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Topography

Arcuszygomaticus

Aperturapiriformis

F i g .6 1 S k u L [C
, ranium.
Surface lSketetonl Muscles

of theskull

Os trontale,
Suturainternasalis Squamalrontalis
Os nasale
Maxilla, Proc frontalis Suturafrontonasalis
Suturaf rontolacrimalis
Suturafrontomaxillaris
Suturasphenofrontalis

Margosupraorbitalis Foramensupraorbitale

Suturacoronalis
Os parietale
Os parietale,
Angulussphenoidalis

Os sphenoidale, Sutura
Ala major sphenoparietalis

Os frontale, Os sphenoidale,
Parsorbitalis Ala major,
Faciesorbitalis
Os frontale,
Proc zygomaticus Os temporale
Fissura
orbitalissuperior Suturafrontozygomatica

Os sphenoidale,
Ala minor Os lacrlmale
Os sphenoidale,
Ala major
Sutura
sphenozygomatica
Os zygomaticum

Fissuraorbitalisinferior Suturanasomaxillaris

Margo infraorbitalis Foramen infraorbitale

Suturazygomaticomaxillaris
Concha nasalis media
. f Os ethmoidale
seprumnasr]
osseumI
\ vomer
Concha nasalis inferior

Maxilla, Proc alveolaris


Ramus mandibulae

Spina nasalis anterior

Sutura intermaxillaris

Foramenmentale

Corpusmandibulae

Os frontale
f,, ii Os temporale Vomer

Os nasale Concha nasalis inferior Os ethmoidale

Maxilla Mandibula Os parietale

os zygomaticum Os lacrimale Os sphenoidale


X

F i g . 6 2 B o n e so f t h e s k u [ t ,0 s s a c r a n i i .
Bonesof theskull

Os parietale
Suturasquamosa
Suturacoronalis
Lineatemporalis
superior

inferior
Lineatemooralis

Linea temporalis Tuberparietale

Sutura
sphenozygomatica
Sutura
Sutura squamosa
frontozygomatica
US
Sutura
parieto-
Sutura mastoidea
frontolacrimalis
Os lacrimale
Sutura
Sutura lambdoidea
lacflmo-
maxillaris

Os nasale
Sutura
naso-
maxillaris

Spina Suturaoccioitomastoidea
nasalrs
anterior

Sutura Porusacusticusexternus
zygomatico-
maxillaris Condylus
occipitalis
Proc styloideus
Sutura
temporo-
zygomatica

Protuberantia
mentalis
Foramenmentale

Os frontale
I Os lacrimale Os temporale

Os parietale
I ,,
Os zygomaticum Maxilla

Os occipitale Os sphenoidale Mandibula


|:
Os nasale
X Os ethmoidale

F i g . 5 3 B o n e so f t h e s k u L tO
, s s ac r a n i i .
> Head M us c tes

Bonesof theskull

Tuberfrontale

Sutura coronalis

Llnea
temporalis
supenor

Lrnea
temporalis
interior

Tuber
parietale

Suturasagittalis

Foramen parietale

Sutura lambdoidea

Os nasale Os parietale

Os frontale Os occipitale

F i g . 6 1 B o n e so f t h e s k u L LO, s s ac r a n i i ;
s u p e n o rv r e w .
To pogr a p h y

Bonesof theskull

Suturasagittalis

Foramenparietale (Osinterparietale;
Os Incae)

Sutura lambdoidea

(Suturaoccipitalis
transversa,Var.) Ossasuturalia

Sutura
squamosa

Sutura
parietomastoidea

Sutura
occipitomastoidea

Foramen
mastoideum

Incisuramastoidea

Proc,styloideus
Linea nuchalisinferior Protuberantia
externa
occipitalis
Linea nuchalissuDerior

osparietate Os temporale Os occipitale


I

F i g .6 5 B o n e so f t h e s k u I t ,0 s s a c r a n i i ;
o o s t e r i o vr i e w .
> Head t t uatu,

Bonesof theskull

Foramenparietale
Sulciarteriosi
Suturacoronalis

Os temporale,
Dorsumsellae Pars squamosa

Sella turcica

Lamina et
Foraminacribrosa

Sinuslrontalis
Eminentia
arcuata
Foramen
caecum

Crista galli

Osnasale---1p.............

Os
ethmoidale,
Lamtna
perpen-
dicularis

Sinus
sphenoidalis Squama
occipitalis

Protuberantia
occipitalis
Canalis externa
Inctstvus Sulcussinustransversi
Proc Sulcussinussigmoidei
palatinus,
Foramen mastoideum
Crista
nasalrs Poruset Meatusacusticus
internus
Canalis nervi hypoglossi

Os palatinum Proc styloideus


Hamuluspterygoideus Proc pterygoideus,Lamina medialis
Proc pterygoideus,Lamina lateralis
Proc pterygoideus,
Fossapterygoidea

Os frontale Os sphenoidale

Os parietale Os temporale

Os occipitale l\ilaxilla

Os nasale Vomer

Os ethmoidale Os palatinum

F i g . 6 5 B o n e so f t h e s k u l t ,0 s s ac r a n i i ;
mediatview.
Topogr a p h y

Bonesof theskull

cristafrontalis

Sulcussinussagittalis
superioris

Foveolaegranulares

Suturacoronalis

Sulcussinussagittalis
supenons

Suturalambdoidea Os occipitale

Os frontale osparietate Os occipitale


I

Fig. 67 Calvaria,CaLvaria;
i^+^-^^l ^-^^^+
il ttct I tdt d>PcL(.
Head Musc[es

Bonesof theskull

Cristafrontalis
Sulcussinussagittalis
superioris Foramen caecum
Ala cristae galli
Tuberculum
sellae Crista galli
Lamina et Foraminacribrosa
gyrorum
rmpressrones Os sphenoidale,
Corpus
Dorsum sellae

Proc clinoideusposterior
Canalis opticus
Fissuraorbitalissuperior

Suturasphenof
rontalis
I
Os sphenoidale,Ala minor

Fossa hypophysialis
Foramenrotundum Proc clinoideusanterior

Lingulasphenoidalis Sulcuscaroticus
Sutura
Foramenlacerum spnenosquamosa

Sulcus
Foramen ovale arteriosus
Fissura
petrooccipitalis
Foramen
sprnosum
Spinaossis
sphenoidalis
Sulcusinus
Os temporale, petrosi
Pars inferioris
squamosa

Fissura
Sulcusnervi perro-
petrosiminoris squamosa

Porus
Sulcusnervi acusticus
petrosimajoris Internus
Margosuperior
Margosuperior partis
partispetrosae pelrosae

Foramen
Os temporale, lugurare
Pars petrosa

Sulcussinus
Sulcusinus sigmoidei
petrosisuperioris
Canalis condylaris
Foramen mastoideum
Sutura
occipitomastoidea
Fossasubarcuata
Canalis nervi hypoglossi
Foramen jugulare
Clivus

Canalis nervi hypoglossi


Sulcussinustransversi

Foramenmagnum
Protuberantia interna
occioitalis
(Cristaoccipitalisinterna)
Sulcussinussagittalis
superioris

Os frontale Os ethmoidale Os temporale

Os parietale Os sphenoidale Os occipitale

F i g . 5 8 I n t e r n a sL u r f a c eo f t h e b a s eo f t h e s k u L t ,
B a s i sc r a n i i n t e r n a .
To p o g r a p h y

Bonesof theskull

Laminacribrosa

,)..-'.
Canalisopticus

Fissuraorbitalis
Fossa cranii supenor
anterior

Foramenrotundum

Foramen ovale

Foramenlacerum;
Fissura
spnenoperrosa

Fossacranii
media
Foramen
sprnosum

Canaliscaroticus,
Aperturainterna

Porusacusticus
internus

jugulare
Foramen

Canalisnervi
Fossa cranii hypoglossi
posterior

Foramen magnum

F i g . 6 9 I n t e r n a sI u r f a c eo f t h e b a s eo f t h e s k u [ t ,
B a s i sc r a n i ii n t e r n a a
, n df o r a m i n a F
, oramina
> Head M us c l es

3w Bonesof theskull

Foramenincisivum
Spinanasalisposterior
Sutura palatinamediana
Vomer,Alaevomeris
Maxilla, Proc palatinus

Os palatinum,
Proc pyramidalis transversa
Suturaoalatina
Maxilla, Proc zygomaticus
Os oalatinum.Lamina horizontalis
Proc pterygoideus,
Lamina medialis Foramenpalatinum
majus
Hamuluspterygoideus
Fissuraorbitalisinferior
Proc pterygoideus,
Laminalateralis Arcuszygomalicus

Os sphenoidale,
Ala major Crista
infratemporalis

Proc pterygoideus,
Os temporale, Laminamedialis
Proc
zygomaticus Foramen
ovale
Foramen
lacerum Tuberculum
pnaryngeum
Foramen
sprnosum Tuberculum
articulare
Fossa
mandibularis Canalis
caroticus
Spina ossis Canaliculus
sphenoidalis mastoideus

Proc
slyloideus
Foramen
stylo-
lvleatus mastoideum
acusticus
exlernus
Fossa
jugularis
Proc
mastoideus
Inctsura
mastoidea
Foramen
lugurare Canalis nervi
hypoglossi
Os parietale

Foramen
mastoideum

Fossula
petrosa

Condylus
occipitalis
Foramenmagnum
Canalis condylaris

Linea nuchalissuperior

Protuberantiaoccioitalisexterna Linea nuchalis inferior

Maxilla Os palatinum Os sphenoidale

Os frontale
I Vomer Os temporale

Os parietale
ffi Os zygomaticum Os occipitale

F i g .7 0 E x t e r n a sLu r f a c eo f t h e b a s eo f t h e s k u [ 1 ,
B a s i sc r a n i ie x t e r n a
T o p o g r a p h y| Org a na re a s I S e cti o ns

Bonesof theskull

Foramina incisiva

Foramen palatinummajus Palatumdurum

Foramina palatina
mtnora

Fissura orbitalis
inferior Arcuszygomaticus

Fossa
infratemporalis
Foramen
ovate

Choana
Foramen
sptnosum

Foramen lacerum;
Fissura
sphenopetrosa

Porusacusticus
externus

Canalis caroticus,
Apertura externa

Foramen
stylomastoideum

Foramen jugulare

Canalis nerui hypoglossi

Foramen magnum

F i g . 7 1 E x t e r n a sLu r f a c eo f t h e b a s eo f t h e s k u [ 1 ,
B a s i sc r a n i ie x t e r n aa, n d f o r a m i n a F
, oramina.
> Head Surface lSkel.etonl Muscles

SkulL,radiography

Sutura lambdoidea

Suturasagittalis

Cellulaeethmoidales

Sinus frontales

Crista galli

lvlargo supraorbitalis
Meatusnasimedius
Fissuraorbitalissuperior

Parspetrosa
Os temporale,
Meatus nasi superior

Septum nasi
l\4eatusacusticusexternus
Concha nasalis media

Sinus maxillaris Cellulaemastoideae

Concha nasalis inferior


Proc mastoideus
Spina nasalis anterior

Palatum durum Ramusmandibulae

Axis, Dens

l\4eatus
nasiinferior
Densincisivus

Cavitas nasi

Corpusmandibulae

F i g . 7 2 S k u L tC , ranium;
A P - t e t e r aido gr ap h .
* I n n o m i n aItien e L, i n e ai n n o m i n a taap, r o j e c t i oLni n e
withoutanatomicaI corre[ate
't'r:nr:qr*p:hy
| ilr13arrili'ejl", | .*rtinns

Skull,radiography

Lamrna
externa

Diplod

Lamina
interna
Proc
c lin o i d e u s
Sutura anterior
coronalis
Proc
clinoideus
posterior

Fossa
hypophysialis
Os frontale,
Pars orbitalis
Sutura
lambdoidea

Fossa
Sinus mandibularis
frontalis

Cellulae
ethmoidales
Os nasale Cellulae
mastoideae
Sinus
sphenoidalis
lvleatus
acusticus
externus
Sinus
maxillaris

Caput
mandibulae

Palatum Atlas, Arcus


durum anterior

Atlas,
Tuberculum
posterius
Axis, Dens

Proc
mandibulae sprnosus
vertebrae
ceruicalisll
Cartilagoepiglottica
\
\ os hyotderm, Ramus mandibulae
Corpus

F i g . 7 3 S k u [ 1C, r a n i u m ;
[ a t e r aLt e L e r a d i or g
ap h
* Posterio wra [ [o f t h em a x i L t asriyn u s
> Head Surface lSkeletonl Muscles

Skull,development

Fonticulus
anterior
Os parietale

(Suturafrontalis) Suturacoronalis

Os frontale,Tuberfrontale

Maxilla, Proc frontalis

Foramensupraorbitale

Os nasale

Ala major Os temporale


Os sphenoidale,

Septumnasiosseum

Forameninfraorbitale Os zygomaticum
Densdeciduus

Mandibula
Foramen mentale

(Symphysis mandibulae)

F i g . 7 t , S k u [ t ,C r a n i u m o
, f a neonate.

Os lacrimale Os occipitale Os ethmoidale

Os frontale Maxilla,Os incisivum Os sphenoidale

Os parietale Os zygomaticum Mandibula


Os nasale,Os temporale,

Fonticulus
anterior

Suturacoronalis

Os frontale, Tuber frontale Tuberparietale


Os parietale,

Fonticulus
sphenoidalis

Os sphenoidale,Ala major

posterior
Fonticulus
Os zygomaticum

Squamaoccipitalis
Apedurapiriformis

Sutura
lambdoidea
Mandibula
Fonticulus
mastoideus

Parspetrosa
Os temporale,
Anulustympanicus
Os occioitale.Parslateralis

, f a neonate.
F i g .7 5 S k u t t ,C r a n i u m o
Suturafrontalis
Os frontale.Squamafrontalis

Suturacoronalis
Fonticulus
anterior

Os parietale,Tuberparietale

posterior
Fonticulus
Suturasagittalis

Suturalambdoidea
Os occipitale,Squamaoccipitalis

F i g . 7 6 S k u [ t ,C r a n i u m o
, f a neonate.

I Vomer Os occipitale,Os palatinum Maxilla,


Os incisivum

Os frontale Os temporale Os zygomaticum

I Os parietale Mandibula
W
Ossphenoidale

Fonticulusposterior

Os occipitale,Squama occipitalis
Os parietale

(Suturaoccipitalis
transversa,Var.)

Fonticulus
mastoideus

Os temporale,Parspetrosa

Os occioitale. Pars lateralis


Os temporale,
Parssquamosa
Foramenmagnum
Parstympanica,
Anulustympanicus

Os temporale,Parspetrosa

Proc.pterygoideus
Os sphenoidale,

Vomer Maxilla.Proc. Dalatinus

Os oalatinum.
Laminahorizontalis (Osincisivum)
Mandibula

F i g . 7 7 S k u [ t ,C r a n i u m o
, f a neonate.
M us c tes

Frontaland ethmoidalbone

Souamafrontalis.
Faciesexterna

Tuberfrontale

Margo parietalis

Arcussuperciliaris

lncisurafrontalis

Parsnasalis Spinanasalis

Fig.78 FrontaLbone,Os fronta[e.

Os frontale.
Souamafrontalis

lncisurasuoraorbitalis
Laminaet Foramina
cribrosa
Margosupraorbitalis

Fossaglandulae
lacrimalis
Labvrinthus
ethmoidalis

Margosupraorbitalis Proc zygomaticus

Laminaperpendicularis
Laminaet Foramina
cribrosa

Os lrontale osethmoidate
X

F i g . 7 9 F r o n t a lb o n e ,0 s f r o n t a [ ee; t h m o i d a bI o n e ,
0 s e t h m o i d a t ea, n d n a s a lb o n e s ,O s s an a s a t i a .
T o p o g r a p h y| Org a na re a s I S e cti o ns

Maxillaandpalatinebone

Cristalacrimalis
Proc frontalis, anterior
Margo lacrimalis

Incisura
lacrimalis

lvlargoinfraorbitalis
Forameninfraorbitale
Facies orbitalis

(Cristazygomatico-
Sulcus infraorbitalis
alveolaris)

Facies infratemporalis Fossacanina


lncisuranasalis

Foramina alveolaria Soinanasalisanterior

Proc zygomaticus

Juga alveolaria

Tuber maxillae

Proc alveolaris

F i g .8 0 MaxiLLM
a ,a x i l . t a .

