins by defining veins and their role in transporting deoxygenated blood. It then describes the different types of veins and the structure of vein walls. The document discusses the development of the venous system during embryogenesis. It provides details on specific veins that drain the head, face, neck and brain, such as the facial vein, supraorbital vein, maxillary vein, and internal and external jugular veins. It notes that facial veins have no valves and connect to the cavernous sinus, so infections can spread from facial veins to intracranial sinuses.
scalp; is the soft tissue covering of cranial vault.
it extends anteriorly: supraorbital margin
posteriorly:external occipital protuberance and superior nuchal lines.
on each side: superior temporal lines.
Cervical fascia refers to the fibrous connective tissue in the neck region. There are two types - superficial fascia just below the skin, and deep fascia surrounding muscles, blood vessels and organs in the neck. The deep cervical fascia forms layers around structures like the pretracheal fascia around the trachea and thyroid, and the prevertebral fascia in front of the vertebrae. It also forms sheaths like the carotid sheath containing blood vessels. Infections can potentially spread between neck spaces bounded by these fascial layers, like from the retropharyngeal space to the danger space or prevertebral space. The fascial planes are clinically important for spread of infections and sur
The document discusses the anatomy of the face, including the muscles of facial expression and their functions. It describes the six groups of facial muscles and their actions, as well as the common facial expressions produced by certain muscle combinations. It also summarizes the cutaneous and motor innervation of the face, focusing on the trigeminal nerve (CN V) and facial nerve (CN VII) as the main sources of sensory and motor innervation, respectively. Clinical implications of injuries to these nerves are mentioned.
1) The document describes the dural venous sinuses, which drain blood from the brain into the internal jugular veins. They include the superior and inferior sagittal sinuses, straight sinus, transverse sinus, sigmoid sinus, occipital sinus, cavernous sinus, and superior and inferior petrosal sinuses.
2) The dural sinuses have no valves or muscle in their walls and are located between the layers of the dura mater. They drain blood from the brain and cerebrospinal fluid from the subarachnoid space.
3) The blood in the dural sinuses ultimately drains into the internal jugular veins in the neck through a series of sinuses and
The anatomy of the arteries of the head and neck has many significant applications in maxillofacial surgery. Understanding these important anatomic relations- variations enables surgeons to perform the surgical procedures safely. Knowledge of these concepts helps us to recognize the problems and complications as and when they occur and manage them accordingly.
The common carotid artery arises from the brachiocephalic artery and divides into the external and internal carotid arteries. It travels up the neck and bifurcates at the thyroid cartilage. The internal carotid supplies the brain while the external carotid supplies the head and neck. Key branches of the external carotid include the maxillary and superficial temporal arteries. The internal carotid gives off ophthalmic and anterior cerebral arteries in the skull. These vessels anastomose to form the circle of Willis at the brain's base.
The document describes the common carotid artery and its branches. It discusses the course and relations of the common carotid artery as it divides into the external and internal carotid arteries. It then focuses on the internal carotid artery, describing its course through the neck and skull. It outlines the branches and distributions of the external carotid artery.
The facial artery arises from the external carotid artery in the carotid triangle. It has two parts - the cervical part and facial part. The cervical part passes beneath muscles in the neck before curving upward over the mandible. The facial part enters the face and runs tortuously upward across the cheek, along the side of the nose, and ends at the medial corner of the eye. It supplies structures of the face, palate, and nose and is accompanied by the facial vein throughout its course.
The cavernous sinus is located in the middle cranial fossa on either side of the body of the sphenoid bone and sella turcica. It contains the internal carotid artery and cranial nerves III, IV, V1, and VI. The cavernous sinus drains into the angular vein, pterygoid venous plexus, and intercavernous sinuses which connect the two cavernous sinuses. Clinical implications include spread of infection or thrombosis from the face into the cavernous sinus via connections to facial veins.
The document describes the infratemporal fossa, which is located between the pharynx and ramus of the mandible below the middle cranial fossa. It contains muscles like the temporalis, masseter, and lateral and medial pterygoid muscles. It also contains vessels like the maxillary artery and pterygoid plexus of veins, as well as nerves like the mandibular nerve and otic ganglion. The maxillary artery and its branches in the infratemporal fossa are described. The muscles of mastication, their attachments, nerve supply and actions are outlined. The temporomandibular joint and its movements are also briefly discussed.
