Deep cervical fascia

Jump to: navigation, search
Deep cervical fascia
Gray384.png
Section of the neck at about the level of the sixth cervical vertebra. Showing the arrangement of the fascia coli.
Gray's subject #111 388
Dorlands/Elsevier l_05/12480348

WikiDoc Resources for Deep cervical fascia

Articles

Most recent articles on Deep cervical fascia

Most cited articles on Deep cervical fascia

Review articles on Deep cervical fascia

Articles on Deep cervical fascia in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Deep cervical fascia

Images of Deep cervical fascia

Photos of Deep cervical fascia

Podcasts & MP3s on Deep cervical fascia

Videos on Deep cervical fascia

Evidence Based Medicine

Cochrane Collaboration on Deep cervical fascia

Bandolier on Deep cervical fascia

TRIP on Deep cervical fascia

Clinical Trials

Ongoing Trials on Deep cervical fascia at Clinical Trials.gov

Trial results on Deep cervical fascia

Clinical Trials on Deep cervical fascia at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Deep cervical fascia

NICE Guidance on Deep cervical fascia

NHS PRODIGY Guidance

FDA on Deep cervical fascia

CDC on Deep cervical fascia

Books

Books on Deep cervical fascia

News

Deep cervical fascia in the news

Be alerted to news on Deep cervical fascia

News trends on Deep cervical fascia

Commentary

Blogs on Deep cervical fascia

Definitions

Definitions of Deep cervical fascia

Patient Resources / Community

Patient resources on Deep cervical fascia

Discussion groups on Deep cervical fascia

Patient Handouts on Deep cervical fascia

Directions to Hospitals Treating Deep cervical fascia

Risk calculators and risk factors for Deep cervical fascia

Healthcare Provider Resources

Symptoms of Deep cervical fascia

Causes & Risk Factors for Deep cervical fascia

Diagnostic studies for Deep cervical fascia

Treatment of Deep cervical fascia

Continuing Medical Education (CME)

CME Programs on Deep cervical fascia

International

Deep cervical fascia en Espanol

Deep cervical fascia en Francais

Business

Deep cervical fascia in the Marketplace

Patents on Deep cervical fascia

Experimental / Informatics

List of terms related to Deep cervical fascia

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The deep cervical fascia (or fascia colli in older texts) lies under cover of the Platysma, and invests the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap.[1]

The investing portion of the fascia is attached behind to the ligamentum nuchæ and to the spinous process of the seventh cervical vertebra.

The alar fascia is a portion of the deep cervical fascia.

Divisions

The deep cervical fascia is often divided into a superficial, middle, and deep layer.

The superficial layer envelopes the trapezius, sternocleidomastoid, and muscles of facial expression. It also contains the submandibular and parotid salivary gland as well as the muscles of mastication (the masseter, pterygoid, and temporalis muscles).

The middle layer envelopes the strap muscles (sternohyoid, sternothyroid, thyrohyoid, and omohyoid muscles). It also surrounds the pharynx, larynx, trachea, esophagus, thyroid, parathyroids, buccinators, and constrictor muscles of the pharynx.

The deep layer is the pre vertebral fascial layer and surrounds the paraspinous muscles and cervical vertebrae.[2]

Superior attachments and relations

Above, the fascia is attached to the superior nuchal line of the occipital bone, to the mastoid process of the temporal bone, and to the whole length of the inferior border of the body of the mandible.

Opposite the angle of the mandible the fascia is very strong, and binds the anterior edge of the Sternocleidomastoideus firmly to that bone.

Between the mandible and the mastoid process it ensheathes the parotid gland—the layer which covers the gland extends upward under the name of the parotideomasseteric fascia and is fixed to the zygomatic arch.

From the part which passes under the parotid gland a strong band extends upward to the temporal styloid process, forming the stylomandibular ligament.

Two other bands may be defined: the sphenomandibular and the pterygospinous ligaments.

The pterygospinous ligament stretches from the upper part of the posterior border of the lateral pterygoid plate to the spinous process of the sphenoid.

It occasionally ossifies, and in such cases, between its upper border and the base of the skull, a foramen is formed which transmits the branches of the mandibular nerve to the muscles of mastication.

Inferior attachments and relations

Below, the fascia is attached to the acromion, the clavicle, and the manubrium sterni.

Some little distance above the last it splits into two layers, superficial and deep.

The former is attached to the anterior border of the manubrium, the latter to its posterior border and to the interclavicular ligament.

Between these two layers is a slit-like interval, the suprasternal space (space of Burns); it contains a small quantity of areolar tissue, the lower portions of the anterior jugular veins and their transverse connecting branch, the sternal heads of the Sternocleidomastoidei, and sometimes a lymph gland.

Processes

The fascia which lines the deep surface of the Sternocleidomastoideus gives off the following processes:

References

  1. Anatomy & Physiology, 8th Edition, McGraw-Hill Co., 2008.
  2. Lee, K.J. (2012). Essential Otolaryngology (10 ed.). McGraw Hill. pp. 559–60. ISBN 978-0-07-176-147-5.

External links

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.


Linked-in.jpg