Margo lacrimalis
Cristaethmoidalis

Maxilla,Proc frontalis

Sulcuslacrimalis

Cristaconchalis

Maxilla, Facies nasalis

Spina nasalis anletiot -.1

Crista conchalis
Maxilla.Proc. oalatinus Spinanasalisposterior

Suturapalatinatransversa
Maxilla

Os palatinum

, a x i l . t aa,n d p a t a t i n eb o n e ,
F i g .8 1 M a x i t [ aM
0s patatinum.
Surface lSketetonl Musctes

Laminaet Foramina
cribrosa
Squamafrontalis,
Faciesinterna

Cristasphenoidalis

Sinus sphenoidalis
Sinus
frontalis
Fossahypophysialis

Dorsumsellae
Sutura
frontonasalis

Os
nasale
Os sphenoidale,
Corpus

Os ethmoidale, Alavomeris
Laminaperpendicularis
Septum
nastosseum

Proc.pterygoideus,
Maxilla, Laminamedialis
Proc frontalis

Proc.pterygoideus,
Laminalateralis
Os lacrimale

Spinanasalisposterior

Hamuluspterygoideus

Os palatinum,
Maxilla, Laminahorizontalis
Proc. palatinus

Maxilla Os palatinum
Os frontale Os ethmoidale
Os nasale
I Vomer
Os sphenoidale Os lacrimale

F i g . 8 2 B o n yn a s asI e p t u m ,
S e o t u mn a s o
i sseum.
Laminaet Foramina
cribrosa

Crista galli Conchanasalissuperior

Sinussphenoidalis

Foramen
sohenoDalatinum
Os nasale

Os sphenoidale,
Corpus

Concha nasalis media


Hiatusmaxillaris

Clivus

Conchanasalisinferior Os occipitale

Os palatinum,
Laminaperpendicularis
Proc.pterygoideus,
Spina nasalis anterior Laminamedialis

Canalis incisivus
Hamuluspterygoideus

Maxilla, Laminahorizontalis
Os Dalatinum.
Proc palatinus

Fig. 83 Lateralwat[ of the nasaIcavity,


C a v i t a sn a s i .

Os parietale Concha nasalis inferior

Maxilla Os sphenoidale

Os frontale Os occipitale X Os ethmoidale

Os nasale Os palatinum Os lacrimale

Sinusfrontalis

Apertura
*
sinuslrontalis
Aperturasinussphenoidalis
Concha nasalis
supenor
Sinussphenoidalis
Os nasale

Os Foramen
lacrimale sphenopalatinum

Proc.uncinatus Os palatinum,
Cristaethmoidalis
Hiatus
maxillaris Conchanasalisinferior,
Proc ethmoidalis

Spina
nasalis
anterior
Fig. 84 Lateralwa[[ of the nasalcavity,
Canalis C a v i t a sn a s i ;
tnctstvus
t h e m i d d t en a s a Ic o n c h ah a s b e e n
removed.
Spinanasalisposterior
' Probelocated in thepassage fromthefrontal
n a s am
s i n u st o t h em i d d [ e L eatus
> Head M us c tes

Hardpalate

Sinusmaxillaris

F i g .8 5 H a r dp a [ a t e P , a t a t u md u r u m ; m a x i l t a r ys i n u s ,
S i n u sm a x i [ L a r i sa,n d i n f e r i o rn a s a Ic o n c h a C
, oncha
n a s a L i isn f e r i o r .

lvlaxilla Os sphenoidale

Os palatinum Concha nasalis lnlerior

Laminahorizontalis
Os oalatinum.

Maxilla,Proc zygomaticus

(Suturaincisiva)

(Osincisivum)

Foramenincisivum Suturaoalatinamediana

F i g .8 6 H a r dp a [ a t e P
, a t a t u md u r u m .
To p o g r a p h y

0rbit andpterygopalatine
fossa

Os palatinum,
Proc orbitalis

Fissuraorbitalisinlerior

Os sphenoidale,Ala major

1.-

Os zygomaticum

Fossa
saccilacrimalis

F i 9 .8 7 B a s eo f t h e o r b i t ,0 r b i t a

oszygomaticum Maxilla
I
Os temporale
I Os lacrimale

Os palatinum Os ethmoidale

Os sphenoidale Os frontale

Arcuszygomaticus

infratemporalis
Foramen Foramenovale
zygomaticofaciale
Foramen
spinosum

Ala major,
Spinaossissphenoidalis
Proc pterygoideus
(Crista
zygomaticoalveolaris)
Os palatinum,
Laminaperpendicularis,
Fossapterygopalatina

Proc.pyramidalis
Os palatinum,

Os sphenoidale,
Proc pterygoideus,
Foraminaalveolaria Hamuluspterygoideus

Fig. 88 fossa,Fossapterygopalatina.
Pterygopatatine
> Head M us c l es

0rbit

Foraminaethmoidalia
anterius et poslerius

Incisura
lrontalis Canalisopticus

Fissura
orbitalis
superior
Os ethmoidale,
Lamina orbitalis (Sutura
zygomaticofrontalis)
Suturalrontomaxillaris Alaminor
)
I
l Os sphenoidale
Os nasale - Ala major, I
Faciesorbitalis./

Cristalacrimalis
anterior Os zygomaticum,
Faciesorbitalis

posterior
Cristalacrimalis Foramen
zygomaticolaciale

Os palatinum, Fissura orbitalisinlerior


Proc orbitalis
Sulcusinlraorbitalis

Foramen infraorbitale: Canalis inlraorbitalis Suturazygomaticomaxillaris

Fig.89 0rbit,0rbita;
orobelocatedin the infra-orbitaI
c a n a tC
. a n a L i sn fr a o r b i t a [ r s

Os nasale
I Vomer Os temporale

Os frontale

Os palatinum
m Os zygomaticum

Maxilla
Concha nasalis inferior

Os sphenoidale

Os ethmoidale Os lacrimale

Cellulaeethmoidales
Crista galli
Sinusfrontalis
Os ethmoidale,Lamina perpendicularis

Os frontale,Parsorbitalis

Fissuraorbitalis
supenor

Ala minor Os temporale,


Parssquamosa

Ala malor,
Faciesorbitalis
Fissuraorbitalis
inferior

Os zygomaticum

Os palatinum

Sinus maxillaris

Vomer Concha nasalis media

Maxilla.Proc alveolaris Concha nasalis inferior

Dens molaris
Cavitasnasi,Meatusnasiinferior
Maxilla,Proc palatinus

Fig.90 Faciatsketeton,Viscerocranium;
f r o n t a Ls e c t i o n .
T o p o g r a p h y| 0 rg a na re a s I S e cti o n s

Squama Os parietale
lrontalis,
Facies Suturasphenofrontalis
interna

Parssquamosa
Os temporale,

Alaminor

Ala major, )
FaciesorbitalisI
Os sPhenoidale
- Corpus I
)
Foramina
zygomaticoorbitalia
Sinussphenoidalis
Foramenrotundum
Canalisinfraorbitalis
Canalispterygoideus

Fossapterygopalatina
Sinusmaxillaris
Proc pterygoideus

Hamuluspterygoideus

Canalispalatinus
major

Alveoli dentales

F i g . 9 1 0 r b i t ,0 r b i t a ;
[ateraIwaIt.

Os frontale Os nasale Maxilla

I Os lacrimale Os palatinum Os temporale

Os sphenoidale Os ethmoidale
I Os zygomaticum

Os frontale

Suturaethmoidolacrimalis

Foramen
ethmoidale
anterius

Laminaorbitalis
Os ethmoidale,

Foramenethmoidaleoosterius

Os nasale Canalisopticus

Proc.orbitalis
Os oalatinum.

Foramen
sphenopalatinum
Maxilla,
Crista lacrimalisanterior
Fossapterygopalatina

Os sphenoidale,
Corpus
Os lacrimale,
Crista lacrimalis posterior

Sulcusinfraorbitalis
Proc.pterygoideus,
Laminalateralis

Maxilla,Proc.zygomaticus
Hamuluspterygoideus

l\4axilla.Proc alveolaris

F i g . 9 2 O r b i t ,O r b i t a ;
mediaIwatl.
Surface lSkeletonl Muscles

Sphenoidalbone

Cristasphenoidalis

Apertura
sinus Fissuraorbitalis
sphenoidalis supenor

Ala major,
Faciesorbitalis

Ala major,
Faciestemporalis

Cristainfratemporalis

Concha sphenoidalis
Foramenrotundum
Spina ossis sphenoidalis

Facies maxillaris Proc pterygoideus,


Laminalateralis

Proc pterygoideus,Lamina medialis Incisurapterygoidea

Hamuluspterygoideus

F i g . 9 3 S p h e n o i d abto n e 0
, s sphenoida[e;
a n t e r i o rv i e w .

Sulcuscaroticus Dorsumsellae

Proc clinoideusposterior
Foramen
rotundum

Proc clinoideusanterior
Fissura lvlargo
orbitalis
superior parietalis

Ala major,
Facies
cerebralis

Sulcusarteriosus

Lingulasphenoidalis

Sulcustubaeauditivae

Soina ossis sDhenoidalis


Canalispterygoideus

Corpus Fossascaphoidea

Proc vaginalis Proc pterygoideus,


Laminalateralis

Roskum sphenoidale

Proc pterygoideus,
Laminamedialis

F i g . 9 4 S p h e n o i d abt o n e ,0 s s p h e n o i d a [ e ;
oosteriorview.
Topogr a p h y

Sphenoidal
and occipitalbone

(Proc clinoideusmedius)

Ala major,Margofrontalis Proc.clinoideusposterior Sulcusorechiasmaticus

Jugumsphenoidale
Proc clinoideus
anterior Tuberculumsellae
Canalis
opticus
Ala major,
Margoparietalis Os sphenoidale,
Ala major

Foramen
rotundum
Fissura
orbitalis
superior

Sella turcica,
Ala major, Fossa hypophysialis
Margosquamosus
Foramen ovale

Foramenspinosum

Sulcuscaroticus

Proc intrajugularis Lingulasphenoidalis

jugularis
lncisura
jugulare
Tuberculum

Proc.jugularis Os occipitale,Parslateralis

Foramenmagnum
Margomastoideus

Sulcussinussigmoidei

Fossa cerebellaris

Sulcussinustransversi

(Cristaoccipitalis
interna) Margo lambdoideus

Eminentia
cruciformis

Protuberantia
occioitalisinterna

F i g .9 5 0 c c i p i t a b
t o n e ,0 s o c c i p i t a l e ,
a n d s p h e n o i d abI o n e ,0 s s p h e n o i d a [ e .
Temporalbone

Margoparietalis
Parssquamosa,
Faclestemporalis

SulcusarteriaetemDoralis
mediae

Foveola suDrameatica

Cristasupramastoidea
Margo sphenoidalis

parietalis
Incisura

(Spinasuprameatica)

Parspetrosa

Foramenmastoideum Proc zygomaticus

Margo occipitalis

Fissuratympanomastoidea

lncisura mastoidea

Proc mastoideus

Parstympanica

F i g .9 6 T e m p o r a bI o n e ,0 s t e m p o r a L e .

F i g . 9 7 T e m p o r a bI o n e ,0 s t e m p o r a t eo, f a n e o n a t e .
To p o g r a p h y| 0 r g a na re a s I S e cti o ns

Margoparietalis

Parssouamosa.
Faciescerebralis

Eminentia
arcuata

parietalis
Incisura

Margosuperior
Sulcusarteriosus partispetrosae

Foramenmastoideum

Margo occipitalis

Sulcussinussigmoidei

Aperturacanaliculi
vestibuli
Apexpartispetrosae
Proc intrajugularis

Porusacusticus
internus Proc styloideus

F i g .9 8 T e m p o r a bI o n e ,0 s t e m p o r a t e .

Canaliscaroticus

Apexpartis
petrosae

Proc.zygomaticus
Canaliscaroticus

Tuberculum
articulare Fossulapetrosa

Aoertura canaliculicochleae
Fossamandibularis
Proc intrajugularis
Fissurapetrotympanica
Fossajugularis
Meatusacusticus
externus
Vaginaprocessusstyloidei

Proc styloideus

Foramenstylomastoideum
Proc mastoideus

Incisura
mastoidea Margo occipitalis

Foramen mastoideum

F i g .9 9 T e m p o r a bl o n e ,O s t e m p o r a [ e
> Head M us c tes

Mandible

Proc condylaris Proc coronoideus

Ramus mandibulae

Linea obliqua

Ramus mandibulae

Basis mandibulae
Corpusmandibulae
Tuberculum
mentale
mentalis
Protuberantia

F i g .1 0 0 M a n d i b t eM, a n d i b u t a

Proc coronoideus

Incisuramandibulae

Ramusmandibulae

(Tuberositas
masseterica)

Angulusmandibulae
Corpusmandibulae

F i g .1 0 1 M a n d i b t eM, a n d i b u [ a .

lncisuramandibulae
Proc.----l
coronoideus !'

Fovea sublingualis Ramusmandibulae

Foramenmandibulae

Sulcusmylohyoideus

(Tuberositas
pterygoidea)

Angulusmandibulae

Linea mylohyoidea Foveasubmandibularis

F i g . 1 0 2 M a n d i b L eM, a n d i b u [ a .
T o p o g r a p h y| 0 rg a na re a s I S e cti o ns

Collummandibulae

Foramenmandibulae

(Tuberositas
pterygoidea)

Angulusmandibulae
Arcusalveolaris,:,

Linea mylohyoidea
Foveasubmandibularis

Foveasublingualis

Spinamentalis Fossadigastrica

F i g . 1 0 3 M a n d i b l . eM, a n d i b u [ a .

Corpusmandibulae

F i g . 1 0 4 M a n d i b L eM, a n d i b u l . o
a f, a n e t d e r t yi n d i v i d u a l . .

Proc.coronoideus
Ramusmandibulae Corpus
mandibulae Densdeciduus
Proc.condylaris

(Symphysis
mandibulae)

Foramenmentale

F i g . 1 0 5 M a n d i b t eM
, andibuLa
o ,f a n e o n a t e .
> Head Surface lSketetonl Musctes

Temporomandibular joint

Proc.zygomaticus
Os temporale,

Capsulaarticularis

Porusacusticus
externus

Articulatio Proc pterygoideus,


temporomandibularis, Laminalateralis
Lig laterale

Proc styloideus
Proc. coronoideus

Proc condylaris

Lig stylomandibulare

Angulusmandibulae;
(Tuberositas
masseterica)

F i g . 1 0 6 T e m p o r o m a n d i b u tjaori n t ,
A r t i c u t a t i ot e m o o r o m a n dbiu L a r i s .

Sinussphenoidalis

Cavitas nasi, Choana SDinaossis sohenoidalis

Lig pterygospinale

Canalis nervi hypoglossi


f Laminalateralis
Proc.pterygoideus
1.
\ Laminamedialis
Proc styloideus

Hamuluspterygoideus Lig sphenomandibulare

Lig stylomandibulare

Ramus mandibulae

L i n g u l am a n d i b u l a e

Sulcusmylohyoideus

A n g u l um
s andibulae;
(Tuberositas pterygoidea)
Linea mylohyoidea

F i g . 1 0 7 P t e r y g o s p i n o uasn d s p h e n o m a n d i b u LLairg a m e n t s ,
L i g g .p t e r y g o s p i n a [eet s p h e n o m a n d i b u [ a r e .
Discusarticularis

Caputmandibulae

Porusacusticusexternus
Os zygomaticum
Collummandibulae

Proc.coronoideus

Capsulaarticularis

F i g . 1 0 8 T e m p o r o m a n d i b u tjaori n t ,A r t i c u l a t i ot e m p o r o m a n d i b u [ a r i s ;
s a g i t t a sl .e c t i o n ;
m o u t ha [ m o s tc l o s e d .

Fossamandibularis,
Faciesarticularis

Discusarticularis

Caputmandibulae

Porusacusticusexternus
Os zygomaticum
Collummandibulae

Proc mastoideus
Proc coronoideus
Proc.styloideus

Ramusmandibulae
Capsulaarticularis

F i g . 1 0 9 T e m p o r o m a n d i b u Lj oairn t ,A r t i c u l a t i ot e m p o r o m a n d i b u t a r i s ;
crniiirl <ontinn.

m o u t ho D e n e d .
Surface lSketetonl Musctes

joint and masticatory


Temporomandibular muscles

F i g .1 1 0a , b A r t i c u [ adr i s c D, iscua s r t i c u t a r ios f,t h e


t e m p o r o m a n d i b uj ol .ianrt A
, r t i c u t a t ti o
emporomandibutaris.
a S u o e r i ovri e w
b LateraIview

Arcuszygomaticus

A b b .1 1 1 M a s t i c a t om r yu s c t e sM, m .m a s t i c a t o r i i
A r r o w si n d i c a tteh ed i r e c t i oonf m u s c [ e
traction
w h e nc t o s i ntgh e m o u t h .
T o p o g r a p h y| O r g a na re a s I S e cti o n s

Caputmandibulae

F i g . 1 1 2 T e m p o r o m a n d i b u tjaori n t ,
A r t i c u t a t i ot e m p o r o m a n d i b u L a r i s .

