Prevertebral fascia

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Prevertebral fascia
Prevertebral fascia.png
Prevertebral fascia labeled in red, both according to older literature (e.g. Gray's) and newer literature . [1] Section of the neck at about the level of the sixth cervical vertebra. Showing the arrangement of the fascia coli.
Details
Identifiers
Latin lamina prevertebralis fasciae cervicalis
TA98 A04.2.05.006
TA2 2216
FMA 46560
Anatomical terminology

The prevertebral fascia (also known as prevertebral layer of cervical fascia[ citation needed ] or vertebral fascia [2] ) is the layer of deep cervical fascia that surrounds the vertebral column. [3] It is the deepest layer of deep cervical fascia. [2]

Contents

It encloses the sympathetic trunk, brachial plexus, phrenic nerve, prevertebral muscles, and the cervical vertebral column. [3]

Anatomy

The prevertebral fascia extends medially behind the carotid vessels, where it assists in forming their sheath, and passes in front of the prevertebral muscles.

The prevertebral fascia is fixed above to the base of the skull, and below it extends behind the esophagus into the posterior mediastinal cavity of the thorax. It descends in front of the longus colli muscles.

The prevertebral fascia is prolonged downward and laterally behind the carotid vessels and in front of the scalene muscles. It forms a sheath for the brachial nerves, subclavian artery, and subclavian vein in the posterior triangle of the neck; it is continued under the clavicle as the axillary sheath and is attached to the deep surface of the coracoclavicular fascia.

Relations

The prevertebral fascia represents the floor of the posterior triangle of the neck. [3]

The cervical sympathetic trunk lies upon it. [4] :600

The prevertebral fascia borders the vertebral compartment of the neck. [2]

It forms the posterior limit of a fibrous compartment, which contains the larynx and trachea, the thyroid gland, and the pharynx and esophagus.

Parallel to the carotid sheath and along its medial aspect the prevertebral fascia gives off a thin lamina, the buccopharyngeal fascia, which closely invests the constrictor muscles of the pharynx, and is continued forward from the constrictor pharyngis superior on to the buccinator.

Anterior to it, the alar (retrovisceral) fascia is attached to it by loose connective tissue only, and thus an easily distended space, the retropharyngeal space, is found between them.

Immediately anteroposteriorly the clavicle an areolar space exists between the investing layer and the sheath of the subclavian vessels, and in this space are found the lower part of the external jugular vein, the descending clavicular nerves, the transverse scapular and transverse cervical vessels, and the inferior belly of the omohyoid muscle.

This space is limited below by the fusion of the coracoclavicular fascia with the anterior wall of the axillary sheath.

Inferiorly, the prevertebral layer blends with the endothoracic fascia peripherally and fuses with the anterior longitudinal ligament centrally at approximately the level of the T3 vertebra. Due to this, the superior extent of the retropharyngeal space is essentially continuous with the root of the neck, and is termed the danger space. It extends laterally as the axillary sheath. [5]

Related Research Articles

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

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The subclavius is a small triangular muscle, placed between the clavicle and the first rib. Along with the pectoralis major and pectoralis minor muscles, the subclavius muscle makes up the anterior axioappendicular muscles, also known as anterior wall of the axilla.

<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">Posterior triangle of the neck</span>

The posterior triangle is a region of the neck.

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

The transverse cervical artery is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery.

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

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

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.

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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.

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

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. It extends medially in front of the carotid vessels. It assists in forming the carotid sheath.

<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

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<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 389 of the 20th edition of Gray's Anatomy (1918)

  1. Essential Clinical Anatomy. K.L. Moore & A.M. Agur. Lippincott, 2 ed. 2002.
  2. 1 2 3 Fehrenbach, Margaret J.; Herring, Susan W. (2017). Illustrated Anatomy of the Head and Neck (5th ed.). St. Louis: Elsevier. p. 267. ISBN   978-0-323-39634-9.
  3. 1 2 3 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.
  4. Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.). [New York]. ISBN   978-0-7020-7707-4. OCLC   1201341621.
  5. Clinically Oriented Anatomy. K.L. Moore, A.F. Dalley, & A.M. Agur. Lippincott, 6 ed. 2010.