The document discusses the facial artery, which arises from the external carotid artery. It has both cervical and facial parts. The cervical part runs upwards in the neck, allowing movement of neck structures. It gives off branches like the ascending palatine and tonsillar arteries. The facial part enters the face by piercing the mandible. In the face, it gives branches like the inferior and superior labial arteries and terminates by anastomosing with the ophthalmic artery. The document also discusses the common carotid artery and its branches.
1) The anterior neck contains two groups of muscles - suprahyoid and infrahyoid. The suprahyoid muscles include the geniohyoid, mylohyoid, digastric and stylohyoid, while the infrahyoid muscles attach below the hyoid bone.
2) The carotid triangle contains important structures like the common carotid artery, internal and external carotid arteries, the vagus nerve (CN X), spinal accessory nerve (CN XI), and hypoglossal nerve (CN XII). The internal jugular vein also passes through this triangle.
3) The ansa cervicalis lies anterior to the carotid sheath and supplies all the infrahyoid muscles except for the thyrohy
The document summarizes key anatomical structures related to the dura mater and cavernous sinus. It describes the layers of the meninges and identifies four dural folds - the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sella. It also details the location, relations, tributaries, and communications of the cavernous sinus.
The document summarizes the major veins and lymph drainage of the neck. It describes the courses and tributaries of the external jugular, anterior jugular, internal jugular, and subclavian veins. It also outlines the regional cervical lymph nodes, including the occipital, retroauricular, parotid, buccal, submandibular, submental, anterior cervical, and superficial cervical nodes. Finally, it discusses the deep cervical lymph nodes located along the internal jugular vein within the carotid sheath.
The main arterial supply to the upper limb begins with the subclavian artery. It arises from the brachiocephalic trunk on the right side and directly from the aorta on the left. The subclavian artery passes lateral to the anterior surface of the cervical pleura and becomes the axillary artery at the outer border of the first rib. It gives off several branches that supply the neck, thorax and upper limb including the vertebral, internal thoracic, and thyrocervical trunks. The internal thoracic artery supplies the anterior chest wall and is often used in coronary bypass grafts.
1. The document discusses the dural venous sinuses, their characteristics, classification, and the cavernous sinus in detail.
2. The dural venous sinuses drain blood from the brain and cranial cavity, absorb CSF, and receive valveless emissary veins. They are classified into unpaired and paired sinuses.
3. The cavernous sinus is a paired dural venous sinus located near the sphenoid bone. It contains the internal carotid artery and cranial nerves III and IV. Thrombosis or rupture of the cavernous sinus or internal carotid artery can cause symptoms like exophthalmos and ophthalmoplegia.
The internal carotid artery has 7 segments from its origin at the common carotid artery bifurcation to where it enters the cranium. Each segment has unique anatomic features and branches. The segments are named cervical, petrous, lacerum, cavernous, clinoid, ophthalmic, and communicating. The petrous, cavernous, and ophthalmic segments each have important branches including the vidian artery, meningohypophyseal trunk, and ophthalmic artery respectively.
The document summarizes the key anatomical structures and contents of the temporal and infratemporal regions. The temporal fossa is bounded by bones and contains the temporalis muscle and arteries. The infratemporal fossa below contains muscles like the lateral and medial pterygoids and nerves like the mandibular nerve. The maxillary artery branches throughout these regions, including the pterygopalatine fossa which communicates between structures. The temporalis, masseter, and pterygoid muscles are involved in mastication.
The document discusses the venous drainage of the head and neck. It begins by defining veins and their role in transporting deoxygenated blood. It then describes the different types of veins and the structure of vein walls. The document discusses the development of the venous system during embryogenesis. It provides details on specific veins that drain the head, face, neck and brain, such as the facial vein, supraorbital vein, maxillary vein, and internal and external jugular veins. It notes that facial veins have no valves and connect to the cavernous sinus, so infections can spread from facial veins to intracranial sinuses.
scalp; is the soft tissue covering of cranial vault.
it extends anteriorly: supraorbital margin
posteriorly:external occipital protuberance and superior nuchal lines.
on each side: superior temporal lines.