1 Meatusacusticus
externus 5 Os temporale,
Tuberculum
articulare
2 Proc.condylaris 6 Incisura
mandibulae
3 Discusarticularis 7 Proc coronoideus
4 Ostemporale,Fossa mandibularis

F i g . 1 1 3a , b T e m p o r o m a n d i b u tjaori n t ,A r t i c u t a t i o T h e a r t i c u l a rd i s cs h i f t sf o r w a r dd u r i n go p e n i n go f t h e m o u t h .
temporomandibu[aris;
t o m o g r a p h yl;a t e r a Ip r o j e c t i o n
a f t e r i n j e c t i o no f a c o n t r a s t
m e d i u mi n t ot h e j o i n t c a v i t y[ a r t h r o g r a p h y ) .
a M o u t hc l o s e d
b M o u t ho p e n e d
Head $unface lSkeletonl Muscles

Masticatory
muscles

Arcus
zygomaticus

F i g .1 1 t , M a s s e t e a
r n d t e m p o r a lm u s c [ e ,
M m . m a s s e t e re t t e m D o r a t r s .

Os zygomaticum,
Proc temporalis

major,Cristainfratemporalis

M pterygoideus
lateralis
Tuberculum
articulare
Os temporale,
Proc zygomaticus

Fossamandibularis,
Faciesadicularis

Discusarticularis

Caputmandibulae

Capsulaarticularis

l\4 pterygoideus
medialis

F i g .115 T e m p o r o m a n d i b ujLoai nr t ,A r t i c u t a t rt oe m p o r o m a n d i b u t a r i s ;
m e d i a La n d L a t e r apI t e r y g o i dm u s c L e s ,
M m . p t e r y g o i d emi e d i a t i se t I a t e r a L r s .
Topogr a p h y| 0 rg a na re a s I S e cti o n s

Masticatory
muscles

N opticus0ll
N trochlearis
lvl
N oculomotorius
illll

N trigeminus
[Vl

N abducens [Vl]

A temporalis,
R frontalls

A. carotisinterna
M temporalis

Fossamandibularis

Capsulaarticularis
Discusarticularis

M pterygoideus
lateralis, Caputmandibulae
Caputsuperius
l\4 pterygoideus
lateralis
Caputinferius
Lig. sphenomandibulare
Palatummolle
N lingualis

N alveolarisinferior
pterygoideus
medialis

M masseter
pterygoideus
Hamulus

Angulus mandibulae

M mylohyoideus

Os hyoideum,
Cornumajus

M genioglossus

M omohyoideus
M geniohyoideus
Platysma
M thyrohyoideus
l\4 sternohyoideus

F i g , 1 1 6 M a s t i c a t o rm y u s c t e sM, m.masticatorii;
f r o n t a Is e c t i o nt h r o u g ht h e t e m p o r o m a n d i b u t jaori n t
a n d h o r i z o n t asI e c t i o nt h r o u q ht h e c a t v a r i a :
oosteriorview.
Surface lSketetonl Muscles

Masticatory
muscles

Cellulaeethmoidales Septumnasi

N. opticusilll *

V ; 4 , t e m p o r a lai s a a M temporalis
superficialis,
R frontalis

R temporalis*
(vil)

N infraorbitalis
*
Conchanasalis
media

R. zygomaticus*
(vil)
Conchanasalis
inferior
Sinusmaxillaris
a M. masseter,
Parsprofunda

a M. masseter,
parotidea
Glandula Parssuperficialis
accessona

Ductusparotideus Maxilla

a M. buccinator

A facialisa
Densmolarisll

Lingua

Mandibula

Platysma
Glandula
submandularis a M. mylohyoideus

Noduslymphoideus a M digastricus,Venteranterior
submandibularis

F i g . 1 1 7 M a s t i c a t om
r yu s c l e sM, m .m a s t i c a t o r i i ;
f r o n t asI e c t i o n ;
a n t e r i ovr i e w .
To p o g r a p h y| O rg a na re a s I S e cti o n s

Masticatorymuscles

Cartilagoalarismajor

a M orbicularis
oculi

a M. zygomaticusmajor

O M. temporalis

a M masseter,
Parsprofunda

Ramus mandibulae a M. masseter,


Parssuperficialis

N massetericus
e a M pterygoideus
lateralis,
Caputinlerius
N alveolaris&
inlerior a M pterygoideus
lateralis,
N lingualis
, Caputsuperius
A alveolaris O
inferior
a M pterygoldeus
medialis

A. maxillaris
a
Glandula
parotidea
N facialis[Vll] {}

Proc styloideus
V maxillaris
a

V jugularis
internaa

A. vertebralis
a

F i g . 1 1 8 M a s t i c a t o rmy u s c l e sM
, m. masticatorii;
h o r i z o n t asI e c t i o n .
> Head ' ke[*'tmnl Muscles
S u r " i . m u *l S

Facialandmasticatory
muscles

Galea aponeurotica

M procerus

supercilii
M corrugator
M epicranius,
M occipitofrontalis,
Venterfrontalis Lig palpebralemediale

l\il levatorlabii
superioris alaeque
M depressor
supercilii nasl

M, nasalis

M temporoparietalis

M levator
labii superioris
M orbicularis
o c u l iP
, ars
palpebralis

M orbicularis
oculi, Pars M zygomaticus
orbitalis : mtnor

M levator
labii M zygomaticus
supeflons malor
araequenasr
l\il depressor
l\4 zygomaticus
mrnor septi nasi

lvl levator M levator


labiisuperioris angulioris
Glandulaparotidea
M zygomaticus Corpusadiposum
malor buccae

M levator anguli oris Ductusparotideus

M orbicularis
oris,
Parsmarginalis

M risorius

Platysma
Platysma
Foramenmentale

M depressoranguli oris l\4 depressor


angulioris

l\il depressor
labiiinferioris

lvl sternocleidomastoideus
M depressor labii inferioris
Platysma
M mentalis
Fascia ceruicalis.Lamina suDerficialis

l\4 orbicularis
oris,
Parslabialis

, m faciei,
F i g . 1 1 9 F a c i a Im u s c t e s M
and masticatorm v u s c t e sM , m.masticaiorii
T opog r a p h y| Org a na re a s I S e cti o ns

Facialmuscles

M. auricularis
anterior M epicranius,
M.temporoparietalis

Galeaaponeurotica

M epicranius,M occipitolrontalis,
Venterfrontalis
M. auricularis
supeflor

oculi,Parspalpebralis
M orbicularis

M. depressor
supercilii
M. epicranius,
M procerus M occipito-
frontalis,
Venter
M orbicularis
oculi, occipitalis
Parsorbitalis
M levator labii
supeflofls
alaeque nasi

M nasalis
M, levator M. auricularis
labii posterior
supenons

M semispinalis
capitis
M. zygomaticus
mtnor
M. orbicularis M. sternocleido-
ons mastoideus
M. zygomaticus
maJor M splenius
capitis
Panniculus
adiposus
M orbicularis
oris
M. trapezius
M depressor
labiiinferioris
M. mentalis

M depressor
angulioris
Fascia cervicalis, Lamina superf icialis

Fasciaparotidea

Fig. 120 Facialmusctes,Mm. faciei


Surface lSketetonl Musctes

muscles
Facialandmasticatorv

Fasciatemporalis,
Laminaprolunda
Arcus
zygomaticus
Galeaaooneurotica
M. epicranius, rontalis,
lV.occipitof
Venterfrontalis
Pericranium
M corrugator
supercilii

f Parspalpebralis;
M. orbicularis Fasciatemporalis,
oculil Parsorbitalis Laminasuperficialis

M. procerus
M depressor M. epicranius,
supercilii M. temporo-
parietalis
Lig. palpebrale
mediale

M epicranius,
M. levator labii M occipito-
superiorisalaeque nasi frontalis,
M levator Venter
labii superioris occipitalis

Articulatio
M nasalis temporo-
mandibularis,
Capsula
articularis,
Lig. laterale

M. zygomaticus Glandula parotidea


mlnor
M levator parotidea
Glandula
angulioris accessona
M. orbicularis Ductusparotideus
ons
M zygomaticus M buccinator
maJor

M. depressor M sternocleidomastoideus
labiiinferioris
M masseter

Corpusadiposum
M mentalis ouccae

M. orbicularis
oris
M. risorius

M depressor submandibularis
Glandula
angulioris
Laminasuoerlicialis
Fasciacervicalis,

M digastricus,Venteranterior

Fig. 121 Facialmusctes,Mm. faciei,and


v u s c l e s ,M m . m a s t i c a t o r i i .
masticatorm
Facialandmasticatorv
muscles

Pericranium
M, temporalis

Galeaaponeurotica
M. epicranius,
M. occipitofrontalis,
Venterfrontalis
Arcuszygomaticus
M corrugatorsupercilii

M. orbicularis
oculi Articulatio
temporomandibularis,
Capsulaarticularis,
M. depressor
supercilii Lig laterale

M. levatorlabiisuperioris
alaequenasi

M. levatorlabiisuDerioris
N. infraorbitalis
M nasalis
M. levator M. epicranius,
angulioris M. occipito-
fronialis,
Venteroccipitalis

Meatus
M. orbicularis
oris acusticusexternus
cartilagineus
Ductusparotideus

M. buccinator Ramus
mandibulae
M. masseter, Proc.styloideus
Parsprofunda
M. orbicularis
oris A. temporalissuperticialis

M mentalis M sternocleidomastoideus

M. depressor
labiiinferioris
M. digastricus,Venterposterior
M depressor
angulioris
M digastricus,Venteranterior
M. masseter,Parssuoerficialis
M. stylohyoideus V jugularisinterna
Os hyoideum

N. hypoglossus
[Xlll N vagus[X]

M. constrictorpharyngisinferior

A. carotiscommunis

Fig. 122 FaciaImusctes,Mm. faciei,and


masticatorm
y u s c t e sM
, m.masticatorii.
121
256
M us c l es

Arteriesof the head

A temporalis
media A temporalis R parietalis
superficialis,

A temporalis
superficialis,
R frontalis

A. temporalis
superlicialis
A. zygomaticoorbitalis

A. stylomastoidea
Aa temporalesprofundae
anterioret Dosterior

A transversa faciei A occipitalis,


Rr.occipitales

A meningea media
A auricularis
posterior,
R occipitalis
A sphenopalatina

A auricularis
A angularis posleflor

A occipitalis
A, infraorbitalis

A. alveolaris R mastoideus
superiorposterior

R. sternocleidomastoideus
A labialissuperior
A maxillaris

A. palatina A occipitalis
descendens
A palatinaascendens

A buccalis A. facialis

A labialisinterior A carotisexterna

A. carotisinterna
R mentalis

A facialis
Bifurcatio
carotidis
A submentalis
A alveolaris
inferior
A thyroidea
superior A carotiscommunis

Fig.123 ExternaIcarotidartery,
A . c a r o t i se x t e r n a .
Veinsof the head

V. emissariaoarietalis

V temporalis
superficialis

V.diploica
temporalis
posterior

V labialissuperior
Plexuspterygoideus

V maxillaris

V cervicalisprofunda

V pharyngea
V labialisinferior
V retromandibularis

V jugularis
externa
V submentalis V comitansnervi
hypoglossi
V facialis V.jugularis
interna
V thyroideasuperior

F i g . 1 2 4 I n t e r n ajlu g u l a rv e i n ,
V .j u g u L a r i si n t e r n a .
> Head M us c tes

Lymphatics
of the headand the neck

Nodi lymphoideiparotidei
superficiales

Nodi lymphoidei
occipitales

Nodi lymphoidei
mastoidei

Nodilymphoidei
faciales
Nodi lymphoidei
cervicalesprolundi

Nodi lymphoidei
submandibulares

Nodi lvmDhoideicervicales
me0rates

Nodi lymphoidei
cervicales laterales

Fig.125 Lymphnodesand lymphatics


o f t h e h e a da n d t h e n e c k ,N o d iL y m p h o i d e i
c a p i t i se t c e r v i c i s ;
a r r o w si n d i c a t ed r a i n a o ea r e a s .
M sternocleidomastoideus

Glandula parotidea i.e

Nodi lymphoideiparotideiprofundi

1"*t*
Nodi lymphoideicervicaleslaterales,
Nodi profundisuperiores

M splenius
capitis

M levator scapulae

Nodilymphoideiretropharyngeales
Nodi lymphoideicervicaleslaterales,
Nodi profundi inferiores
A. carotiscommunis

M scalenusmedius V jugularis
interna

Glandula thyroidea
M scalenusanterior
Nodi lymphoideithyroidei

M trapezius Nodilymphoideicervicales
anteriores,
Nodiorofundiinferiores

V brachioceDhalica dextra

A subclavia
dextra
V subclavia
dextra

F i g . 1 2 6 D e e pL y m p hn o d e so f t h e n e c k ,
N o d it y m p h o i d eci e r v i c a L epsr o f u n d i .
i::Yl

> Head Musctes

it Facialnerve

R temporalis

Rr zygomatici

posterior
N auricularis

Rr buccales

N facialis [Vll]

R m a r g i n a l i sm a n d i b u l a r i s

Fig. 127 FaciaInerve,N. faciatis[Vll]

F i g . 1 2 8a , b P a t s yo f t h e l e f t f a c i a Ln e r v e ,
N . f a c i a t i s[ V l l ] .
a T h e c o n c e r n e de y ec a n n o tb e c l o s e du p o n
r e qu e s t It ag o ph t h aL m us ) .
b T h e t e e t ho f t h e c o n c e r n e ds i d ec a n n o tb e
S n o w nu 0 0 nr e o u e s t
To p o g r a p h y| Org a na re a s I S e cti o ns

Cutaneous
innervation

N frontalis

N ophthalmicus
N supraorbitalis
lv/11

Ganglion trigeminale N supratrochlearis

Ganglion ciliare
N maxillaris
lvt2l
N. infraorbitalis

N mandibularis
lv/31 Foramen
infraorbitale

N temporalis
profundus
N palatinusmajor

N auriculotemporalis
N buccalis

N alveolaris
interior
N lingualis

N mylohyoideus N mentalis

Ganglion
submandibulare

Fig. 129 Trigeminalnerve,


N . t r i g e m i n u s[ V J .

