46 Root of the neck

Left prevertebral region

24
1
2
3
4
5
6
7
8
9
10
11
11
12
13
14
15
16
17
18
19
20
21
22
23
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
43
44
45
46
18
16
1 Accessory nerve
2 Anterior longitudinal ligament
3 Ascending cervical vessels
4 Ascending pharyngeal artery
5 Brachiocephalic trunk
6 Glossopharyngeal nerve
7 Inferior thyroid artery
8 Inferior vagal ganglion
9 Internal carotid artery
10 Internal carotid nerve (sympathetic)
11 Internal jugular vein
12 Internal thoracic artery
13 Jugular lymphatic trunk
14 Left brachiocephalic vein
15 Left common carotid artery
16 Left subclavian artery
17 Levator scapulae
18 Longus capitis
19 Longus colli
20 Mastoid process
21 Meningeal branch of ascending
pharyngeal artery
22 Middle cervical ganglion
23 Occipital artery
24 Oesophageal branch (large)
of the inferior thyroid artery
25 Oesophagus
26 Phrenic nerve
27 Posterior belly of digastric
28 Recurrent laryngeal nerve
29 Scalenus anterior
30 Scalenus medius
31 Spine of sphenoid bone
32 Sternocleidomastoid
33 Subclavian vein
34 Superficial cervical artery
35 Superior cervical ganglion
36 Suprascapular artery
37 Sympathetic trunk
38 Thoracic duct
39 Thyrocervical trunk
40 Trachea
41 Tympanic part of temporal bone
42 Upper trunk of brachial plexus
43 Vagus nerve
44 Ventral ramus of third cervical nerve
45 Vertebral artery
46 Vertebral vein
Cervical sympathectomy, see p. 89.
47 Root of the neck
3
4
10
6
3
4 10
6
5
13
7
1
11
14
9
8
12
3
4
10
14
9
12
2
A B C
Dissection of puncture of the right internal jugular vein between the
two heads of sternocleidomastoid, with the needle directed backwards
and slightly laterally.
Dissection of puncture of the right internal jugular vein at the posterior
border of sternocleidomastoid, with the needle directed towards the
jugular notch of the sternum.
Dissection of puncture of the right brachiocephalic vein, with the
needle directed towards the sternal angle.
A
B
C
1 Brachial plexus
2 Brachiocephalic vein
3 Clavicle
4 Clavicular head of sternocleidomastoid
5 External jugular vein
6 Internal jugular vein
7 Omohyoid
8 Phrenic nerve
9 Scalenus anterior
10 Sternal head of sternocleidomastoid
11 Subclavian artery
12 Subclavian vein
13 Superficial cervical artery
14 Suprascapular artery
2 6
6
4
7
1
3
9
5 8
1 1
2
3 3
B
A
C
D
Dissection of infraclavicular puncture of the
subclavian vein, from below the midpoint of the
clavicle on a line directed to just above the jugular notch.
Part of pectoralis major is detached from the clavicle and
the clavipectoral fascia divided to show the subclavian
vein deep to it and passing under cover of the clavicle.
1 Cephalic vein
2 Clavicle
3 Clavipectoral
fascia
4 Deltoid
5 Lateral pectoral
nerve
6 Pectoralis major
7 Pectoralis minor
8 Subclavian vein
9 Thoraco-acromial
vessels
Root of neck surface anatomy. A, B, C and D are
the puncture sites as shown above.
1 Clavicle 2 Sternum 3 Sternocleidomastoid
Root of the neck
D
D
E
E
Internal jugular vein catheterization, subclavian vein catheterization, see pp 90, 91.