Cervical fascia refers to the fibrous connective tissue in the neck region. There are two types - superficial fascia just below the skin, and deep fascia surrounding muscles, blood vessels and organs in the neck. The deep cervical fascia forms layers around structures like the pretracheal fascia around the trachea and thyroid, and the prevertebral fascia in front of the vertebrae. It also forms sheaths like the carotid sheath containing blood vessels. Infections can potentially spread between neck spaces bounded by these fascial layers, like from the retropharyngeal space to the danger space or prevertebral space. The fascial planes are clinically important for spread of infections and sur
The document discusses the anatomy of the face, including the muscles of facial expression and their functions. It describes the six groups of facial muscles and their actions, as well as the common facial expressions produced by certain muscle combinations. It also summarizes the cutaneous and motor innervation of the face, focusing on the trigeminal nerve (CN V) and facial nerve (CN VII) as the main sources of sensory and motor innervation, respectively. Clinical implications of injuries to these nerves are mentioned.
1) The document describes the dural venous sinuses, which drain blood from the brain into the internal jugular veins. They include the superior and inferior sagittal sinuses, straight sinus, transverse sinus, sigmoid sinus, occipital sinus, cavernous sinus, and superior and inferior petrosal sinuses.
2) The dural sinuses have no valves or muscle in their walls and are located between the layers of the dura mater. They drain blood from the brain and cerebrospinal fluid from the subarachnoid space.
3) The blood in the dural sinuses ultimately drains into the internal jugular veins in the neck through a series of sinuses and
The anatomy of the arteries of the head and neck has many significant applications in maxillofacial surgery. Understanding these important anatomic relations- variations enables surgeons to perform the surgical procedures safely. Knowledge of these concepts helps us to recognize the problems and complications as and when they occur and manage them accordingly.
This document provides an overview of the anatomy of vessels and nerves in the neck. It begins with an introduction to the four compartments of the neck and their contents. It then discusses the main neurovascular bundles, arteries including the carotid and vertebral arteries, veins including the jugular veins, lymphatic vessels and lymph nodes, and the cervical plexus nerves. Throughout, it provides clinical correlations such as the risks of external jugular vein severance and uses of jugular venous pressure evaluation.
venous drainage of head and neck and its branches are described in detail along with applied anatomy for better understanding of the anatomy and its application in oral and maxillary surgeries. knowing the anatomy and the course of the veins is crucial and helps in better locating the vein and ligating it to avoid further complications while performing a oral and maxillofacial surgeries such as in trauma fixation, tumor resection and as well as reconstruction of the defect pertaining to the maxillofacial region.
This document provides an overview of the venous drainage of the head and neck region in 3 parts:
1) Veins of the head including the dural venous sinuses, diploic veins, and veins of the scalp.
2) Veins of the face and scalp including the supraorbital, supratrochlear, angular, and superficial temporal veins.
3) Veins of the neck including the internal and external jugular veins, as well as the anterior jugular vein. Key anatomical structures and clinical significance are discussed for major veins.
The document describes the fetal skull, circulation, and changes at birth. The fetal skull is compressible and made of thin, flat bones joined by sutures. It has areas like the vertex, brow, and face. The skull has several diameters that relate to the position of the fetal head. The fetal circulation involves oxygenated blood from the placenta traveling to the fetus through the umbilical vein. Structures like the ductus venosus and foramen ovale allow blood to bypass the liver and lungs. At birth, the umbilical vessels and ductus close, and pulmonary and systemic circulation is established.
The document discusses the venous drainage of the face. It describes the key facial veins including the facial vein, lingual vein, retromandibular vein, superficial temporal vein, maxillary vein, posterior auricular vein, occipital vein, external jugular vein, and dural venous sinuses. It provides details on the formation, tributaries, and drainage patterns of these various facial veins. It also discusses some applied clinical aspects such as spread of infection and approaches for venous access.
Cerebral Venous anatomy from the neuroradiology point of view. Anatomy of the cerebral veins and venous sinuses. Important for Neuroradiologists and Neurointerventionalists.
1) The external carotid artery arises from the third aortic arch and supplies structures in the head and neck. It bifurcates into the maxillary and superficial temporal arteries.
2) It gives off several branches including the superior thyroid, lingual, facial, occipital, and posterior auricular arteries. The lingual artery supplies the tongue while the facial artery supplies structures in the face.
3) The external carotid artery can be ligated in the carotid triangle below the mandible or in the retromandibular fossa behind the mandible to control bleeding from the head and neck region.