N ophthalmicus
[V/'1]

F i g . 1 3 0 C u t a n e o u si n n e r v a t i o o
nf t h e h e a d
a n dt h e n e c k
> Head Surface lSketetonl Musctes

Vesselsandnervesof the headand the neck

M occipitofrontalis
& M epicranius,

& N supraorbitalis

oculi
s M, orbicularis
A temporalis
supedlcialis,
o
R parietalis

lvl temporalis*

auriculotemporalis O A angularis
(v/3)

Rr temporales
(vll)

parotidea
Glandula Ductus
parotideus

N occipitalisminor,
(Plexus cervicalis) !, R buccalis
(vil)

& M masseter
V jugularis
externaa

M levatorscapulae*
,; R marginalis
mandibularis
(vil)
magnus,,,
N auricularis
(Plexuscervicalis)

N accessorius',
txtl Platysma

M trapezius
s

't32
25r+
1.
F i g . 1 3 1 V e s s e Lasn d n e r v e so f t h e h e a da n d t h e n e c k :
s u o e r f i c i al[a t e r a Ir e o i o n s
andnervesof theheadandthe
Vessels

A temporalis
superficialis
a
(V/1)
& N supraorbitalis

a A supraorbitalis

auriculotemporalis
',
(v/3)
* N. supratrochlearis
Nn)

N occipitalismajor I {t N infra-
orbitalis
(v/2t

Plexusintraparotideus&
(vil)

minor ,
N occipitalis

* N mentalis
(v/3)
L4 spleniuscapitiss

a A facialis

magnus,.*
N auricularis a V facialis

? R , c o l l i( V l l )
[Xll ,,
N accessorius

V jugularis
externaa

6 N transversus
colli

Nn supraclaviculares

i M sternocleidomastoideus
M trapezius
o

o V transversa
colli

133
256

Fig.132 Vessetsand nerveso f t h e h e a da n d t h e n e c k ;


d e e pl a t e r a Ir e g i o n s .
131
> Head M us c l es

iil Lateralregionof theface

V,temporalis
mediaa
a A temporalis R.frontalis
superficialis,

A temporalis
supedicialis,
a s N suoraorbitalis,R
lateralis
R parietalis
&,N zygomaticus,
R zygomaticotemporalis

{e N supraorbitalis,
B lateralis

a A supratrochlearis

{,}N supraorbitalis,
R medialis

& N zygomaticus,
R zygomatico-
facialis

I N supratrochlearis

* N infratrochlearis

{, N ethmoidalis
antenor,
R nasalis
EXTETNUS

a A angularis
A occipitalisa

s N infra-
N auricularis.t orbitalis
posterior
posterior
A auricularis a
* N massetericus

a A facialis
N occipitalisminor ,
s M buccinator
M trapezius0
a A buccalis
l\4 sternocleidomastoideus*
$ N buccalis
A occipitalisa
* M orbicularis
oris
(Vll)r,
R digastricus
V retromandibularis ,* N mentalis
o
(Vll),,
R stylohyoideus * N alveolarisinferior

A carotisinlernaa a A alveolarisinferior

A carotis externa O a A facialis

A lingualisO a V submentalis

V retromandibularis
o a V facialis

13Il

F i g , 1 3 3 V e s s e Lasn d n e r v e so f t h e h e a d ;
d e e o[ a t e r a Lr e o i o n s
T o p o g r a p h y| O rg a na re a s I S e cti o ns

Maxillaryartery

t N massetericus profunda
a A temporalis Posterior;
A temporalismedia O a A masseterica , N temporalis
orofundus

A temporalis
superficialis,
a * l\4.pterygoideus
lateralis
R parietalis

R lateralis
s N suoraorbitalis,

A zygomatico-a
orbitalis B medialis
$ N supraorbitalis,

O A supratrochlearis

A transversaa 1' N supratrochlearis


taciei
a A angularis
Meatusacusticus
externus
& N. infratrochlearis
N meatusacusticii.
externi a A infraorbitalis

N vagus [X], ' s N ethmoidalis


R auricularis B nasalis
anterior,
N auriculotemporalis..
e)dernus

N facialis [Vll]
s N infraorbitalis
A stylomastoideaa

A auricularisposteriora
g Rr alveolares
A auricularisprofundaO supenores
posteriores
A tympanicaanteriora
A.alveolaris
a Rr.dentates; I
A occipitalis
a . Br.peridentares
lilliJlid,
A maxillaris
a & N buccalis

A meningea media a
a A buccalis
A carolisexlernaa
o A facialis

M masseter*
f N mentalis

N l i n g u a l i si a R mentalis

a ,, A ; N alveolarisinferior
N mylohyoideus.
*M pterygoideusmedialis

N mylohyoideus a A submentalis a A tacialis

F i g . 1 3 1 A r t e r i e sa n d n e r v e so f t h e h e a d ;
dccncr lateral rcni6lg.

A temporalis
superficialis A meningea media
Discus
articularis M pterygoideuslateralis
Proc
condylaris Proc
coronoideus
A auricularis
posterior N alveolarisinferior
A maxillaris
A occipitalis N lingualis

alveolaris
inferior
A carotis
externa a 60 % b 3% c 3o/o

F i g . 1 3 5a - c V a r i a t i o n o
sf the middLe T h e m i d d l . em e n i n g e aaI r t e r y ,A m e n i n g e am e d i a ,b r a n c h e so f f p r o x i m a L t o the
m e n i n g e aaI r t e r y ,A . m e n i n g e am e d i a r r t e r y ,A a L v e o L a ri insf e r i o r .
i n f e r i o ra l v e o t a a
T h e m i d d L em e n i n g e a L a r t e rA y ,. m e n i n g e am e d i a ,b r a n c h e so f f a c r o s sf r o m t h e i n f e r i o r
a t v e o [ aar r t e r y ,A . a L v e o L a ri insf e r i o r .
T h e m i d d t em e n i n g e a L a r t e rA y ,. m e n i n g e am e d i a ,b r a n c h e so f f d i s t a I t ot h e i n f e r i o r
atveotarartery,A. alveo[arisinferior.
> Head Surface lSketetonl Muscles

"rilt Lateralregionof theface

.4.N. auriculotemporalis
A temporalis
superficialis,
O
R parietalis a A temporalis
media

profunda
a A temporalis posterior
meatus, 1 N temooralis
orofundus
acustici
externl : N mandibularis[V/3]

, o N ; M pterygoideus
lateralis
o A maxillaris
, N infraorbitalis
R auricularis
(X)

a A infraorbitalis
A;N auriculariso:
posterior
a A sphenopalatina
,,, N supratrochlearis
A temporalis
o
supedicialis , Rr.alveolares superiores
posteriores
N facialis[Vll],; -, N, infratrochlearis

N auriculo-,
temporalis a A angularis

R digastricusi

A occipitalisa
& N inlra-
orbitalis
meningea media a)

A maxillaris
a
i*, N massetericus
Chordatympani
,. N buccalis

A alveolaris
inferioro
a A buccalis

N hypoglossus
[Xll] .i N alveolarisinferior
A l i n g u a l i sO
A palatinaascendens a
, N lingualis

N vagus[X] , Mandibula
Ansa cervicalis ,
A carotiscommunis
a
Glandula sublingualis
A facialiso
a A sublingualis
N hypoglossus
[Xll] ;
G a n g l i osnu b m a n d i b u l a r e , , , N hypoglossus[Xll]

N mylohyoideus
i a A submentalis

I
l!
F i g . 1 3 6 A r t e r i e sa n d n e r v e so f t h e h e a d ,
ril
d e e p e s [t a t e r a Lr e g i o n s
131+ V
1 3 8 256

60k 3 o/o 4Yo 18%

a b c d
F i g . 1 3 7a - d V a r i a t i o n isn t h e c o u r s e T h e m a x i L [ a r y a r t e r ym , Aa x i L t a r i s , p a s s e s m e d i a t l y t o t h e l a t e r a t p t e r y g o i d m u s c [ e ,
o f t h e m a x i t l a r ya r t e r y ,A . m a x i t t a r i s . M . p t e r y g o i d e uLsa t e r a I i st h, e I i n g u a In e r v e ,N L i n g u a L iasn, d t h e i n f e r i o ra t v e o L a r
n e r v e ,N . a L v e o L a ri insf e r i o r .
T h e m a x i t L a rayr t e r y ,A . m a x i t L a r i sp,a s s e sb e t w e e nt h e L i n g u anLe r v e ,N . l i n g u a t i s ,
a n d t h e i n f e r i o ra t v e o [ a nr e r v e ,N . a l v e o L a r i sn f e r i o r .
T h e m a x i [ L a rayr t e r y ,A . m a x i [ L a r i sp,a s s e st h r o u g ha L o o pf o r m e db y t h e i n f e r i o r
a t v e o t a nr e r v e ,N . a L v e o L a ri insf e r i o r .
T h e m i d d L em e n i n g e aaLr t e r y ,A . m e n i n g e am e d i a ,b r a n c h e so f f d i s t a Lt o t h e
i n f e r i o ra t v e o [ aar r t e r y ,A a l v e o t a r i isn f e r i o r .
Topography | 0rganareas I Sections

Bamusmandibulae
N. massetericus;A.
masseterica
o a a Plexuspterygoideus
media
a V temporalis
A temporalis
superlicialis,
a
R parietalis
N. auriculo-
a
temporalis
R lateralis
a N. suDraorbitalis,
V temporalisa
media

A. temporalisa
meota a N. suDraorbitalis,
R. medialis

N auriculo-o
temporalis o N. suoratrochlearis

V temporalisa O A. angularis
superficialis
a N. infratrochlearis
Meatus
acusticus o A. dorsalisnasi
exlernus

R auricularis
o a A facialis
(x)
N auricularis
a
posterior a N. infraorbilalis

N.facialisa
tvill
A temporalis a o N. buccalis
supedicialis
A auricularis
a
posterior O V orofundafaciei
A. maxillaris
O

V maxillaris
a

A carotisexternaa
a A. buccalis
V retromandi-O
bularis

spnenomanaioutLalrge a V tacialis

N :A alveolaris
inferiora a
a N. mentalis
N.linguala
is
A carotisinternaa
o Plexusdentalisinferior
A carotisxternaa
A. lingualis
a
o A. tacialis
V retromandibularis
a
a N. mylohyoideus
V facialiso
o V submentalis

136
F i g . 1 3 8 V e s s e t sa n d n e r v e so f t h e h e a d ;
d e e p e rt a t e r a Ir e g i o n s .
Musctes
Mouth/0raIcavity

Sinusfrontalis
Nn.olfactoriiill
Bulbusolfactorius

Conchanasalismedia

SinussDhenoidalis
Conchanasalisinferior

Limennasi

Tonsillapharyngea

Vestibulumnasi

Fig. 144 LateralwaLtof the nasaIcavity,Cavitasnasi.

Sinustrontalis

Os frontale

Conchanasalissuoerior

Conchanasalismedia
Cellulae
ethmoidales
posteriores
Os nasale
Sinus
sphenoidalis

Tonsilla
pharyngea

Palatummolle
Conchanasalisinferior

Palatumdurumr N. nasooalatinus

Openings of: F i g . 1 4 5 N a s a Ic a v i t yC , a v i t a sn a s i ,a n d o p e n i n g s
1 Sinustrontalis
2 Ductusnasolacrimalis o f t h e p a r a n a s asI i n u s e s S
, i n u sp a r a n a s a l e s .
3 Cellulaeethmoidalesanteriores
4 Sinusmaxillaris
5 CellulaeethmoidalesDosteriores
6 Sinussohenoidalis
Topography
Sativarygtands Topography
Paranasal
sinuses

Fig.116 Projectionof the paranasaIsinuses,Sinus paranasates.

Sinusfrontalis

Sinusmaxillaris

Fig,1t7 o f t h e p a r a n a s asI i n u s e s S
Projection , i n u sp a r a n a s a t e s .
,']

M us c tes
Mouth/0ratcavity
Paranasalsinuses

nasisuperior
lvleatus

Sinusfrontalis

lvleatus
nasimedius

Cellulaeethmoidales
Hiatussemilunaris

Sinusmaxillaris Conchanasalismedia

Meatusnasiinferior
Septumnasi

Conchanasalisinferior

, i n u sp a r a n a s a t e s .
F i g , 1 4 8 P a r a n a s asI i n u s e s S

20Y

12Y

Sinusfrontalis 8. Y

Os ethmoidale

Septum nasi

Orbita,Pariesinferior

Conchanasalismedia
I
lvleatusnasiinferior G

Conchanasalisinferior
\
Sinusmaxillaris
20Y
Maxilla,Proc palatinus
>60 Y
l\4axilla

F i g . 1 1 9 D e v e t o p m e notf t h e m a x i L t a rayn d f r o n t a Is i n u s e s .
Y - vear of Life
S a t i v a r y g t a n d sT o p o g r a p h y

ParanasaI si nuses,radiography

Sinusfrontales

Cellulaeethmoidales
anteriores

Orbita

Os zygomaticum,
Proc trontalis Suturaf rontozygomatica

Forameninfraorbitale
Cavitasnasi

Sinusmaxillaris Cellulae
ethmoidales
oosteriores

Arcuszygomaticus Sinusmaxillaris

Proc. condylaris
Margosuperiorpartispetrosae

Proc.coronoideus

Sinussphenoidalis
Lrngua

, i n u sp a r a n a s a l e s ;
F i g .1 5 0 P a r a n a s asI i n u s e s S
PA-radiograph.
> Head M us c tes
Mouth/0ratcavitl
0ral cavity

Proc pterygoideus,
Laminamedialis
M tensor veli palatini
Hamuluspterygoideus
Raphepterygomandibularis M levatorveli Tonsillapharyngea
palatini
M pterygoideuslateralis

Lig spheno-
mandibulare

Palatumdurum
M pterygoideus
medialis
M orbicularis
oris

Glandulae
labiales Ramusmandibulae

Proc styloideus

M buccinator M styloglossus
M stylopharyngeus

Lig stylohyoideum
Lig stylomandibulare

M stylohyoideus

l\ilandibula
M longuscapitis

M genioglossus M digastricus

Os hyoideum,
M mylohyoideus Cornumajus

Membrana
thyrohyoidea
M geniohyoideus
( corpu. / M, hyoglossus
I
Os hvoideum
_ l 1 N4thyrohyoideus
u o r n um r n u s
I
M sternocleidomastoideus

F i g . 1 5 1 0 r a L c a v i t yC, a v i t a so r i s

Palatum durum

Palatum molle

Arcuspalatoglossus

Tonsillapalatina Arcuspalatopharyngeus
Uvula palatina

Dorsumlinguae

Labium inferius

Fig. 152 0raI cavity,Cavitasoris.


Topography
S a t i v a r y g [ a n d sT o p o g r a p h y
Dentalarcade

Dentesincisivi

Maxilla, Proc palatinus Denscaninus

Sutura palatina mediana Dentespremolares

Sutura palatomaxillaris

Maxilla,Proc alveolaris Dentesmolares

Foramenpalatinum
malus
Sulcus palatinus
malor

Ospalatinum,
Proc pyramidalis Foramina palatina minora

Choana Laminahorizontalis
Os oalatinum.

F i g . 1 5 3 U p p e rd e n t a La r c a d e A
, r c u sd e n t a t i ss u p e r i o r ,
a n d b o n yp a t a t e P
, a t a t u mo s s e u m .

Foramen mandibulae

oral * vestibular

Dens molaris lll [serotinus]

Tunicamucosaoris,Gingiva

DensmolarisI

Denspremolaris
ll
Foramen mentale
Denspremolaris
I

Denscaninus

Densincisivus
lateralis Dens incisivusmedialis

F i g , 1 5 4 L o w e rd e n t a Ia r c a d e A , r c u sd e n t a l i si n f e r i o r
+ I n t h em a n d i b loer a Ii s s y n o n y m ow u si t hL i n g u aatn, di n t h e
m a x i t l iat i s s y n o n y m owu ist hp a t a t i n a t
M us c tes
Mouth/0raIcavitl

vestlbular

Enamelum

Corona Corona
dentis clinica
Dentinum

Cervix
dentis
Margo gingivalis

Radix
clinica
Radix Cementum
dentis

Periodontium
IDesmodontium]

Canalisradicis
dentis:
Pulparadicularis

Foramen
apicis
dentis Apex radicisdentis

F i g . 1 5 5 I n c i s o rt o o t h ,D e n si n c i s i v u s .

+mesial +mesial
dlstal

Cuspisdentis

Apexcuspidis

\
1Fu.i".
(Facies "ont".tr"1;
Faciesdistalis
contactus); Cuspisdentis
Faciesmesialis
Cuspisdentis
Tuberculum
dentis

II
' Facies lingualis

F i g .1 5 6 P e r m a n e n L t o w e cr a n i n et o o t h , F i g ,1 5 8 P e r m a n e n u t p p e rf i r s t m o l a r t o o t h ,
D e n sc a n i n u sp e r m a n e n s . D e n sm o L a r i sp r i m u s .

F i g . 1 5 7 D e c i d u o u s e c o n dm o [ a rt o o t h ,
D e n sm o t a r i sd e c i d u u s
To p o g r a p h y
Sativarygtands Topography

Dens Dens Dens


Dentesincisivi cantnus molarisI molarisll

Dentesincisivi Dens Dens Dens


cantnus molarisI molarisll

F i g . 1 5 9 D e c i d u o u tse e t h ,D e n t e sd e c i d u io, f a 3 - y e a r - o l .cdh i L d ;


v e s t i b u [ avr i e w .

Maxitta

r i gh t
55 54 53 6 2 6 3 6 4 6 5 , . .LEI L
72 73 74 75

MandibLe

Dens Dens Dens Dens


incisivuslateralis
caninus molarisI molarisll

Dens Dens Dens Dens


incisivus
lateralis caninus molarisI molarisll

F i g . 1 6 0 D e c i d u o u tse e t h ,D e n t e sd e c i d u i o, f a 2 - y e a r - o l dc h i t d ;
top row viewedfrom vestiburar;
bottom row viewedobLiquel,y from inferior.
8 7 6 54321

F i g .1 6 1 P e r m a n e n , e n t ep
t et e t h D sermanentes;
oratview.
I S e eo .9 7f o r i d e n t i cf a t i o on f t h en u m b e r s . l

Adutd
t entition

8 7 5 4 321

F i g . 1 6 2 P e r m a n e n t e e t h ,D e n t e sp e r m a n e n tes;
distaIview.
l S e ep . 9 7 f o r i d e n t i f i c a t i oonf t h e n u m b e r s . )
Sativarygl.ands Topography

123 45 6 7 8

, e n t ep
F i g . 1 6 3P e r m a n e nt et e t hD sermanentes;
vestibular vtew.

