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Clinical Anatomy of
Head & Neck
SurgCDRDr. RangaPereraMBBS,MS,MRCS
Consultant Cancer Surgeon / Senior Lecturer in Surgery
Medical Faculty KDU
Bones of the Head and Neck
 Skull
 Cervical Vertebra
Skull
 Cranium
 Facial Skeleton
Clinical Applications
 Head Injuries
 Skull #
 # of the facial bones
 Complications of Head Injury
 Haemorrhage
 Infection
 Injury to the brain
 Le Fort fractures
Clinical anatomy of Head and neck.ppt
Clinical anatomy of Head and neck.ppt
Developing Skull
Read
 Age Changes in Face
 Obliteration of Cranial Sutures
 Craniosynostosis
 Cranial Malformations
Face and Scalp
 Face has no distinct
deep fascia
 Tend to gape
 Swelling
 Scalp
 Deep scalp wounds
gape widely
 Bleeds a lot
 Infection
 Pus or blood can
enter the eyelids and
the root of the nose
Read
 Cephalhematoma
 Paralysis of Facial Muscles (CN VII)
 Infra-Orbital Nerve Block
 Mental and Incisive Nerve Blocks
 Trigeminal Neuralgia
 Testing Sensory Function of CN V
Clinical anatomy of Head and neck.ppt
PAROTID AND TEMPORAL
REGIONS, INFRATEMPORAL
FOSSA,
AND TEMPOROMANDIBULAR
JOINT
Parotid
 Superficial
Parotidectomy
 Saving nerve
 Removing the
superficial lobe
 Infection
 Abscess formation
Read
 Mandibular Nerve Block
 Inferior Alveolar Nerve Block
 Dislocation of TM Joint
 Positions
 Causes
 Related nerves which can get damage
Nose and Paranasal sinuses
 Nasal Bleeding
 Anterior third of the nose
 Kiesselbach area
 Infection of Ethmoidal Cells
 optic neuritis
 Infection of Maxillary Sinuses
 Most commonly infected
Clinical anatomy of Head and neck.ppt
The Neck
 Fractures and Dislocations of the cervical
vertebra
 Atlas
 Axis
 Other
Clinical anatomy of Head and neck.ppt
Cervical Ribs
Arteries of Head & Neck
 The Carotid Arteries
 External Carotid Artery
 Internal Carotid Artery
 Vertebral Artery (From the of the Subclavian Artery)
Carotid Bifurcation
 Level of the upper border of
thyroid cartilage (C3-C4)
 Carotid Sinus
 Carotid Body
External Carotid Artery
Subclavian Artery
Right Subclavian Artery:
 Arises from brachiocephalic artery
(Behind right sternoclavicular joint)
Left Subclavian Artery:
 Arises from Arch of Aorta in the thorax
 Runs upwards to the root of the neck & arches
laterally
At outer border of 1st rib both becomes Axillary Arteries
Subclavian Artery
Scalenus Anterior muscle passes anterior to the
artery on each side and divides it into 3 parts.
Clinical anatomy of Head and neck.ppt
Blood supply of Brain
Veins Draining the Head and Neck
Facial Venous Drainage
Superficial temporal Vein
Formed on the side of the scalp. Enters parotid gland.
It joins maxillary vein to form Retromandibular vein.
Brachiocephalic Veins & SVC
Fascia of the Neck
Borders
Superior:
Mandible.
Posterior:
Sternocleidomastoid (anterior border).
Anterior:
Midline of the neck.
Clinical anatomy of Head and neck.ppt
Subdivisions
 Muscular triangle.
 Submandibular triangle.
 Carotid triangle.
 Sub-mental Triangle
Clinical anatomy of Head and neck.ppt
Muscular Triangle
 Midline of the neck
 Hyoid bone to the sternum
 Sternocleidomastoid
 The superior belly of the Omohyoid
Clinical anatomy of Head and neck.ppt
Contents of Muscular Triangle
 Sternohyoid.
 Sternothyroid.
 Thyrohyoid.
 Omohyoid.
 Lower part of the common carotid artery
 Internal jugular vein
 Vagus nerve
Clinical anatomy of Head and neck.ppt
Deep Neck
 Subclavian artery
 Thyroid gland.
 Trachea.
 Oesophagus.
 Thoracic duct and right lymphatic duct.
 Scalene muscles:
The Thyroid Gland
Thyroid Gland
 Two Lobes
 Isthmus
 Blood supply
 Venous Drainage
 Relations
Clinical anatomy of Head and neck.ppt
Thyroid
 Lobes
 oblique line of the thyroid cartilage
 5-6 tracheal rings
 Isthmus
 Connects the two lobes
 2nd to 4th tracheal rings
 Special relations
 Parathyroid
 Recurrent laryngeal nerves
 Superior laryngeal nerves
Clinical anatomy of Head and neck.ppt
Thyroid Blood supply
Clinical anatomy of Head and neck.ppt
Clinical anatomy of Head and neck.ppt
Clinical anatomy of Head and neck.ppt
CT an MRI
Clinical anatomy of Head and neck.ppt
Congenital problems
 Neural canal defects (Anencephaly, Spina
bifida)
 Torticollis
 Cystic hygroma
 Branchial cysts / Fistula
Clinical anatomy of Head and neck.ppt
Thank You

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Clinical anatomy of Head and neck.ppt