18 main arteries & veins of neck for anaesthesiadrriyas03
The document describes the main arteries and veins of the neck. It discusses the common carotid artery, external carotid artery, internal carotid artery, and internal jugular vein. The common carotid artery divides into the external and internal carotid arteries. The internal jugular vein receives blood from the brain and neck and joins the subclavian vein behind the clavicle to form the brachiocephalic vein. The external jugular vein drains into the subclavian vein behind the middle of the clavicle.
The document summarizes the cerebral venous system, including:
- Cerebral veins drain the brain and lack valves, emptying into dural venous sinuses between the dura layers.
- The major dural venous sinuses include the superior and inferior sagittal, straight, occipital, transverse, sigmoid, and cavernous sinuses.
- The sinuses receive blood from cerebral veins and CSF from arachnoid villi before draining into the internal jugular veins.
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The document provides details on the arterial supply of the head and neck region. It begins with an introduction and then describes the anatomy of the common carotid artery, external carotid artery, and their branches. The external carotid artery gives off 6 branches before entering the parotid gland, including the lingual, facial, occipital, and posterior auricular arteries. Its two terminal branches are the superficial temporal and maxillary arteries. The maxillary artery supplies structures in the face, jaws, and teeth and gives off the middle meningeal artery which supplies the dura mater.
The document summarizes the venous and lymphatic drainage of the face. It describes the major veins that drain the face including the facial vein, superficial temporal vein, pterygoid venous plexus, and cavernous sinus. It also discusses the lymphatic drainage pathways of different facial structures and the lymph node groups involved including the submandibular, submental, and cervical nodes. Finally, it presents an imaging-based classification system for cervical lymph nodes.
Surgical implications of venous drainage of face and neckNishant Kumar
This document summarizes the venous drainage of the face, neck, and head. It begins with an overview of vein structure and classification. It then details the major superficial veins that drain the face, including the supratrochlear, supraorbital, facial, superficial temporal, maxillary, and retromandibular veins. It describes the venous plexuses of the pterygoid and suboccipital regions. Finally, it reviews the major veins of the neck, including the external, anterior, internal jugular, subclavian, and brachiocephalic veins. Throughout, it emphasizes the surgical implications of variations in venous anatomy.
The carotid sheath is located in the neck from the base of the skull to the root of the neck. It contains the internal carotid artery, internal jugular vein, vagus nerve, and branches of the sympathetic trunk. The common carotid artery bifurcates into the internal and external carotid arteries around the level of the thyroid cartilage between vertebrae C3 and C4. The structures within the carotid sheath have important relationships that provide pathways for infection spread.
1. The document describes the anatomy of the anterior triangle of the neck, including its boundaries, contents, and structures.
2. It is divided into 4 triangles - submental, digastric, carotid, and muscular. Each triangle contains important muscles, blood vessels, and nerves.
3. The document focuses on the muscles and blood vessels found in each triangle, including the digastric, omohyoid, and infrahyoid muscles as well as branches of the external carotid artery like the lingual and facial arteries.
The document discusses the external carotid artery, its branches, and ligation. It begins with an introduction and overview of the embryological development of the external carotid artery. It then describes the common carotid arteries and their course in the neck. It discusses the bifurcation of the common carotid artery and structures located there - the carotid sinus and carotid body. The external carotid artery is then described in detail, including its course, branches, and relations. The branches discussed include the superior thyroid, lingual, facial, occipital, posterior auricular, ascending pharyngeal, maxillary, and superficial temporal arteries. Indications for ligation and surgical approaches are provided at the end.
The document summarizes the venous anatomy of the brain. It describes how the cerebral veins do not run with the arteries and lack valves and muscle. It outlines the three segments of cerebral venous drainage - outer, intermediate, and cerebral. Key structures discussed include the dural venous sinuses, cortical veins, diploic veins, meningeal veins, and anastomotic veins.
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Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
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Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
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This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
The chapter Lifelines of National Economy in Class 10 Geography focuses on the various modes of transportation and communication that play a vital role in the economic development of a country. These lifelines are crucial for the movement of goods, services, and people, thereby connecting different regions and promoting economic activities.
Gender and Mental Health - Counselling and Family Therapy Applications and In...PsychoTech Services
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2. OBJECTIVE
• Enlist the major veins supplying head and neck.
• To study the course & position of the veins of head & neck.