1 D e n si n c i s i v u sI 5 D e n sp r e m o t a r li ls
2 D e n si n c i s i v u sl l 6 D e n sm o t a r i sI
3 D e n sc a n i n u s 7 D e n sm o l a r i sl l
4 D e n sp r e m o t a r i sI I D e n sm o [ a r i sl l l
Iseroti nus]

123 4 5 o 7 8

F i g . 1 6 1 P e r m a n e ntte e t h ,D e n t e sp e r m a n e n t e s ;
mesiaIview.
Surface lSketetonl Musctes

F i g . 1 6 5 M a x i l . t aM, a x i t L aw, i t h d e c i d u o u st e e t h ,
D e n t e sd e c i d u ia, n d t h e f i r s t p e r m a n e n t o o t h ;
L e f t : m e d i a nt i m e o f e r u p t i o ni n m o n t h sI M l ;
r i g h t :o r d e ro f e r u p t i o n .

9 -13

9-12 Y

1 0 . - 1 3Y.

18-40 Y

Fig.165 MaxiLta, Maxitl.a, with permanentteeth,Dentes


p e r m an e n t e s ;
l e f t : m e d i a nt i m e o f e r u p t i o ni n y e a r s[ Y l ;
r i g h t :o r d e ro f e r u p t i o n .
T o p o g r a p h y| O rg a na re a s I S e cti o ns
Sativarygtands Topography

Denscaninus(deciduus) Canalismandibulae

Dentesmolares(decidui)

Dentesmolares(decidui) Densmolaris(permanens)
ll
Densmolaris(permanens)
|

Dentespremolares
(permanentes)
Denscaninus(permanens)
Foramenmentale

F i g . 1 6 7 M a x i L t aM, a x i t t aa, n d m a n d i b t eM
, andibuta,
o f a 5 - y e a r - o [ dc h i t d ;
d e c i d u o u tse e t ha n d a n t a g eo f p e r m a n e n t e e t h .

tl

Densmolarislll lserotinus]

Dentespremolares

Denscaninus

Densmolarislll [serotinus]

Densmolarisll

DentesDremolares.
Radices

DensmolarisI
Foramenmentale

F i g . 1 6 8 M a x i [ [ aM
, a x i L l aa,n d m a n d i b L eM, a n d i b u [ a ,
of a 20-year-otd ma[e.
> Head Sunface lSketetmnl Musel*s
Mouth/0ratcavity
Teeth,radiography

Arcuszygomaticus Canalis infraorbitalis Palatum


durum Septumnasi Tuberculum
articulare

lvleatus
acusticus
exlernus

Sinus maxillaris

Proc condylaris

Palatum molle
[Velum palatinum] Densmolarisll

Canalis mandibulae
Os hyoideum

Dens caninus

Foramen mentale Dens Dens Dens Dens Dens


i n c i s i v ul ls incisivus
i premolaris
I premolaris
ll molarisI

F i g .1 6 9 M a x i t L aM, a x i I L a ,n d m a n d i b L e
M, a n d i b u L a ;
p a n o r a m i rca d i o g r a p h ;
w i t h o u tw i s d o mt e e t h .
T opog r a p h y| Org a na re a s I S e cti o ns
S a t i v a r y g t a n d sT o p o g r a p h y
lnnervation teeth

N ophthalmicus[V/1] Nn alveolares
superiores

N trigeminus
[V]
Ganglion
trigeminale

N mandibularis
[V/31
N infraorbitalis

N lingualis

N alveolarisinferior

N mentalis

Plexus dentalis inferior

F i g . 1 7 0 M a x i t l a r ya n d m a n d i b u t a nr e r v e ,
N n . m a x i t t a r i s[ V / 2 ]e t m a n d i b u t a r i [sV / 3 ]

Ganglion trigeminale N trigeminus


[V]
N petrosus
prolundus Radix motoria
[Radixsympathica]
N mandibularis
[V/3]
M tensortympani
N .o p h
N petrosusminor
z N.m Rr.ganglionares
N petrosus
majorlRadixparasympathica] IBadixsensorial
/N.
Ganglion geniculi
N intermedius N, infraorbitalis
Tubaauditiva
R alveolaris
superior anterior
Sinusmaxillaris
N facialis
lvill

Cellulae mastoideae
N. infraorbitalis
Cavitastympani

N, tympanicus
Foramen
stylomastoideum
N vagus[X]
N glossopharyngeuslXl
N caroticus
internus

A carotisinterna Rr alveolares
superioresanteriores,
N canalis pterygoidei Plexusdentalissuperior
pterygopalatinum
Ganglion Rr alveolares
suoeriores
medii
Fl alveolaris
suoeriormedius
Br alveoleressuDeriores
oosteriores

F i g .1 7 1 P t e r y g o p a l a tgi naen g L i oG
na, n g t i opnt e r y g o p a L a t i n u m
Surface lSketetonl Muscles
Mouth/Oratcavity

F i g . 1 7 2 H a r da n ds o f tp a L a t e , (medialis)
Densincisivus
Patatum d u r u me t m o t t e ; Densincisivus
(lateralis)
i n f e r i ovr i e w . Papilla incisiva
Denscaninus

Denspremolaris
I Plicae palatinae
Iransversae
Denspremolaris
ll

DensmolarisI
Palatumdurum
Densmolarisll

Densmolarislll Raphe palati


[serotinus]

Palatummolle
lvelum
palatinuml

Arcus
palatoglossus
N nasopalatinus Arcuspalatopharyngeus
Uvulapalatina

Palatum Rr alveolares
durum posteriores
superiores

nf the patate,
F i g . 1 7 3 S e n s i b l ei n n e r v a t i o o
P a L a t u ma,n d m a x i l t a M , axitta.
n r e i n d i c a t e doy
O v e r l a p p i nagr e a so f i n n e r v a t i o a
t r a n s i t i o no f c o l o u r s .
Nn palatini

Palatum
moile

Raphe palati

Glandulae palatinae
a A. palatinamajor

a N. palatinus
maior

Hamuluspterygoideus Foramenpalatinum
majus

Hamuluspterygoideus
M uvulaea
a M. constrictorpharyngissuperior,
Parsglossopharyngea
Arcuspalatopharyngeus
a M buccinator

Arcuspalatoglossus
Raphepterygomandibularis

palatina
Tonsilla a M. palatoglossus

e N lingualis
lsthmusfaucium
pharyngis
a M. constrictor superior,
Parsglossopharyngea
Dorsumlinguae

a M. palatopharyngeus
Fig. 171 Ora[ cavity,Cavitasoris, and
sf the patateM
m u s c L eo , m. palati.
Topography
Sativarygtands Topography

Plica glossoepiglottica mediana


Plica glossoepiglottica Iateralis
Tonsilla
lingualis;
Cryptaetonsillares
Radix linguae
Foramen
caecumlinguae
M. palatopharyngeus
Sulcusterminalis
linguae
Tonsillapalatina

Fossulae
tonsillares, M palatoglossus
Cryptaetonsillares

Dorsumlinguae, (Plicatriangularis)
Parsposterior
Arcuspalatoglossus
Papillae vallatae

Papillaefoliatae (Papillaeconicae)

Dorsumlinguae,
Papillae
fungiformes Parsanterior

Margolinguae

Papillaefiliformes
Corpuslinguae

Sulcusmedianus
linguae
Apexlinguae

F i g . 1 7 5 T o n g u eL, i n g u a .

N. glossopharyngeus
lXl

Bitter

Sour

I Salty

I Sweel

F i g . 1 7 6 I n n e r v a t i oann dt a s t ec a t e g o r i east t h e
d o r s u mo f t h et o n o u e .

Labiumsuperius Palatummolle
lvelumpalatinuml
Vestibulum
ofls Fossasupratonsillaris
Maxilla

Dorsum
linguae

Labiuminferius Tonsillapalatina

Vestibulum Arcus
ons palatopharyngeus
Papillafoliata Arcuspalaloglossus
Cavitasoris propria Foramen
caecumlinguae
Papillae vallatae Tonsillalingualis

Fig.177 0raI cavity,Cavitas


oris.
Mouth/Oralcavity
of the

M. longitudinalis
superior linguae
M transversus

Aponeurosis
linguae

Septumlinguae
Tunicamucosalinguae

caecumlinguae
Foramen

Radix linguae

Os hyoideum

Mandibula
Cartilago epiglotlica

Aditus laryngis

M. genioglossus laryngis
Venviculus

M. mylohyoideus
M geniohyoideus
Cartilagothyroidea

F i g . 1 7 8 T o n g u eL i,n g u a a, n d m u s c l e so f t h e t o n g u e ,M m . l i n g u a e ;
median section.

linguae
Aponeurosis
linguae
M. vansversus
Septum
ilnguae

Glandulalingualis Plica fimbriata

Faciesinferiorlinguae
Frenulum
linguae

F i g . 1 7 9 T o n g u eL, i n g u a a , n d m u s c l e so f t h e t o n g u e ,M m . l i n g u a e ;
c r o s s - s e c t i otnh r o u g ht h e t i p o f t h e t o n g u e .

M verticalislinguae M longitudinalissuperior

M transversus
linguae

M longitudinalisinferior

Mm.genioglossus

F i g . 1 8 0 T o n g u eL, i n g u a a , n d m u s c l e so f t h e t o n g u e ,M m . [ i n g u a e ;
c r o s s - s e c t i oant t h e [ e v e [o f t h e m i d d t eo f t h e t o n o u e .
To pogr a p h y
S a t i v a r y g t a n d sT o p o g r a p h y
Hyoidboneand infra- and suprahyoidmuscles

Cornuminus

F i g . 1 8 1 H y o i db o n e ,0 s h y o i d e u m . Fig.182 Hyoidbone,0s hyoideum.

Proc.styloideus

M mylohyoideus

M. digastricus,Venterposterior
M geniohyoideus

M digastricus,Venteranterior
M thyrohyoideus
Os hyoideum

M. omohyoideus,
Ventersuperior
M. sternohyoideus

M sternothyroideus
M omohyoideus,
Venterinterior

F i g . 1 8 3 M u s c u t a rs u s p e n s i o n
o f t h e h y o i db o n e
> Head
Mouth/0ratcavitl
Suprahyoid
muscles

Protuberantia
mentalis

Alveolusdentalis
m o l a r ilsl l
(Densextractus)
Foramen mentale
(Raphe mylohyoidea)
Tuberculum
mentale
venteranterior;
M dioastricus
- {
lventerposterior
Lig stylohyoideum

M stylohyoideus
(Ansatendinis)
l\4 digastricus,
Tendointermedius
l\4 digastricus,
Os hyoideum,
Corpus

Os hyoideum,
Cornumajus

F i g .1 8 4 M a n d i b t eM, a n d i b u t aa ,n d s u p r a h y o im
duscles,
Mm.suorahvoidei

Spinamentalis
superior

M genioglossus

l\4 mylohyoideus

N4geniohyoideus

Os hyoideum,
Cornuminus
Foramen
mandibulae

Ramus
Os hyoideum, mandibulae
Cornumajus Os hyoideum,
Corpus

musctes,
F i g . 1 8 5 M a n d i b L eM, a n d i b u L as ;u p r a h y o i d
M m . s u p r a h y o i d ea in, d h y o i db o n e , 0 sh y o i d e u m
Topography
Sativarygl.ands Topography

Dorsumlinguae Papillae foliatae


Corpuslinguae Papillavallata

Radix linguae

M palatoglossus

M. styloglossus

M stylopharyngeus
Mandibula

M longitudinalis
inferior
M. constrictorpharyngismedius

M genioglossus
M geniohyoideus

M. hyoglossus Cornumajus
Os hyoideum,
Os hyoideum,
Corpus

Membrana thyrohyoidea
M thyrohyoideus

F i g . 1 8 6 T o n g u eL ,i n g u aa,n dmusclesof the


t o n g u eM, m .l i n g u a e .

Tunicamucosaoris M. hyoglossus
M. palatoglossus
M. styloglossus

M. stylopharyngeus

M. constrictorpharyngissuperior,
Parsglossopharyngea
Mandibula

M constrictorpharyngismedius,
M longitudinalisinferior Parsceratopharyngea

M geniohyoideus
M. genioglossus
M. geniohyoideus
M chondroglossus

Os hyoideum,
Cornuminus M. hyoglossus

, n d m u s c t e so f t h e
F i g . 1 8 7 T o n g u eL, i n g u a a
t o n g u eM , m .[ i n g u a e .
> Head M us c tes
Mouth/0ratcavit'
Musclesof thetongueand thepharynx

Apexlinguae linguae
Frenulum

Facies inferiorlinguae, Plica fimbriata

M genioglossus Tunicamucosaoris

M. longitudinalis
interior
Septumlinguae

M. genioglossus

M. palatoglossus

M. hyoglossus

M. styloglossus

M. constrictorpharyngissuperior,
Parsglossopharyngea M. hyoglossus

M chondroglossus
Os hyoideum,
Cornumajus

pharyngis
M. constrictor medius,
Parschondropharyngea

M hyoglossus M sternohyoideus
M. geniohyoideus

F i g . 1 8 8 M u s c l e so f t h e t o n g u e ,M m . l i n g u a e .

M styloglossus Proc.styloideus
M. palatoglossus
palatina
Tonsilla

M longitudinalisinlerior
Lig.stylohyoideum

M. stylopharyngeus

M. constrictor suoerior.
oharvnqis
Parsglossopharynaei

pharyngis
M. constrictor medius,
Parschondropharyngea

M. constrictorpharyngismedius,
Parsceratopharyngea
M. geniohyoideus
Os hyoideum, Os hyoideum,
Cornumajus
Cornuminus
Membranathyrohyoidea A.; V. laryngea
superior;
N. laryngeus superior
M. thyrohyoideus

M. constrictorpharyngisinferior,
Parsthyropharyngea
Cartilagothyroidea

F i g . 1 8 9 M u s c t e so f t h e t o n g u e ,M m . [ i n g u a ea, n d
musctesof the pharynx,Tunicamuscutarispharyngis.
Topogr a p h y
Salivarygtands Topography

Fascia masseterica
Ductusparotideus

M buccinator

parotidea
Glandula
accessofla
buccae
Corpusadiposum

M masseter
M risorius

Fascia parotidea M depressor


angulioris

Platysma
l\4.sternocleidomastoideus: Os hyoideum Fascia cervicalis.Lamina suDerficialis
Fasciacervicaiis.
Laminasuoerf
icialis
v;A lacialis F i g . 1 9 0 P a r o t i dg t a n d ,G t a n d u [ ap a r o t i d e a .

Cavitas nasi

Plexuscavernosus
a
Cartilagonasilateralis
Concha nasalis media

M orbicularis
oculia

Sinusmaxillaris

l\/axilla

lV temporalis
a

Proc coronoideus

M pterygoideus
lateralisa
a A carotisinterna
N lingualis*

N alveolarisinferior&

Proc condylaris Proc.styloideus


temporalis
superficialis
a
A temporalis
superficialis
a

Cartilago
auriculae a A vertebralis

parotidea
Glandula
F i g . 1 9 1 P a r o t i dg L a n dG, t a n d u t ap a r o t i d e aa, n d
A. alveolaris
inleriorO m a s t i c a t o rm y usclesM , m. masticatorii;
h o r i z o n t asI e c t i o n ;
Proc mastoideus a A occipitalis i n f e r i o rv i e w .
> Head M us c l es
Mouth/0ratcavitr
jqt gland
Submandibular

A ; V f a c i a l ios a Nodilymphoidei
submandibulares

Glandula parotidea

* N facialis[Vll], R colli

o V jugularis
externa

c M digastricus,
Venterposterior

$ N hypoglossus
[Xll]

Platysma
* c l\/ stylohyoideus

M digastricus,
Venteranterior a V thyroidea
superior

o A. thyroidea
superior
Fascia cervicalis.Lamina suoerficialis

pharyngis
t M constrictor inferiol
M mylohyoideus
t
o lvl thyrohyoideus
A submentalis
a
s M omohyoideus,
Ventersuperior
Glandula
submandibularis
t M sternohyoideus

F i g . 1 9 2 S u b m a n d i b u t agrt a n d ,G [ a n d u t as u b m a n d i b u [ a r i s .

