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Posterior Facial Vein
The retromandibular vein (temporomaxillary vein, posterior facial vein) is a major vein of the face. It is formed within the parotid gland by the confluence of the maxillary vein, and superficial temporal vein. It descends in the gland and splits into two branches upon emerging from the gland. Its ''anterior branch'' then joins the (anterior) facial vein forming the common facial vein, while its ''posterior branch'' joins the posterior auricular vein forming the external jugular vein. Anatomy Origin The retromandibular vein is formed within the parotid gland by the confluence of the maxillary vein, and superficial temporal vein. Course It descends inside parotid gland, superficial to the external carotid artery (but beneath the facial nerve), between the sternocleidomastoideus muscle and ramus of mandible. It emerges from the parotid gland inferiorly, then immediately divides into two branches: * an ''anterior branch'' which passes anterior-ward to unite with the (ante ...
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Head And Neck Anatomy
This article describes the anatomy of the head and neck of the human body, including the brain, bones, muscles, blood vessels, nerves, glands, nose, mouth, teeth, tongue, and throat. Structure Bones The head rests on the top part of the vertebral column, with the skull joining at C1 (the first cervical vertebra known as the atlas). The skeletal section of the head and neck forms the top part of the axial skeleton and is made up of the skull, hyoid bone, auditory ossicles, and cervical spine. The skull can be further subdivided into: # the cranium (8 bones: frontal, 2-parietal, occipital, 2-temporal, sphenoid, ethmoid), and # the facial bones (14 bones: 2-zygomatic, 2-maxillary, 2-palatine, 2-nasal, 2-lacrimal, vomer, 2-inferior conchae, mandible). The occipital bone joins with the atlas near the foramen magnum, a large hole () at the base of the skull. The atlas joins with the occipital condyle above and the axis below. The spinal cord passes through the foramen magnum. Mu ...
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External Carotid Artery
The external carotid artery is the major artery of the head and upper neck. It arises from the common carotid artery. It terminates by splitting into the superficial temporal and maxillary artery within the parotid gland. Structure Origin The external carotid artery arises from the common carotid artery just inferior to the upper border of the thyroid cartilage. At its origin, this artery is closer to the skin and more medial than the internal carotid, and is situated within the carotid triangle. Course and fate It curves to pass anterosuperiorly before inclining posterior-ward to reach the space posterior the neck of the mandible, where it divides into the superficial temporal and maxillary artery within the parotid gland. It rapidly diminishes in size as it travels up the neck, owing to the number and large size of its branches. Relations At the origin, external carotid artery is more medial than internal carotid artery. When external carotid artery ascends the ...
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Veins Of The Head And Neck
Veins () are blood vessels in the circulatory system of humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are those of the pulmonary and fetal circulations which carry oxygenated blood to the heart. In the systemic circulation, arteries carry oxygenated blood away from the heart, and veins return deoxygenated blood to the heart, in the deep veins. There are three sizes of veins: large, medium, and small. Smaller veins are called venules, and the smallest the post-capillary venules are microscopic that make up the veins of the microcirculation. Veins are often closer to the skin than arteries. Veins have less smooth muscle and connective tissue and wider internal diameters than arteries. Because of their thinner walls and wider lumens they are able to expand and hold more blood. This greater capacity gives them the term of ''capacitance vessels''. At any time, nearly 70% of the t ...
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Infratemporal Fossa
The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches. Structure Boundaries The boundaries of the infratemporal fossa occur: * ''anteriorly'', by the infratemporal surface of the maxilla, and the ridge which descends from its zygomatic process. This contains the alveolar canal. * ''posteriorly'', by the tympanic part of the temporal bone, and the spina angularis of the sphenoid. * ''superiorly'', by the greater wing of the sphenoid below the infratemporal crest, and by the under surface of the ...
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Parrot's Sign
Parrot's sign (19th century), refers to at least two medical signs; one relating to a large skull and another to a pupil reaction. One Parrot's sign describes the bony growth noted at autopsy by and Jonathan Hutchinson on the skulls of children with congenital syphilis (CS) in the 19th century. Later publications also refer to it as the frontal bossing that presents in the late type CS. Initially thought to be indicative of congenital syphilis, it was noted to be present in other conditions, particularly rickets. Some 19th century textbooks also described the sign as the dilatation of a pupil when the back of the neck is pinched in some cases of meningitis. Background Marie Jules Parrot was a French physician in Paris, whose early work concentrated on the brain, followed by tuberculosis and later syphilis. Skull Parrot's sign, also known as 'Parrot's nodes' and 'Parrot's bosses', refers to the bony growth noted at autopsy by Marie Jules Parrot and Jonathan Hutchinson on the ...
