Pretracheal fascia

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Pretracheal fascia
Gray384.png
Section of the neck at about the level of the sixth cervical vertebra. Showing the arrangement of the fascia coli.
Details
Identifiers
Latin lamina praetrachealis fasciae cervicalis
TA98 A04.2.05.004
TA2 2212
FMA 46559
Anatomical terminology

The pretracheal fascia is a layer of the deep cervical fascia at the front of the neck. It attaches to the hyoid bone above, and - extending down into the thorax - blends with the fibrous pericardium below. It encloses the thyroid gland and parathyroid glands, trachea, and esophagus. [1] It extends medially in front of the carotid vessels. It assists in forming the carotid sheath.

Contents

The back portion of the pretracheal fascia is known as the buccopharyngeal fascia. [1]

Structure

The pretracheal fascia is continued behind the depressor muscles of the hyoid bone. After enveloping the thyroid gland, it is prolonged in front of the trachea to meet the corresponding layer of the opposite side. The pretracheal layer of the deep cervical fascia passes in front of the carotid sheath (i.e., common carotid artery, internal jugular vein, and vagus nerve) and in front of the cervical viscera (larynx, oesophagus, and pharynx). The muscular layer ensheathes the infrahyoid muscles.

Above, the pretracheal fascia is fixed to the hyoid bone. Below, it is carried downward in front of the trachea and large vessels at the root of the neck, and ultimately blends with the fibrous pericardium. [2]

The pretracheal fascia is fused on either side with the prevertebral fascia, and with it completes the compartment containing the larynx and trachea, the thyroid gland, and the pharynx and esophagus. [2]

Function

The pretracheal fascia encloses the thyroid gland, and is responsible for its movement during deglutition.

See also

Related Research Articles

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<span class="mw-page-title-main">Throat</span> Anterior part of the neck, in front of the vertebra

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<span class="mw-page-title-main">Omohyoid muscle</span> Human neck muscle

The omohyoid muscle is a muscle in the neck. It is one of the infrahyoid muscles. It consists of two bellies separated by an intermediate tendon. Its inferior belly is attached to the scapula; its superior belly is attached to the hyoid bone. Its intermediate tendon is anchored to the clavicle and first rib by a fascial sling. The omohyoid is innervated by the ansa cervicalis of the cervical plexus. It acts to depress the hyoid bone.

<span class="mw-page-title-main">Common carotid artery</span> One of the two arteries that supply the head and neck with blood

In anatomy, the left and right common carotid arteries (carotids) are arteries that supply the head and neck with oxygenated blood; they divide in the neck to form the external and internal carotid arteries.

<span class="mw-page-title-main">Sternohyoid muscle</span>

The sternohyoid muscle is a bilaterally paired, long, thin, narrow strap muscle of the anterior neck. It is one of the infrahyoid muscles. It is innervated by the ansa cervicalis. It acts to depress the hyoid bone.

<span class="mw-page-title-main">Sternothyroid muscle</span>

The sternothyroid muscle is an infrahyoid muscle of the neck. It acts to depress the hyoid bone.

<span class="mw-page-title-main">Thyrohyoid muscle</span> Neck muscle that depresses the hyoid bone and elevates the larynx

The thyrohyoid muscle is a small skeletal muscle of the neck. Above, it attaches onto the greater cornu of the hyoid bone; below, it attaches onto the oblique line of the thyroid cartilage. It is innervated by fibres derived from the cervical spinal nerve 1 that run with the hypoglossal nerve to reach this muscle. The thyrohyoid muscle depresses the hyoid bone and elevates the larynx during swallowing. By controlling the position and shape of the larynx, it aids in making sound.

<span class="mw-page-title-main">Carotid sheath</span>

The carotid sheath is a condensation of the deep cervical fascia enveloping multiple vital neurovascular structures of the neck, including the common and internal carotid arteries, the internal jugular vein, the vagus nerve, and ansa cervicalis. The carotid sheath helps protects the structures contained therein.

<span class="mw-page-title-main">Superior thyroid artery</span>

The superior thyroid artery arises from the external carotid artery just below the level of the greater cornu of the hyoid bone and ends in the thyroid gland.

<span class="mw-page-title-main">Inferior thyroid artery</span> Artery of the neck

The inferior thyroid artery is an artery in the neck. It arises from the thyrocervical trunk and passes upward, in front of the vertebral artery and longus colli muscle. It then turns medially behind the carotid sheath and its contents, and also behind the sympathetic trunk, the middle cervical ganglion resting upon the vessel.

<span class="mw-page-title-main">Retropharyngeal space</span> Potential space in the neck

The retropharyngeal space is a potential space and deep compartment of the head and neck situated posterior to the pharynx. The RPS is bounded anteriorly by the buccopharyngeal fascia, posteriorly by the alar fascia, and laterally by the carotid sheath. It extends between the base of the skull superiorly, and the mediastinum inferiorly. It contains the retropharyngeal lymph nodes. Its function is to facilitate movements in the superoinferior axis of the larynx, pharynx, and esophagus in relation to the cervical spine.

<span class="mw-page-title-main">Retromandibular vein</span> Major face vein

The retromandibular 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.

<span class="mw-page-title-main">Deep cervical fascia</span>

The deep cervical fascia lies under cover of the platysma, and invests the muscles of 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.

<span class="mw-page-title-main">Carotid triangle</span>

The carotid triangle is a portion of the anterior triangle of the neck.

<span class="mw-page-title-main">Muscular triangle</span>

The inferior carotid triangle, is bounded, in front, by the median line of the neck from the hyoid bone to the sternum; behind, by the anterior margin of the sternocleidomastoid; above, by the superior belly of the omohyoid.

<span class="mw-page-title-main">Prevertebral fascia</span> Layer of deep cervical fascia that surrounds the vertebral column

The prevertebral fascia is the layer of deep cervical fascia that surrounds the vertebral column. It is the deepest layer of deep cervical fascia.

<span class="mw-page-title-main">Investing layer of deep cervical fascia</span>

The investing layer of deep cervical fascia is the most superficial part of the deep cervical fascia, and encloses the whole neck.

<span class="mw-page-title-main">Buccopharyngeal fascia</span>

The buccopharyngeal fascia is a fascia of the pharynx. It represents the posterior portion of the pretracheal fascia. It covers the superior pharyngeal constrictor muscles, and buccinator muscle.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<span class="mw-page-title-main">Parapharyngeal space</span>

The parapharyngeal space, is a potential space in the head and the neck. It has clinical importance in otolaryngology due to parapharyngeal space tumours and parapharyngeal abscess developing in this area. It is also a key anatomic landmark for localizing disease processes in the surrounding spaces of the neck; the direction of its displacement indirectly reflects the site of origin for masses or infection in adjacent areas, and consequently their appropriate differential diagnosis.

References

PD-icon.svgThis article incorporates text in the public domain from page 390 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 Morton, David A. (2019). The Big Picture: Gross Anatomy. K. Bo Foreman, Kurt H. Albertine (2nd ed.). New York. p. 266. ISBN   978-1-259-86264-9. OCLC   1044772257.{{cite book}}: CS1 maint: location missing publisher (link)
  2. 1 2 Thompson, Stevan H.; Yeung, Alison Y. (2016-01-01), Hupp, James R.; Ferneini, Elie M. (eds.), "4 - Anatomy Relevant to Head, Neck, and Orofacial Infections", Head, Neck, and Orofacial Infections, St. Louis: Elsevier, pp. 60–93, doi:10.1016/b978-0-323-28945-0.00004-1, ISBN   978-0-323-28945-0 , retrieved 2020-11-10