A:Vsubmentalisaa * M pterygoideusmedialis
A ; V f a c i a l ias a Ductusparotideus
Platysma
a N , l i n g u a l i s, Glandulaparotidea
accessoria
c M masseter;
M, mylohyoideus6 Fasciamasseterica

Glandula
sublingualis parotidea
Glandula

l\/ digastricus,*
Venteranterior Noduslymphoideus
submandibularis

Fasciacervicalis,
Laminasuperficialis
genioglossusO

a V retromandibularis
V s u b l i n g u a ol i s
o M digastricus,
A. lingualis
a Venterposterior

Ganglion *
submandibulare

l\/ geniohyoideus
a
M, mylohyoideus
o

Glandula
submandibularis Ductussubmandibularis

M styloglossus
O Glandula
submandibularis
N hypoglossus
[Xll] , Fasciaceruicalis,
Laminasuperficialis
M hyoglossusI
s M. stylohyoideus o M. digastricus,
Venteranterior

F i g . 1 9 3 M a j o rs a L i v a rgyt a n d s G
, l a n d u t a se a t i v a r i a e
majores;
inferolateratview.
To p o g r a p h y
Sativarygtands Topography
Submandibular andsublinaual

Ductussublinouales
minores

Caruncula
sublingualis

M pterygoideus
medialis
Ductussublingualis
major
N lingualis
M genioglossus

Glandula
submandibularis
M geniohyoideus
Ductussubmandibularis

M. digastricus,Venteranterior
Glandula
sublingualis Os hyoideum
M mylohyoideus

F i g . 1 9 4 S u b m a n d i b u t agrt a n d ,G [ a n d u t as u b m a n d i b u t a r i s ,
a n d s u b t i n g u agl .t a n d ,G t a n d u [ a
sub[inguatis.

Caruncula
sublingualis

Ductussublingualis
major
Ductussubmandibularis

Glandula
sublingualis

M genioglossus

M mylohyoideus
N. lingualis

A. alveolaris inferior

N alveolaris inferior

Os hyoideum,
Cornumajus

Radix linguae N. hypoglossus


[Xll]

F i g . 1 9 5 S u b L i n g u agL[ a n d ,G t a n d u t a
subtinguatis,
a n ds u b m a n d i b u t ag rt a n d G
, l a n d u t sau b m a n d i b u t a r i s ;
s u D e n o rv t e w .
M us c tes
Mouth/0ral.cavity

Papillaductusparotidei

F i g .1 9 6 O p e n i nogf t h ee x c r e t o rdyu c t
o f t h ep a r o t i d
g t a n dP, a p i t l d
au c t u s
oarotidei.

Lingua,Faciesinferior

Oensmolarislll [serotinus]
Plicafimbriata

Densmolarisll
Frenulum
linguae
DensmolarisI
Plicasublingualis
Denspremolaris
ll
Caruncula
sublingualis
Denspremolaris
I
Denscaninus
Gingiva
Densincisivus
ll

Fig.197 0peningof the excretory duct


o f t h es u b m a n d i b u Lg a[ ar n dC
, aruncula
s ub t i n o
u a[ i s .
T o p o g r a p h y| O rg a na re a s I S e cti o ns
Sativaryglands Topography
Arteriesandnervesof the oral cavitv

Maxilla

a N lingualis
Uvulapalatina

M. palatoglossus
a
a M. genioglossus
l\,4styloglossusa

Mm pharyngis a A. profunda
linguae
a

N glossopharyngeus Mandibula
lxl s

a M. mylohyoideus
M. hyoglossusO

a M geniohyoideus
A lingualisO

I N hypoglossus
[Xll]
Os hyoideum,
Cornumajus
a A sublingualis
M hyoglossus
a

pharyngis
M. constrictor medius,O
Parschondropharyngea

F i g .1 9 8 A r t e r i e as n d n e r v e so f t h e t o n g u e ,L i n g u a ;
mediaIview.

* N palatinus
major

o A. palatinamajor
Nn,palatiniminoresc
O (A nasopalatina)

Canalisincisivus
Uvulapalatina

Tonsillapalatina
Dorsumlinguae,
Parsanterior
R tonsillaris
*

vallatae
Papillae
N. glossopharyngeusflXl a

Mandibula
A palatinaascendens,O
R tonsillaris

N glossopharyngeus
ilXl, ,'
Br linguales Tonsillalinoualis.
(Folliculiliri'guales)

F i g . 1 9 9 A r t e r i e sa n d n e r v e so f t h e p a L a t eP, a L a t u m ,
a n d t h e r o o t o f t h e t o n g u e ,R a d i x[ i n g u a e ;
m e d i a Iv i e w .
> Head M us c l es
MouthlOratcavity
Vessels
and nervesof the tongueand the larynx

G l a n d u l al i n g u a l i s

Ductussublingualis
major Plica fimbriata

C a r u n c u sl au b l i n g u a l i s
Ductussublinguales
minores
Ductussublingualis
major
Plicasublingualis
Ductussubmandibularis
a M genioglossus
Septumlinguae
a M geniohyoideus
N;A;Vsublingualis*Oa
G l a n d u lsau b l i n g u a l i s

A l i n g u a l ias ; a M styloglossus
V comitans
nervihypoglossi O
0 M hyoglossus
N lingualis
*
a M mylohyoideus
Ganglion
submandibulare
&
Glandula
submandibularis
N hypoglossus
[Xll]*
a M digastricus,
Venteranterior

a M stylohyoideus
M mylohyoideus
I

Os hyoideum
Glandula
submandibularis
a M omohyoideus,
Ventersuperior

A : V laryngea
superior:
a o a M sternohyoideus
N. laryngeus
superior-

Membrana
thyrohyoidea
a M thyrohyoideus

Cartilagothyroidea pharyngis
a l/. constrictor inferior

(Lobuspyramidalis,
Var.)

C M, sternothyroideus
M cricothyroideus
a

Cartilagocricoidea

) 20!+,218,23r+,237 F i g . 2 0 0 V e s s e t sa n d n e r v e so f t h e t o n g u e ,L i n g u a ;
m a j o rs a I i v a r yg [ a n d s G , t a n d u [ a sea t i v a r i a e
majores,
a n d [ a r y n x ,L a r y n x ;
a n t e r i o r - i n f e r i ovri e w .
T o p o g r a p h y| 0 r g a na re a s I S e cti o ns
Sativarygtands Topography
and nervesof the
Vessels

o M genioglossus

sublingualis
Glandula
A s u b l i n g u aal i s

O O A.;V sublingualis

N. sublingualis
& O A. profunda
linguae

, N lingualis

N. lingualisa

a V profunda
linguae
M hyoglossus O

a M. styloglossus
A. profundalinguaea
a N hypoglossus
[Xll]
A sublingualis
a
O V lingualis

A lingualis
O a M hyoglossus

a A. carotisexterna

o N laryngeus superior,
A thyroideasuperiorO R. internus

a Bifurcatiocarotidis

a A laryngea
superior
M. geniohyoideus
a

o A. thyroidea
superior
Os hyoideum

o A carotiscommunis
Membrana
thyrohyoidea

Cartilago
thyroidea

A thyroideasuperior,
a Glandula thyroidea,
R. glandularis
anterior Lobus sinister

M cricothyroideus
O

lsthmusglandulae
thyroideae

F i g , 2 0 1 V e s s e t sa n d n e r v e so f t h e t o n g u e ,
Linguaa , n d t h e t h y r o i dg t a n d ,G [ a n d u [ a
thyroidea;
a n t e r i o r - i n f e r i ovri e w .
Surface lSketetonl Musctes

frontalsection

Falx cerebri
Spatiumsubarachnoideum
Sinussagittalis
superior 8 N. supraorbitalis,R medialis

Arachnoidea
matercranialis

Galea aponeurotica

o N. supraorbitalis,
R lateralis

Sinusfrontalis

a A supraorbitalis
Duramatercranialis
o N suoraorbitalis

o M obliquus
suoerior
M. temporalis
a
o M levatorpalpebraesuperioris,
M. rectussuperior

Cellulaeethmoidales
o A. lacrimalis
Glandula
lacrimalis
a N opticusilll;
O a V;A centralis retinae
Septumnasi (Vll)
a R. zygomaticus

a M. rectuslateralis

Concha nasalis a M rectusmedialis


inferior
Corpusadiposumorbitae

o M rectusinferior
A transversafacieia
a N infraorbitalis
R. buccalis(Vll)O
a M masseter
Densmolarisll
Sinusmaxillaris
A . ; V f a c i a l ios a
Ductusparotideus
Ductussubmandibularis

Glandula
sublingualis
a M buccinator
V;A.; N. alveolaris
inferjoro a a

Platysma
a

oaA;V. lingualis
M. mylohyoideus
o

a M. genioglossus
M. digastricus,
Venteranterioro
a M geniohyoideus

Fig.202 Fronta[sectionthroughthe head of a 48-year-otdmate


a t t h e [ e v e [o f t h e s e c o n du p p e rm o t a rt o o t h ;
a n t e r i o rv i e w .
Topography | 0rganareas I Sections

Sinussagittalis
superior
(Suturafrontalis)
Galeaaooneurotica

Duramatercranialis;
Arachnoideamatercranialis

Falxcerebri

M. levatorpalpebraeO
supenofls a M. rectusmedialis

Glandula
lacrimalis
Septumnasi
M. rectussuoerioro

Suturaf rontozygomatica
Conchanasalisinferior
M. obliquussuperiorO

M. rectuslateralisa molarisll

Retina
Lingua
M. rectusinferiora
Corpusadiposumbuccae
Suturazygomaticomaxillaris

M. massetera Ductussubmandibularis

N. infraorbitalis
o
Glandula
sublingualis

A. facialisa
a O O N.:A.:V.alveolaris
inferior
A. lingualis
O

O Platysma
M. genioglossus
a
o /
M. geniohyoideus
M. mylohyoideus a M. digastricus,Venteranterior
o

F i g . 2 0 3 F r o n t a sl e c t i o nt h r o u g ht h e h e a do f a n e o n a t e
at the [eve[of the secondupper molar tooth;
a n t e r i o rv i e w
Note the absenceof the maxittarysinus and the ctoseproximity
o f t h e t o o t ha n t a g et o t h e o r b i t .
> Neck Sur facep . 32 Vot.l l
| Sk eteton

Musclesof theneckandtracheotomv

M mylohyoideus

G l a n d u lsau b m a n d i b u l a r i s

M digastricus,
Venterposterior
M masseter

parotidea
Glandula Glandula
parotidea
l\4 digastricus
M. stylohyoideus
l\4 hyoglossus
l\4 levatorscapulae
M sternocleidomastoideus
M spleniuscervicis M sternohyoideus
M levatorscapulae M scalenusmedius
lvl longuscapitis
Lig thyrohyoideum
medianum
Cartilago
thyroidea
A carotiscommunis;V jugularisinterna
M thyrohyoideus M omohyoideus
lvl sternothyroideus Lig.cricothyroideum medianum
M . s c a l e n um
s edius lvl cricothyroideus
M omohyoideus, Tendo Arcus cartilaginiscricoideae
Fascia cervicalis.Lamina oretrachealis M sternohyoideus
Plexusbrachialis.
Parssuoraclavicularis
Glandula
thyroidea
M. scalenusanterior
M omohyoideus,Venter inferior M scalenusmedius
M trapezius M sternocleidomastoideus
Clavicula

l\4 deltoideus

M. pectoralismajor,
Pars clavicularis
lvl subclavius
lvl pectoralismajor,
Parsclavicularis

F i g . 2 0 1 M u s c l e so f t h e n e c k ,M m . c o L [ i .
)T8,T9,T10,T11

Os hyoideum

Cartilago thyroidea

Cartilago cricoidea

Glandula thyroidea,
Lobus sinister

V,jugularis
anterior
Arcusvenosus
jugularis.
F i g .2 0 5 S u r g i c aaI c c e s st o t h e t r a c h e a
w i t h t h e n e c kh y p e r e x t e n d e d .
* Coniotomy
* * U p p etrr a c h e o t o m l ayb o vteh ei s t h m uos f t h et h y r o i g
dt a n d J
* * * L o w etrr a c h e o t o m
{ bye L otwh ei s t h m uos f t h et h y r o i g
dt a n d )
Cervicalfascia

Ramusmandibulae
Proc styloideus

Fascia masseterica;
lvl masseter

Platysma M. styloglossus

lvl digastricus,Venterposterior
M stylohyoideus,
Tendo

Fascia cervicalis
Lig stylohyoideum
Mandibula M. sternocleidomastoideus

Fascia cervlcalis,Lamina superficialis


M mylohyoideus

M digastricus, M. stylohyoideus
Venteranterior
Fascia cervicalis.Lamina suoerficialis
lvl omohyoideus,
Ventersuperior
M. omohyoideus

M, sternohyoideus
Fascia cervicalis,
Lamina supedicialis
Fascia cervicalis.Lamina Dretrachealis
M omohyoideus,
Venterinferior
Fascia cervicalis,
Lamina superficialis

Clavicula

Trigonum
omoclaviculare

Platysma Trigonum
omoclaviculare
Trachea
V jugularis
externa
Fossasuoraclavicularis
minor M sternocleidomastoideus

Fig. 206 C e r v i c a If a s c i a , F a s c i a c e r v i c a L i s .

F a s c i ac e r v i c a I i s

Yellow: Lamina superficialis


Red: Laminapretrachealis
Green: Lamina prevertebralis

F i g . 2 0 7a , b S c h e m ao f t h e c e r v i c afIa s c i a
a Transversesection
b M e d i a ns e c t i o n
SkeletonVo[.

Musclesof the neck

M stylohyoideus

Glandula parotidea

Lig stylohyoideum;
M stylopharyngeus

l\/ digastricus,Venterposterior

M sternocleidomastoideus

M semispinalis
capitis

M digastricus,
Venteranterior
M. spleniuscapitis
M mylohyoideus

Os hyoideum lvl levatorscapulae

M omohyoideus,
Ventersuperior
M, scalenusanterior
M sternohyoideus

M scalenusmedius
M thyrohyoideus

M constrictorpharyngisinferior M scalenusposterior

Glandula
thyroidea,
Lobussinister
M trapezius

M sternocleidomastoideus

Clavicula

M deltoideus
M. omohyoideus,
Venterinferior

lvl.pectoralismajor,
Parssternocostalis

) T 8 ,T 9 ,T 1 0 T
, 11

F i g .2 0 8 M u s c l e so f t h e n e c k ,M m . c o t l . i
Musclesof the neck

M longuscapitis
Os occipitale
M, rectuscapitisanterior

M rectuscapitislateralis Proc.mastoideus

M. sternocleidomastoideus
M longissimus
capitis
M spleniuscapitis
M longuscapitis
Articulatioatlantoaxiallslateralis,
Capsulaarticularis
M. levatorscapulae
M scalenusmedius
M longuscolli

M longuscapitis
M scalenusmedius M. scalenusmedius
M scalenus
anterior

M scalenusmedius
Tuberculum
anterius
M scalenusposterior

M scalenusmedius M. scalenusanterior

M longus colli
sinistra
subclavia
A subclaviadextra

M scalenusanterior M scalenusposterior

V subclavia
dextra sinistra
A. carotiscommunis

A carotis
communis
dextra
V brachiocephalica
sinistra

F i g .2 0 9 P r e v e r t e b r amLu s c t e sa n d s c a l e n u sm u s c l e s ,
Mm.scaLeni.
| - V l l = F i r s tt o s e v e n t hc e r v i c avI e r t e b r a
1 - 3 = F i r s tt o t h i r d t h o r a c i cv e r t e b r a
SkeletonVot. ll

Skeletonof the Iarynx

Cornusuperius
Cornusuperius

Tuberculum
Incisurathyroidea thyroideum Tuberculum
supenor supeflus Lamtna thyroideum
dextra supenus
Prominentia
laryngea Lineaobliqua Prominentia Lamina
laryngea sinistra

Laminasinistra
Tuberculum
thyroideum
Cornuinferius Linea obliqua inferius
Tuberculum
thyroideum
inferius lnclsura
thyroidea Cornuinferius
inferior

F i g . 2 1 O T h y r o i dc a r t i t a g eC, a r t i t a g ot h y r o i d e a ; F i g . 2 1 1 T h y r o i dc a r t i L a g eC, a r t i t a g ot h y r o i d e a ;
viewedfrom the Left. v e n t r a Iv i e w .