• To understand path of spread of infection via venous system&
its protection while performing surgeries of that area.
3. CONTENTS
Introduction
Classification of veins of head, neck ,face& brain.
Veins of neck & its applied- External jugular v
Anterior jugular v
Internal jugular v
Lingual v
Subclavian v
Veins of exterior head & neck & its applied.-
Supratrochlear v
Supraorbital v
Facial v
Superficial temporal v
Maxillary v
Retromandibular v
Posterior auricular v
Occipital v
Pterygoid venous plexus.
Veins of brain- diploic v
Cerebral v
Dural venous sinus
Cavernous sinus & applied
Meningeal vein
Emissary vein
Sinus pericranii
Vascular malformation.
4. INTRODUCTION
Veins are blood vessels that brings blood back to heart.
Carry deoxygenated blood , except –Pulmonary &
Umbilical veins.
Veins are classified as- VEINS
SUPERFICIAL DEEP V COMMUNICATING PULMONARY SYSTEMIC V
V (PERFORATOR)V V
7. EXTERNAL JUGULAR VEIN
Draining areas-scalp and face, also
some deeper parts.
ORIGIN- Formed by union of posterior
division of retromandibular vein with
posterior auricular Vein.
Begins near mandibular angle just
below or in parotid gland and drains in
subclavian vein.
Covered by platysma ,superficial fascia
and skin, and is separated from
sternocleidomastoid by deep cervical
fascia.
SURFACE ANATOMY-Usually visible as
it crosses sternocleidomastoid obliquely.
Can be seen by effort blowing of mouth
closed.
8. TRIBUTARIES OF EXTERNAL JUGULAR VEIN
Posterior external jugular
vein.
Transverse cervical vein.
Suprascapular vein.
Anterior jugular veins.
A branch from internal
jugular in the parotid.
Occasionally joined by
occipital vein.
10. ANTERIOR JUGULAR VEIN
ORIGIN- Arises near the hyoid bone from
confluence of superficial submandibular
veins.
Descends between midline and anterior
border of sternocleidomastoid. Turning
laterally , low in neck, deep to
sternocleidomastoid but superfi cial to
infrahyoid strap muscles.
It joins either the end of external jugular
vein or may enter the subclavian vein
directly.
Usually two anterior jugular veins, united
just above the manubrium(sternum) by a
large transverse jugular arch, the
VENOUS JUGULAR ARCH.
They have no valves .
11. INTERNAL JUGULAR VEIN
ORIGIN-Begins at the cranial base in the
posterior compartment of the jugular
foramen, where it is continuous with the
sigmoid sinus.
Immediately below jugular foramen ,it is
widened to form superior bulb of IJV
contained in jugular fossa.
Located posterior to internal carotid artery.
At its lower end , at the junction with
subclavian v , IJV is again widened to form
inferior bulb.
Posterior to sternal end of clavicle , IJV
combines with subclavian v to form
BRACHEOCEPHLIC VEIN.
SURFACE ANATOMY-IJV is represented by
surface projection by broad band drawn
from lobule of ear to median end of clavicle.
DRANING AREAS- skull, brain, superficial
parts of face and much of the neck.
12. Relations of the Internal
Jugular Vein
■■ Anterolaterally: The skin, fascia,
sternocleidomastoid and parotid salivary gland.
Its lower part is covered by sternothyroid ,
sternohyoid, and Omohyoid. Higher up, it is crossed
by the stylohyoid , the posterior belly of the
digastric, and the spinal part of the accessory nerve.
The chain of deep cervical lymph nodes runs
alongside the vein.
■■ Posteriorly: The transverse processes of the
cervical vertebrae, levator scapulae, scalenus
medius, the scalenus anterior, the cervical plexus,
the phrenic nerve, the thyrocervical trunk, the
verteberal vein, and the first part of the subclavian
artery
. On the left side, it passes in front of the thoracic
duct.
■■ Medially: Above lie the internal carotid
artery and 9th, 10th, 11th, and 12th cranial nerves.
Below lie the common carotid artery and the vagus
nerve.
13. Tributaries of the Internal
Jugular Vein
Inferior petrosal
sinus
Facial vein
Pharyngeal veins
Lingual vein
Superior thyroid
vein
Middle thyroid vein
16. LINGUAL VEIN
Drains tongue& sublingual region.
