Atlas of Human Anatomy by Netter

(Darren Dugan) #1
b. Gives rise to superior laryngeal artery supplying larynx
Lingual
a. Passes deep to hypoglossal nerve, stylohyoid muscle, and posterior belly of digastric
b. Disappears beneath hyoglossus muscle and becomes deep lingual and sublingual arteries
Facial
a. Branches to tonsil, palate, and submandibular gland
b. Hooks around middle of mandible and enters face
Occipital
a. Passes deep to posterior belly of the digastric
b. Grooves base of skull
c. Supplies posterior scalp
Posterior auricular
a. Passes posteriorly between external acoustic meatus and mastoid process
b. Supplies muscles of region, parotid gland, facial nerve, auricle, and scalp
Maxillary
a. Larger of two terminal branches
b. Branches supply external acoustic meatus, tympanic membrane, dura mater and calvaria, mandible, gingivae and
teeth, temporal pterygoid, masseter, and buccinator muscles
Superficial temporal
a. Smaller terminal branch
b. Supplies temporal region of scalp

Carotid Branch Course and Structures Supplied
Superior thyroid Supplies thyroid gland, larynx, and infrahyoid muscles
Ascending pharyngeal Supplies pharyngeal region, middle ear, meninges, and prevertebral muscles
Lingual Passes deep to hyoglossus muscle to supply the tongue
Facial Courses over the mandible and supplies the face
Occipital Supplies SCM and anastomoses with costocervical trunk
Posterior auricular Supplies region posterior to ear
Maxillary Passes into infratemporal fossa (described later)
Superficial temporal Supplies face, temporalis muscle, and lateral scalp
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Subclavian artery
Branch of aortic arch on the left
From brachiocephalic trunk on the right
Enters neck between anterior and posterior scalene muscles
Supplies upper limbs, neck and brain
Divided for descriptive purposes into 3 parts, in relation to the anterior scalene muscle
First part
a. Medial to the anterior scalene
b. Has three branches
Second part
a. Posterior to the anterior scalene
b. Has one branch
Third part
a. Lateral to anterior scalene
b. Has one branch

Subclavian Branch Course
Part 1
Vertebral Ascends through C6-C1 transverse foramina and enters foramen magnum
Internal thoracic Descends parasternally to anastomose with superior epigastric artery
Thyrocervical trunk Gives rise to inferior thyroid, transverse cervical, and suprascapular arteries
Part 2
Costocervical trunk Gives rise to deep cervical and superior intercostal arteries
Part 3
Dorsal scapular Is inconstant; may also arise from transverse cervical artery

Venous drainage


Superficial veins
External jugular vein (EJV)
Drains most of scalp and side of face
Formed at angle of mandible by union of retromandibular vein with posterior auricular vein
Enters posterior triangle and pierces fascia of its roof
Descends to terminate in subclavian vein
Receives
a. Transverse cervical vein
b. Suprascapular vein
c. Anterior jugular vein
Anterior jugular vein
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