Colliculus
Foveatriangularis
Cristaarcuata

Fovea
ooronga
Lig vocale
Proc vocalis;
Proc Lig vocale
musculans

vd, uragu
arytenoidea;
Articulatio
cricoaMenoidea

Arcus cartilaginiscricoideae Lamina cartilaginis


cricoideae

Fig.212 CartiLages of the [arynx, Fig.213 Cartilagesof the [arynx F i g . 2 1 1 C a r t i L a g eosf t h e [ a r y n x ,


C a r t i [ a g i n e[sa r y n g i s ; C a r t i t ag i n e sL a r y nigs ; C a r t i t a ign e s L a r y n g i s ;
v e n t r o s u p e r i ovri e w . dorsatview. viewedfrom the Left.

Cartilagoepiglottica Facies articulares arytenoideae

Lamina cartilaginis
cricoideae

Faciesarticularis
thyroidea Lamina cartilaginis
cricoideae

F i g . 2 1 5 E p i g L o t t icca r t i l a g e , F i g . 2 1 6 C r i c o i dc a r t i t a g e , F i g .2 1 7 C r i c o i dc a r t i t a g e ,
C a r t i t a g oe p i g t o t t i c;a C a r t i t a gcor i c o i d e a ; C a r t i t a g oc r i c o i d e a ;
dorsaIview. v e n t r o s u p e r i ovri e w . d o r s a Iv i e w .
Musc[es

Hyoidboneandskeleton

Os hyoideum,
Cornumajus
Os hyoideum.Cornu minus
Cartilagoepiglottica

Lig thyrohyoideumlaterale
var uragu u rueca

Membrana thyrohyoidea

thyroidea,
Cartilago Cornusuperius

Lig thyrohyoideummedianum

Cartilagothyroidea,Lamina dextra

Incisura
thyroidea
superior

thyroidea,
Cartilago Cornuinferius

Lig cricothyroideum
medianum
Capsulaarticularis
cricothyroidea

Arcuscartilaginis
cricoideae

Lig cricotracheale
Cartilaoines tracheales

Fig.218 Larynx,Larynx,
a n d h y o i db o n e ,0 s h y o i d e u m ;
ventraIview.

Os hyoideum,
Cornuminus
Os hyoideum,
Cornumajus
Cartilago epiglottica

Lig thyrohyoideumlaterale

Cartilago triticea

Membranathyrohyoidea
Corpus adiposum preepiglotticum

thyroidea,
Cartilago Cornusuperius
Petiolus
epiglottidis

Cartilagocorniculata
Cartilago
thyroidea,
Laminasinistra

Cartilagoarytenoidea cricoarytenoidea
Capsulaarticularis

Lig cricoarytenoideum thyroidea,


Cornuinferius
Cartilago

CaDSUlaarticulariscricothvroidea
Capsulaarticularis
cricothyroidea

Lig cricotracheale Lig cricopharyngeum

Ligg anularia
Cartilagines tracheales

Fig.219 Cartilageo s f the [arynxC , a r t i t a g i n elsa r y n g i s ,


a n d h y o i db o n e , 0 sh y o i d e u m ;
dorsaIview.
Sk eteton
ThyroidgLand Pharyn
andskeletonof

Os hyoideum l\4embranathyrohyoidea

Cartilagoepiglottica

Lig thyrohyoideum
medianum

Petiolus
epiglottidis Lig cricopharyngeum

Lig thyroepiglotticum
Cartilagines
aMenoideae
Cartilagothyroidea

Lig, vocale Proc vocalis

Conuselasticus

Lig cricothyroideum
medianum Lamina cartilaginiscricoideae

Arcuscartilaginis
cricoideae
Faciesarticularis
thyroidea

Cartilaoinestracheales

Fig.220 Larynx,Larynx,
a n d h y o i db o n e ,0 s h y o i d e u m ;
viewedfrom the Left.

Os hyoideum Cartilago epiglottica


Lig hyoepiglotticum
Membrana thyrohyoidea
Bursa infrahyoidea

thyroidea,
Cartilago Cornusuperius

Lig thyrohyoideum
medianum Cartilagothyroidea, Lamina dextra

Corpusadiposumpreepiglotticum
Lig cricopharyngeum

Lig thyroepiglotticum
Cartilagoarytenoidea
Lig vestibulare
Lig cricoarytenoideum
Lig vocale
Lig cricopharyngeum
Lig cricothyroideum
medianum
Lamina cartilaginiscricoideae

Pharynx,
Tunicamucosa

Ligg anularia
Trachea, Paries membranaceus

Fig.221 Larynx,Larynx,
a n d h y o i db o n e ,0 s h y o i d e u m ;
m e d i a ns e c t i o n ;
mediaIview.
Musctes

Laryngealmuscles

Lamina cartilaginiscricoideae
Lig cricoarytenoideum
Cartilago
corniculata
Cartilago
thyroidea,
Cornusuperius

Proc.muscularis
]
Articulatio
cricothyroidea Ca'lilagoaMenoidea
I
Proc.vocalis )

Conuselasticus Conuselasticus

Arcuscartilaginis
cricoideae Lig. vocale

Cartilagothyroidea

Incisura
thyroidea
superior

F i g . 2 2 2 C a r t i t a g eo , a r t i L a g i n eLsa r y n g i s ,
s f the [arynxC
a n d v o c a lt i g a m e n t L, i g .voca|.e:
v e n t r o s u p e r i ovri e w .

a C r i c o t h y r o im
d u s c t e ,M . c r i c o t h y r o i d e u s 0 b t i q u ea n d t r a n s v e r s ea r y t e n o i dm u s c l e s ,
M m . a r y t e n o i d eoi b t i q u u se t t r a n s v e r s u s

L a t e r a Ic r i c o - a r y t e n o im
duscte, P o s t e r i ocrr i c o - a r y t e n omi du s c [ e ,
M . c r i c o a r y t e n o i d e u[ ast e r a t i s M .c r i c o a r y t e n o i d p eo us t e r i o r

F i g .2 2 3 a - d S c h e m as h o w i n gt h e f u n c t i o n s t h e m u s c t e so n t h e l e f t a r e r e [ a x e d ; t h o s o
en t h e r i g h t
o f t h e [ a r y n g e am I u s c l e s ,M m . [ a r y n g i s ; are contracted:
y e l t o wa r r o w s : t e n s i o no f t h e v o c a [[ i g a m e n t ; s u D e n o rv t e w .
r e da r r o w s : m u s c t ec o n t r a c t i o n :
b I u ea r r o w s : d i r e c t i o no f r o t a t i o n :
> Neck S k e l e t o nVot.l l
Thyroidgtand Pharyn
Laryngealmuscles

Os hyoideum,
Cornuminus Os hyoideum,
Cornumajus

Lig thyrohyoideumlaterale
Os hyoideum,
Corpus Cartilago triticea

Membrana
thyrohyoidea
Cartilago
thyroidea,
Cornusuperius

Lig thyrohyoideum
medianum
Cartilagothyroidea.Lamina sinistra

Incisura
thyroidea
superior Linea obliqua

Lig cricothyroideum
medianum
Cartilago
thyroidea,
Cornuinferius
Capsulaarticularis
cricothyroidea
Arcus cartilaginiscricoideae

M. cricothvroideus.
Parsrecta Cartilaginestracheales

lM cricothyroideus,
Parsobliqua

Fig.221 Cricothyroid muscte,


M .c r i c o t h y r o i d e u s ;
ventraL viewfromthe Left.

Epiglottis
Os hyoideum,
Cornumajus

Cartilagotriticea Os hyoideum

Lig hyoepiglotticum

Cartilago
thyroidea,
Cornusuperius Membrana thyrohyoidea

preepiglotticum
Corpusadiposum
Tuberculum
cuneiforme
lvl.thyroarytenoideus,
Cartilago
corniculata Parsthyroepiglottica
Cartilagoarytenoidea lvl arytenoideus
obliquus,
Parsaryepiglottica
M arytenoideus
obliquus M, thyroaMenoideus
M aMenoideus
transversus
M cricoarytenoideus
lateralis
posterior
M. cricoarytenoideus Parsrecla
\
I
Faciesarticularis
thyroidea I M cricothyroideus
HarsoDilqua
J

Cartilagotrachealis

Trachea,Pariesmembranaceus

Fig.225 LaryngeaIm u s c t e s M , m.[aryngis;


d o r s a Iv i e wf r o m t h e r i gh t .
Laryngealmuscles

Epiglottis
Cornumajus
Os hyoideum,

Cartilago
triticea

Cartilago
thyroidea,
Cornusuperius
cuneiformis
Cartilago
M thyroarytenoideus,
Parsthyroepiglottica M arytenoideusobliquus,
Parsaryepiglottica
M thyroarytenoideus
corniculata
Cartilago
Cartilagoarytenoidea
l/ arytenoideus
obliquus transversus
M, arvtenoideus

Cartilago Cornuinferius
thyroidea,

Capsulaarticularis
cricothyroidea
M cricoaMenoideusposterior
Cartilagocricoidea,Lamina

Cartilagotrachealis

Trachea.
Pariesmembranaceus

Fig.226 Laryngeal Mm laryngis;


musctes,
dorsaIview.

Os hyoideum,
Cornuminus
Cornumajus
Os hyoideum,
Epiglottis
Cartilagotriticea

Tuberculum
cuneiforme Cadilagothyroidea,
Cornusuperius
Tuberculum
epiglotticum Cartilago
cuneiformis

Canilago corniculata

M aMenoideustransversus Plicavestibularis

Ventriculus
laryngis Cartilagoarytenoidea

M arytenoideus
obliquus Plica vocalis
M vocalis
M. cricothyroideus
M cricoaMenoideusoosterior M cricoarvtenoideus
lateralis

Cartilagocricoidea,Lamina
Cartilagocricoidea,Lamina

Cartilagotrachealis

Fig.227 Larynx,Larynx;
s e c t i o n e df r o m d o r s a Li n t h e m e d i a np L a n e
a n d s e p a r a t e dw i t h h o o k s ;
d o r s a Iv i e w .
Thyroidgtand Pharynx

Fig.228a, b Laryngoscopy.
a I n d i r e c[ ta r y n g o s c o p y
b D i r e c te, n d o s c o pLi ca r y n g o s c o p y

Rima glottidis
Plica vocalis
Plica vestibularis

Cartilago arytenoidea;
Cartilagocorniculata
tnctsura
Recessus piriformis interarytenoidea
Fig. 229 Direct[aryngoscopy;
r e s p i r a t o r yp o s i t i o n .

Epiglottis

Ventriculis
laryngis Rima glottidis
Plicavocalis Plica vestibularis

Plicaaryepiglottica
Cartilagoarytenoidea;
Cartilagocorniculata
Inctsura
interarytenoidea
F i g . 2 3 0 D i r e c[ta r y n g o s c o p y ;
p h o n a t i opno s i t i o n .

Rimaglottidis,
Parsintermembranacea

Plicavestibularis

Fig.231 DirectLaryngoscopy;
w h i s p e r i npgo s i t i o n .
Musctes 0rgans T o p o g ra p h y S ections

Lig.hyoepiglotticum Badix linguae

Canilago epiglottica
preepiglotticum
Corpusadiposum

Os hyoideum

Bursainfrahyoidea

Lig thyrohyoideummedianum
Vestibulum
laryngis
Lig.thyroepiglotticum
Cartilago
thyroidea

Ventriculus
laryngis Plicavestibularis

Ventriculus
laryngis Lamina cartilaginiscricoideae

Plica vocalis Conuselasticus


Cavitasinfraglottica
Lig cricothyroideum
medianum
Tunicamucosa
Arcuscartilaginis
cricoideae
Trachea,
Pariesmembranaceus
Cartilagines
tracheales
(Spatium
oesophagotracheale)
lsthmusglandulae
thyroideae
Trachea

Fig.232 Larynx,Larynx.

Radix linguae
Lig hyoepiglotticum

preepiglotticum
Corpusadiposum

Os hyoideum

Lig.thyrohyoideum
medianum

Lig thyroepiglotticum

l\4 arytenoideus
transversus
Cartilago
thyroidea

Lamina cartilaginiscricoideae

Arcus cartilaginiscricoideae

Cartilagines tracheales

Fig.233 Larynx,Larynx;
p o s i t i oonf t h ee p i g t o t t d
i su r i n gs w a t t o w i n g .
Sur facep . 32 Vot.l l
| Sk eteton
Pharynx
Arteriesand

Rr linguales
I Papillaevallatae

N glossopharyngeus
ilXl *
a N. glossopharyngeus
lxl

A palatinaascendens, R tonsillariso

a Rr tonsillares

palatina
Tonsilla
Os hyoideum,
Cornumajus

Epiglottis
N. laryngeus
superior*

Valleculaepiglottica
A. laryngea
superior
a

Cartilago
thyroidea,
Cornusuperius
a N laryngeus
superior,
Rr interni

Adituslaryngis

Incisura
interarytenoidea

o M. aMenoideus
obliquus
Cartilagothyroidea,Lamina sinistra

Cartilago
thyroidea,
Cornuinferius
posterior
a L4 cricoarytenoideus

thyroidea
Glandula
A laryngea
inferior
a

parathyroidea
Glandula superior

Rr tracheales
a
0
A thyroidea interiorO
parathyroidea
Glandula inferior
N laryngeus
recurrens,
Br oesophageales
{}
* N laryngeus
recurrens

Fig.231 Arteries and nervesof the [arynx,Larynx.


a n dt h e r o o to f t h e t o n g u e R
, a d i xI i n g u a e
Musctes 0rgans Topography Sections

Larynx,transversesections

Sacculus
laryngis Sacculuslaryngis

Glandulae laryngeales
Ventriculus
laryngis

Plica vocalis
M thyroarytenoideus
{t
Rima glottidis

l\4 vocalis & , N laryngeus


superior,
R internus
a A laryngea
superior
^^*ir^^^
varurd9u
a W laryngeae
superiores
thyroidea,
Laminasinistra
Plica vestibularis

CartilagoaMenoidea

'.-fi.'n+
Recessus *^^t'. j Cavitas pharyngis
piriformis

lvl constrictorpharyngis{r
medtus

pharyngis
M constrictor &
interior

Mm arytenoidei* Plexusvenosuspharyngeus
transversus
et obliqui

F i g . 2 3 5 L a r y n x ,L a r y n x .
T h ew h i t e a r r o w i n d i c a t e st h e c o n n e c t i o nbetween
t h e [ a r y n g e avI e n t r i c L ae n d t h e [ a r y n g e asI a c c u l e .

Lig vocale
a M vocalis

a l\4 thyroarytenoideus

N laryngeus
superior

A laryngea
superiora
Cartilagoarytenoidea

W laryngeae
superiores
o

Cartilagothyroidea, ArticulatiocricoaMenoidea
Lamina sinistra

Cavitaspharyngis

piriformis
Recessus

Tunicamucosa

M cricoaMenoideus i
posterior o l\4 constrictorpharyngisinferior

Fig.236 Larynx,Larynx.
Sur facep . 32 Vot.l l
| Sk eteton
Thyroidgtand Pharynx

C o r n um i n u s Os hyoideum,
Corpus

Cornumajus
thyrohyoidea
Membrana

Cartilago
thyroidea,
Cornusuperius

Prominentia
laryngea

Cartilagothyroidea, Lamina dextra


medianum
Lig.cricothyroideum

thyroidea,
Glandula Lobussinister

lsthmusglandulae
thyroideae

Fig.237 Thyroidgtand,Gtandutathyroidea,
and [arynx,Larynx.

Os hyoideum,
Corpus

Bursaeinfrahyoideae
Cartilagotriticea

Lig,thyrohyoideum
medianum Membrana
thyrohyoidea

Cartilago
thyroidea,
Laminadextra
Glandula (Lobuspyramidalis,
thyroidea; Var)

Lig cricothyroideummedianum M cricothyroideus

Glandula
thyroidea,
Lobusdexter Glandula Lobussinister
thyroidea,

lsthmusglandulae
thyroideae

F i g . 2 3 8 T h y r o i dg L a n dG
, [anduta
thyroidea,
a n d [ a r y n x ,L a r y n x .
Mus c t e s 0rgans T o p o g ra p h y Sections

Thyroidgland,sections

Plexusthyroideus
impara lsthmusglandulae
thyroideae
Fascia cervicalis.Lamina suoerficialis
Fascia cervicalis,Lamina pretrachealis
a Platysma
Cartilagotrachealis o V jugularis
anterior
a M. sternohyoideus
Glandula thyroidea,
Lobus sinister a lvl sternothyroideus
O M sternocleidomastoideus
Trachea
R cardiacus ceruicalis,:
supenor
Oesophagus

Glandula parathyroidea
& N, laryngeus
recurrens
inlerior
O V jugularis
interna
o A carotiscommunis
Ganglion ceruico- :t
thoracicum lstellatum]
& N vagus[X]
l\/ longus colli a
Truncusjugularis
M scalenus anterior a dexter

l\4 scalenus medius o aaA;Vvertebralis

Fascia cervicalis,Lamina prevertebralis Pariesmembranaceus a A thyroidea


inferior
Vertebra Vll
cervicalis

F i g . 2 3 9 T h y r o i dg L a n dG
, L a n d u |t.hay r o i d e a ;
h o r i z o n t asLe c t i o n .