3branches-Dorsal lingual v
Deep lingual v IJV
Sublingual v
17. APPLIED
LINGUAL VARICOSITY-Abnormally , dilated ,
tortuous v produced by prolonged increase
intraluminal pressure. Small purpulish ,blue-black
round swellings under tongue with age & are known as
‘Caviar lesions’.
No treatment is indicated for lingual varices . Care
needs to be excised when performing surgery in this
region due to high vascularity of area.
18. SUBCLAVIAN VEIN
It is a continuation of axillary
vein at the outer border of the 1st
rib .
• It joins IJV to form the
brachiocephalic vein, and it
receives the EJV. In addition, it
often receives the thoracic duct
on the left side and the right
lymphatic duct on the right.
Relations
Anteriorly: The clavicle
Posteriorly: The scalenus anterior
muscle and the phrenic nerve
Inferiorly: The upper surface of the
1st rib
19. VEINS OF EXTERIOR HEAD & FACE
SUPRATROCHLEAR VEIN
ORIGIN-Starts on
forehead from
venous network
which connects to
the frontal
tributaries of
superficial temporal
vein.
Joins supra-orbital v
to form facial v near
medial canthus.
20. SUPRAORBITAL VEIN
ORIGIN-Begins on the
forehead where it
communicates with frontal
branch of superficial
temporal v.
Runs downward superficial to
frontalis muscle& joins
frontal v at medial angle of
orbit to form ANGULAR V .
Passes under orbicularis oculi.
A branch passes through
supraorbital notch to join
superior opthalmic v . In
notch it receives veins from
frontal sinuses & frontal
dipole.
21. FACIAL VEIN
DRINING AREAS- superficial face.
ORIGIN-Commences at side on
root of nose& lies behind facial
artery.
Formed by union of supraorbital &
supratrochlear veins at medial
canthus to form ANGULAR VEIN.
Communicate with cavernous sinus
through opthalmic v or supraorbital
vein. After receiving the
supratrochlear and supraorbital
veins, it travels obliquely downwards
by side of the nose, passes under
zygomaticus major, risorius and
platysma,descends to the anterior
border and then passes over the
surfaceof masseter. It crosses the
body of the mandible, and runs
down in the neck to drain into the
internal jugular vein.
22. TRIBUTARIES
Superior opthalmic vein.
Veins of alae of nose.
Deep facial vein ,from pterygoid
plexus.
Inferior palpebral .
Superior & inferior labial(drains
area of upper & lower lip).
Buccinator (drains area of
cheek).
Parotid & massetric vein( drains
areas from parotid & masseter).
Below mandible it receives
submental, tonsillar ,external
palatine &submandibular vein.
23. APPLIED
Facial vein have no valves &
connect to cavernous sinus by 2
routes –
1.via opthalmic vein or
supraorbital vein.
2.via deep facial vein to pterygoid
plexus& hence to cavernous sinus.
Thus infective thrombosis of
facial vein may extend to
intracranial venous sinuses.
CAVERNOUS SINUS
THROMBOSIS.
24. SUPERFICIAL TEMPORAL VEIN
ORIGIN-Begins in a
widespread network joined
across scalp to contralateral
vein& with supratrochlear
,supraorbital,posterior
auricular& occipital veins,all
draining same network.
Cross posterior root of
zygoma& enters parotid
gland to unite with maxillary
vein to form
RETROMANDIBULAR
VEIN.
25. MAXILLARY VEIN
ORIGIN-Formed in
infratemporal fossa.
It is confluence of vein
from pterygoid venous
plexus,passes back
between
sphenomandibular
ligament & neck of
mandible ,to enter
parotid gland & here it
unites with superficial
temporal to form
Retromandibular vein .
26. RETROMANDIBULAR VEIN
ORIGIN-Formed by the union of maxillary
vein and superficial temporal vein.
Leaving parotid gland divides into anterior
branch and posterior branch.
Anterior branch joins facial vein.
Posterior branch joins posterior auricular vein
to form external jugular vein.
APPLIED-
27.
28. POSTERIOR AURICULAR VEIN
•ORIGIN-Begins upon the side of neck,In
a plexus which communicates with
tributaries of occipital vein and temporal
veins.
•Descends behind auricula and joins
posterior division of retromandibular vein
to form EJV.
•APPLIED –
•Receives mastoid emissary veins from
sigmoid sinus.