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Skull
The skull, or cranium, is typically a bony enclosure around the brain of a vertebrate. In some fish, and amphibians, the skull is of cartilage. The skull is at the head end of the vertebrate. In the human, the skull comprises two prominent parts: the neurocranium and the facial skeleton, which evolved from the first pharyngeal arch. The skull forms the frontmost portion of the axial skeleton and is a product of cephalization and vesicular enlargement of the brain, with several special senses structures such as the eyes, ears, nose, tongue and, in fish, specialized tactile organs such as barbels near the mouth. The skull is composed of three types of bone: cranial bones, facial bones and ossicles, which is made up of a number of fused flat and irregular bones. The cranial bones are joined at firm fibrous junctions called sutures and contains many foramina, fossae, processes, and sinuses. In zoology, the openings in the skull are called fenestrae, the most ...
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Investing Layer Of Deep Cervical Fascia
The investing layer of deep cervical fascia is the most superficial part of the deep cervical fascia, and encloses the whole neck. It is considered by some sources to be incomplete or nonexistent. Attachments It surrounds the neck like a collar, it splits around the sternocleidomastoid muscle and the trapezius muscle. It is attached as; * Posteriorly - Ligamentum nuchae * Anteriorly - Attached to the hyoid bone * Superiorly - (from backwards to forwards); ** External occipital protuberance and superior nuchal line of occipital bone ** Mastoid process of temporal bone ** External acoustic meatus ** Lower margin of the zygomatic arch ** Lower border of body of mandible from the angle of mandible to the symphysis menti * Inferiorly - (from backwards to forwards); ** Spine and acromial process of scapula ** Upper surface of the clavicle **Suprasternal notch of manubrium sterni Tracings * Horizontal extent - From ligamentum nuchae when traced forward, the fascia splits and enc ...
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Internal Jugular Vein
The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve. It begins in the posterior compartment of the jugular foramen, at the base of the skull. It is somewhat dilated at its origin, which is called the ''superior bulb''. This vein also has a common trunk into which drains the anterior branch of the retromandibular vein, the facial vein, and the lingual vein. It runs down the side of the neck in a vertical direction, being at one end lateral to the internal carotid artery, and then lateral to the common carotid artery, and at the root of the neck, it unites with the subclavian vein to form the brachiocephalic vein (innominate vein); a little above its termination is a second dilation, the ''inferior bulb''. Above, it lies upon the rectus capitis lateralis, behind the internal carotid artery and the nerves pa ...
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Ramus Of The Mandible
In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone is the skull's only movable, posable bone, sharing joints with the cranium's temporal bones. The mandible hosts the lower teeth (their depth delineated by the alveolar process). Many muscles attach to the bone, which also hosts nerves (some connecting to the teeth) and blood vessels. Amongst other functions, the jawbone is essential for chewing food. Owing to the Neolithic advent of agriculture (), human jaws evolved to be smaller. Although it is the strongest bone of the facial skeleton, the mandible tends to deform in old age; it is also subject to fracturing. Surgery allows for the removal of jawbone fragments (or its entirety) as well as regenerative methods. Additionally, the bone is of great forensic significance. Structure ...
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Sternocleidomastoideus
The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the accessory nerve. Etymology and location It is given the name ''sternocleidomastoid'' because it originates at the manubrium of the sternum (''sterno-'') and the clavicle (''cleido-'') and has an insertion at the mastoid process of the temporal bone of the skull. Structure The sternocleidomastoid muscle originates from two locations: the manubrium of the sternum and the clavicle, hence it is said to have two heads: sternal head and clavicular head. It travels obliquely across the side of the neck and inserts at the mastoid process of the temporal bone of the skull by a thin aponeurosis. The sternocleidomastoid is thick and narrow at its center, and broader and thinner at either end. The sternal head is a round fasciculus, tendinous in front, ...
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Facial Nerve
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI (abducens nerve) and anterior to cranial nerve VIII (vestibulocochlear nerve). The facial nerve also supplies preganglionic parasympathetic fibers to several head and neck ganglia. The facial and intermediate nerves can be collectively referred to as the nervus intermediofacialis. The path of the facial nerve can be divided into six segments: # intracranial (cisternal) segment (from brainstem pons to internal auditory canal) # meatal (canalicular) segment (with ...
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