Infection here canbe dangerous or fatal
from retrograde thrombosis of cerebellar
and medullary veins.
29. OCCIPITAL VEIN
•ORIGIN-Begins in
posterior network in scalp
, pierce the cranial
attachment of trapezius ,
turns into suboccipital
triangle & becomes deep.
•May follow occipital
artery .
• Join posterior auricular
& hence external jugular
vein.
30. PTERYGOID VENOUS PLEXUS
•ORIGIN-Placed partly between
temporalis & lateral pterygoid &
partly between two pterygoids.
•Anteriorly reaches from
maxillary tuberosity & superiorly
to the base of skull.
•Connects with facial vein
through deep facial vein & with
cavernous sinus through veins
that passes through sphenoidal
emissary foramen , foramen ovale
& lacerum.
•Its deep triutaries are connected
with middle minengeal vein.
31. • TRIBUTARIES-Sphenopalatine,
deep temporal,
pterygoid,
masseteric ,
buccal,
dental,
greater palatine
middle meningeal veins &
branchesfrom inferior
opthalmic vein.
• APPLIED-
• Needle track communications can also result in
infection to pterygoid plexus.
• PSAblock hematoma.
• Serve as a media for spread of external infection
to eye.
33. DIPLOIC VEIN
These veins occupy channels in dipole of
some cranial bones & are devoid of valves.
absent at birth begin to develop at about 2
yrs.
Communicate with meningeal v,dural
sinuses& pericranial veins.
Diploic veins
Frontal Anterior posterior occipital
temporal temporal
35. CRANIAL VENOUS SINUSES
•These are spaces between endosteal &
meningeal layers of duramater.
•General features-
•Walls formed by duramater lined by
epithelium,muscular coat is absent.
•Have no valves.
•Receives 1. venous blood from
brain,meninges & bone
2.the CSF
•Major draining pathway from
brain,predominantly to IJV.
•Communicates with veins outside skull
through EMISSARY VEINS.These
connections helps to keep pressure of
blood in sinus constant.
36. DURAL VENOUS SINUSES
PAIRED UNPAIRED
Cavernous sinus Superior
saggital sinus
Superior
petrosal sinus
Inferior saggital
sinus
Inferior petrosal
sinus
Straight sinus
Transverse sinus Occipital sinus
Sigmoid sinus Ant. Cavernous
s
Sphenoparietal
sinus
Post. Cavernous
s
Middle
meningeal veins
Basilar plexus of
veins
38. CLINICAL RELEVANCE
Dural sinus thrombosis may lead to
haemorrhagic infractions with serious
consequences including epilepsy,
neurological deficits & death.
Causes of dural venous sinus
thrombosis-
Head & neck infection
Head injury
Skull fracture or intracranial
hematomas
Most common thrombosed sinuses are-
Transverse sinus.
Cavernous sinus.
Superior saggital sinus.
CLINICAL SYMPTOMS-
Headache.
Papilloedema.
Impaired consciousness.
Vomitting.
39. CAVERNOUS SINUS
•LOCATION-In middle cranial fossa ,on either
side of sphenoid bone.
•SIZE- 2cm long & 1cm wide.
•EXTENT-Anteriorly- superior orbital fissure.
Posteriorly - apex of petrous temporal .
Medially- pitutary above, shenoidal air
cells below.
Lateral-temporal lobe,uncus
Superior- optic chiasm.
•DRAINS INTO-1.Transverse sinus via superior
sinus & petrosal sinus.
2.IJV via inferior petrosal sinus &
venous plexus around int.carotid artery.
3.Pterygoid plexus via emissary
veins passing through foramen ovale.
4.Facial vein through superior
opthalmic vein.
40. ’ Tributaries:
– Superior and inferior opthalmic
veins
– Sphenoparietal sinus
– Inferior cerebral veins
– Superficial middle cerebral veins
– Central vein of retina
•Right & left commmunicate with
each other through intercavernous
sinus & basilar plexus of veins.
•Communications are valve less & bl.
Can flow in either direction.
’Contents of cavernous sinus
- carotid artery
- CN 3
- CN 4
- CN 5 (1stand 2nddivisions)
- CN 6
41. CAVERNOUS SINUS THROMBOSIS
DEFINATION-It is an infection leading to blood clot caused by
complication of an infection in the paranasal or central face area.
’Path:
– VENOUS OBSTRUCTION
– INVOLVEMENT OF CRANIAL NERVES
– SEPSIS
’ Venous obstruction:
– Proptosis (first beforeoedema & chemosis)
– Oedema of eyelids and bridge of nose
– Chemosis
– Dilatation and tortuosity of retinal veins
– Retinal hemorrhages
– Involvement of the contralateral eye – (48 hours)
– (anatomic communications betweenthe two cavernous sinuses)
– When pterygoid plexus is occluded along with sinus, - oedema of the
pharynx or tonsil
Involvement of cranial nerves
’ Ptosis - paralysis of oculomotor nerve (and edema)
’ Dilatation of pupil- third nerve and stimulation of sympathetic plexus
’ Decreased abduction (paralysis of abducens nerve)
’ Ophthalmoplegia - CN 3,4,6 (and oedema)
’ Loss of vision
’ Pain in region supplied by ophthalmic branch of 5th cranial nerve.
’ Bulb may also be fixed from orbital swelling
’ Retro-orbital pain and supra-orbital headache .
42. Sepsis
’ Pyrexia
’ Rapid, weak, thready pulse
’ Chills and sweats
’ Delirium - meningitis supervenes terminally
’ Septic emboli to (1) lungs (2) kidney (3) spleen (4)
liver and various
other parts of body.
Involvement of cranial nerves
’- Ptosis - paralysis of oculomotor nerve (and
edema)
’- Dilatation of pupil- third nerve and stimulation
of sympathetic plexus
’- Decreased abduction (paralysis of abducens
nerve)
’- Ophthalmoplegia - CN 3,4,6 (and oedema)
’- Loss of vision
’ -Pain in region supplied by ophthalmic branch of
5th cranial nerve.
’- Bulb may also be fixed from orbital swelling
’ -Retro-orbital pain and supra-orbital headache .
43. MENINGEAL VEINS
ORIGIN- begin from plexiform vessels in the dura mater and
drain into efferent vessels in the outer dural layer which connect with
lacunae associated with some of the cranial sinuses. They include the
middle meningeal and the diploic veins. Intracranial veins also
communicate
with extracranial vessels via emissary veins.
Middle meningeal vein (sinus)
ANTERIOR BRANCH POSTERIOR BRANCH
44. EMISSARY VEINS
.
Emissary veins traverse cranial apertures and make
connections between intracranial venous sinuses and
extracranial veins.
CLINICAL SIGNIFICANCE-
in determining the spread of infection from extracranial foci
to venous sinuses, for example, the spread of infection from
the mastoid to the venous sinuses or from the paranasal
sinuses to the cavernous sinus.
The following emissary veins have been recognized. A---
1.Mastoid emissary vein
2.Parietal emissary vein
3.Venous plexus of the hypoglossal canal
4.(posterior) Condylar emissary vein
5. A plexus of emissary vein(venous plexus of foramen ovale)
6. . A vein in the emissary sphenoidal foramen (of Vesalius)
connects the cavernous sinus with the pharyngeal veins and
pterygoid plexus
7. Internal carotid venous plexus
8. Petrosquamous sinus
9. Occipital emissary
10. . A vein may traverse the foramen caecum (which is patent
in about 1% of adult skulls) and connect nasal veins with the
superior sagittal sinus
45. SINUS PERICRANII
A rare disorder characterized by a
congenital (or occasionally
acquired ) epicranial venous
malformation of scalp.
•There is an anomalous connections
between an extracranial blood-fi lled
nodule and an intracranial dural
venous sinus via dilated diploic and/or
emissary veins of the skull
46. VASCULAR MALFORMATIONS
Described as abnormalities of blood and
lymphatic vessels,vascular
malformation, like many hemangioma
are present at birth but do not undergo
proliferation and do not spontaneously
involute.
Do not regress with age and may be
associated with severe or life
threatening haemorrhage.
A large venous malformation appears as
bluish, soft, compressible lesion, no
bruit or pulsation is present.
Fail to show characterstic picture on
radiograph. MRI can indicate the
presence and extent of vascular
malformation.
TREATMENT: May be treated with
sclerotherapy as well as direct injections
of sodium morrhuate, boilling water,
alcohol & ethibloc.
Combined application of sodium
tetradecyl sulfate sclerotherapy &
conservative ablative surgery when large
lesions are involved.