Cartilago epiglottica

Vestibulum
laryngis
Os hyoideum M arytenoideusobliquus,
Parsaryepiglottica
lvlembrana thyrohyoidea
I
Sacculus
laryngis
quadrangularis
Membrana
l\/ thyrohyoideus
Fascla cervicalis,
Lamina pretrachealis
Plica vestibularis
Lig vestibulare

Rima vestibuli Plica vocalis

Ventriculuslaryngis lvl constrictorpharyngis


inferior,
Cartilagothyroidea Parsthyropharyngea

Lig vocale M sternothyroideus

A; V thyroidea
superior M cricoarytenoideus
lateralis
Bima glottidis
lvl vocalis
Cavitas infraglottica
l\4 cricothyroideus
Cartilagocricoidea
Conuselasticus

Lig cricotracheale Glandula thyroidea

Cartilagotrachealis
Trachea

parathyroidea
Glandula interior

F i g . 2 t 0 T h y r o i dg [ a n d ,G L a n d u It.hay r o i d e a ;
f r o n t a Is e c t i o n .
Surfacep. 32 Vot.ll
| Skel.eton
Thyroidgtand Pharynx

* N. hypoglossus
[Xll]

s u b l i n g u aO
lis
o V lingualis

A lingualis
a a M hyoglossus

M hyoglossus a A carotisexlerna
a

& N laryngeussuperior,
A thyroidea
superiora R internus

a Bifurcatio
carotidis
A carotisexternaa)

a A laryngea
superior
l\il geniohyoideus
a

OA thyroidea supenor
Os hyoideum

lvlembrana
thyrohyoidea O A carotiscommunis

Glandula thyroidea,
Lobus dexter thyroidea
Cartilago

A. thyroidea
superior,
a Glandula thyroidea,
R glandularis
anterior Lobus sinister

Lig cricothyroideummedianum
M cricothyroideus
a

lsthmus glandulaethyroideae

F i g . 2 1 1 V e s s e l sa n d n e r v e so f t h e t h y r o i dg L a n d ,
G t a n d u Ltah y r o i d e aa, n d t h e [ a r y n x ,L a r y n x .

Mm infrahyoidei Cutis

lsthmusglandulae
thyroideae
Fascia ceruicalis, Cartilago
trachealis
Lamina pretrachealis

Glandulathyroidea,
Lobus dexter

A carotis
communts

l\4 longus colli


Vertebra
Vll
cervicalis

F i g . 2 1 2 T h y r o i dg t a n d ,G t a n d u t a thyroidea;
o b I i q u eu t t r a s o u n di m a g ei n v e n t r o d o r s adLi r e c t i o n ;
i n f e r i o rv i e w I r i g h t ,2 0 0 % )
* U l t r a s o u nsdh a d o w o f t h et r a c h e a
Pathological of the thyroidgland
enlargement

F i g . 2 1 3 T h y r o i dg L a n dG , [anduta thyroidea;
e n [ a r g e m e not f t h e t h y r o i dg l a n dw i t h t h r e eo b v i o u sn o d e s ,S t r u m an o d o s a .

Mm intrahyoidei

V jugularis
externa

Trachea

Corpusvertebrae

Costa

[/ erectorspinae
Proc.spinosus

* N o d e o f t h e t h y r o i dg t a n d

Fig.21t+ Neck,Cottum;
c o m p u t e dt o m o g r a p h i c( C T ls e c t i o n ;
inferiorview.
T h et r a c h e ai s d i s p L a c etdo w a r d st h e r i g h t b y a p a t h o l o g i c a l et yn t a r g e d
n o d eo f t h e t h y r o i dg l . a n d .

Mandibula
Claviculadextra

V jugularis

CostaI
Manubrium
sterni
Clavicula
sinistra

* N o d e o f t h e t h y r o i dg t a n d

Fig.245 Neck,Cotlum;
3 - d i m e n s i o n ar Ie c o n s t r u c t i ofnr o m c o m p u t e dt o m o g r a p h i c( C T )s e c t i o n s
s h o w i n ga h e a v i Leyn t a r g e d[ e f t [ o b eo f t h e t h y r o i dg l a n d ;
s a m e p a t i e n ta s i n F i 1 . 2 4 4 .
> Neck Sketeton

Nasalandpharyngealcavity,paramedian
section

Os nasale
Sinussphenoidalis
Septumnasi Alavomerissinistra
Ostiumpharyngeum
tubaeauditivae;
Plica salpingopalatina Torustubarius

Tonsillapharyngea
Toruslevatorius

Vestibulum
nasi Corpus
Os sphenoidale,

Plica salpingopharyngea

Atlas[C l]
Palatum molle
Arcuspalatopharyngeus

lvl genioglossusI Os occipitale

Lig,transversum
atlantis
Mandibula palatina
Tonsilla

M geniohyoideusa Pharynx

M mylohyoideus
o Spatiumretropharyngeum
Os hyoideum
Tuberculum
cuneiforme
Lig thyrohyoideummedianum
Lig hyoepiglotticum
Tuberculum
corniculatum
Cartilagoepiglottica
Corpus adiposum preepiglotticum
Lig longitudinaleposterius
Lig thyroepiglotticum
Cartilagothyroidea cricoideae
Laminacartilaginis
Plicavestibularis;
Plicavocalis
Spatiumepidurale
(A ; V thyroidea
cricothyroideus superior);
a o
Lig cricothyroideummedianum Duramaterspinalis

Arcus cartilaginiscricoideae
Lig longitudinale
anterius
Fascia ceruicalis,Lamina superficialis
Fascia cervicalis,
Fascia ceruicalis,Lamina pretrachealis Lamina prevertebralis

lsthmusglandulae
thyroldeae
(Spatium
retrooesophageum)
V thyroidea
inferiora

Oesophagus
Arcusvenosusjugulariso
(Spatiumoesophagotracheale)
M sternothyroideus
I
Trachea
Manubrium
sterni
a Truncusbrachiocephalicus
V brachiocephalicasinistra a

Nodus lymphoideuscervicalisanterior

F i g , 2 t 6 N a s a Ic a v i t yC , a v i t a sn a s i ;
, a v i t a so r i s ; p h a r y n x P
o r a I c a v i t yC , harynx,
a n d [ a r y n x ,L a r y n x ;
paramedian section.
Proc.pterygoideus,
Laminalateralis
M zygomaticusmajor
Arcuszygomaticus
M. procerus
M. tensor veli Dalatini

M. levatorveli palatini

Fasciapharyngo-
M levator basilaris
labiisuperioris
alaequenasi
M. stylo-
hyoideus
M. levator
labiisuperioris Condylus
occipitalis
M. zygomaticus
minor
Proc
mastoideus
M levatorangulioris
M. digastricus,
Venterposterior
Ductusparotideus;
M. buccinator Proc.styloideus
Hamuluspterygoideus
Lig stylohyoideum
M. orbicularis
oris, Raphepterygomandibularis
Parslabialis
M. styloglossus
M. stylopharyngeus
M. depressor
angulioris
M. digastricus,Venterposteriot
Parschondropharyngea
I M. constrictor
M mentalis l pnaryngrs
Parsceratopharyngea., medius
Platysma
M. stylohyoideus

M. mylohyoideus Os hyoideum,Cornumajus
A.; V. laryngea
superior;
M. digastricus,Venteranterior N. laryngeus superior
M. hyoglossus Membranathyrohyoidea
M. sternohyoideus
M. constrictorpharyngisinferior,
M. omohyoideus Parsthyropharyngea
M. thyrohyoideus
M. constrictorpharyngisinterior,
Parscricopharyngea
Carlilagothyroidea,
Laminasinistra
Oesophagus
f Parsrecta
M. cricothyroideus .l pars obliqua Cartilagotrachealis
\

'I Parspterygopharyngea
I
2 Parsbuccopharyngea [ ^,
M' ,constrictorpharyngissuperior
J eari myiopharyig6a I
Parsglossopharyngea I

F i g , 2 4 7 P h a r y n g ema lu s c t e sM, m .p h a r y n g i s ,
a n df a c i am
[ u s c l e sM. m .f a c i e i .
> Neck

Pharyngeal
muscles

Synchondrosis
petrooccipitalis

M levator
velipalatini
(Fasciculus
muscularis
accessorius)

Li9.sphenomandibulare

Proc.styloideus

M. constrictor
pharyngissuperior,
Parspterygopharyngea
M stylohyoideus
M digastricus,Venterposterior
Lig. stylohyoideum M constrictorpharyngissuperior,
Parsbuccopharyngea
M stylohyoideus
M. stylopharyngeus
M. pterygoideus
medialis M styloglossus
parotidea
Glandula Lig.stylomandibulare
M. digastricus,Venterposterior M constrictorpharyngissuperior,
Parsmylopharyngea

M pterygoideus
medialis M. pterygoideus
medialis
Mandibula M. stylohyoideus
Glandula
submandibularis
M. digastricus,Venterposterior
M. styloglossus
M stylohyoideus M constrictorpharyngissuperior,
Parsglossopharyngea
Os hyoideum,
Cornumajus M constrictorpharyngismedius,
Parschondropharyngea

M constrictorpharyngismedius,Parsceratopharyngea

M. constrictorpharyngisinferior,Parsthyropharyngea
Raphepharyngis

M. constrictorpharyngisinferior,Parscricopharyngea

Glandula
thyroidea,
Lobussinister Tunicamuscularis
Oesophagus,

Glandulathvroidea.Lobusdexter
Glandulaeparathyroideae
superioret inlerior
Glandulaeparathyroideae
superioret inferior

Tunicamuscularis
Oesophagus,

a tu s c t e sM, m .p h a r y n g i s
F i g . 2 4 8 P h a r y n g em
Musctes

lnnercontourof thepharynx

Concha nasalis
media
Concha nasalis inlerior
petrooccipitalis
Synchondrosis pharyngea
Tonsilla

M levator
veli palatini

Becessus
pnaryngeus Proc.styloideus

lvl digastricus,' Torustubarius


Venterposterior
Ostiumpharyngeum
tubaeauditivae
Glandula parotidea
Plica salpingopalatina
Noduli lymphoideipharyngeales
Toruslevatorius
Palatum molle
[Velum palatinum] M pterygoideus
medialis
Lig. stylomandibulare
Arcuspalatopharyngeus
Plicasalpingopharyngea
Uvula palatina
pharyngeales
Glandulae
Glandula
submandibularis
Lingua, Papillaevallatae Septumnasi

Radix linguae; Papillaevallatae palatina

(Plica pharyngoepiglottica)
Os hyoideum,Cornumajus

Epiglottis thyroidea,
Cornusuperius

Plica aryepiglottica

Tuberculumcuneiforme; Plicaneruilaryngeisuperioris
Cartilago cuneiformis
interaMenoidea
Incisura
Tuberculumcorniculatum;
Cartilago corniculata

Glandulae parathyroideae inferiores A; V. thyroideainferior

Levels of the pharynx;


A N a s o p h a r y n xP, a r sn a s a t i sp h a r y n g i s
B 0 r o p h a r y n xP, a r so r a t i sp h a r y n g i s
C L a r y n g o p h a r y nhx y, p o p h a r y n x ,
P a r s[ a r y n g e ap h a r y n g i s Fig.219 Pharynx,
Pharynx.

N. maxillaris[V/2]

I N glossopharyngeus
[X]

N vagus[X]

n f t h e p h a r y n xP
F i g .2 5 0 S e n s i b l ei n n e r v a t i o o , harynx.
Sk eteton

theparapharyngeal
space

N vagus[X] ,
,: N accessorius
[Xl],R internus
N, glossopharyngeus
lXl *r
N M constrictorpharyngis
superior
Bulbussuperioro
venaejugularis a W pharyngeae
S i n u sa jugulare
Foramen
Iransversus
S i n u so - i t
sigmoideus Os
temporale
Ganglion
supeflus a A meningea
posterior
carotisinternaa i, N caroticus
R auricularis internus
& Ganglioninferius
Proc mastordeus (tx)
[Xl],it
N accessorius
R externus a A carotisinterna
Proc styloideus
inferius(X)
a Ganglion
N hypoglossus[Xll] '
x N jugularis(Truncus
M stylopharyngeuso sympathicus)
N, glossopharyngeus
lXl * Bamusmandibulae

R pharyngealis
{} & Ganglion
cervicale
superius
(Truncus
sympathicus)

Venterposterior
M digastricus, t o A pharyngeaascendens

N laryngeus
superiort
A carotisexternaa) $ N glossopharyngeus
lxl

B pharyngealis
,r O A palatinaascendens
o A facialis
A lacialis a a A lingualis
A lingualis
a
O A carotisexterna
laryngeus
superior,
R, externus&
N laryngeus
superior,
R internus,,
a A thyroidea
superior
pharyngis
l\4 constrictor mediusA
* N cardiacus
cervicalis
superior
A thyroidea
superiora (Truncus
sympathicus)
o V jugularisinterna
Rr pharyngeales* O R, pharyngealis
*] N vagus[X]
M constrictorpharyngisinferior0 a A carotiscommunis
$ Plexuscaroticus
communis
& Truncussympathicus

Glandula thyroidea a Bulbusinferiorvenaejugularis

O B pharyngealis

r&Ganglion
cervicale
medium
A, thyroidea
inferiora

* Ganglion cervicothoracicum[stellatum]
R cardiacusceruicalissuDerior '
., N cardiacuscervicalismedius
Oesophagus
(Truncussympathicus)

252
Fig,251 VesseLs and nervesof the pharynx,Pharynx,
a n dt h e p a r a p h a r y n g e a
spI a c e ,S p a t i u ml a t e r o p h a r y n g e u m .
n*

Musctes

Vessels
and ne

Tonsillapharyngea Cartilagotubae auditivae;


Truncusneruiaccessorii,
R internus Ostium pharyngeumtubae auditivae
Fascia s N vagus[X]
N vagus[X] , pharyngobasilaris , N hypoglossus
[XIl]
N glossopharyngeus t N accessorius[Xl]
Itxl
a Bulbussuperior
Sinustransversus
O venaejugularis
I a A carotisinterna
S i n u ss i g m o i d e uos
, N accessorius
[Xl],
R externus
Ganglion inferius(X) :

a A occipitalis
N hypoglossus[Xll]
Proc mastoideus
Torus tubarius
cervicale
*. Ganglion superius
M digastricus,S (Truncus
sympathicus)
Venter posterior
g M tensorvelipalatini
M uvulae&
pharyngis
6 M constrictor
supeflor
Plica salpingopharyngea t M salpingopharyngeus
Tonsillapaiatina 0 M palatopharyngeus

Arcuspalatopharyngeus Sulcusterminalis

Plica aryepiglottica Dorsumlinguae,


Parsposterior
Cartilagothyroidea, Epiglottis
Cornu superius

s N laryngeus superior;
Tuberculum
cuneiforme o o A ; V laryngeasuperior
Tuberculum
corniculatum

Recessus piriformis, & N vagus[X]


Plicaneruilaryngei
superioris
a M. aMenoideus
transversus;
M. aMenoideus
obliquus

posterior
o M cricoarytenoideus
N vagus[X] .
E Truncussympathicus,
Plexuscaroticus
communis
Oesophagus,
Tunicamuscularis
thyroidea
Glandula
Ganglion medium.
cervicale
parathyroidea
Glandula inlerior
A thyroidea
inferiora
a Truncusthyrocervicalis
Bulbusinferioro
venaejugularis s N vagus[Xl,
R cardiacuscervicalis
superior
Truncus
thyroceruicalis
a o Bulbusinferiorvenaejugularis
Ganglion cervicothoracicum a A subclavia
[stellatum]

A;Vsubclaviaaa a V subclavia

{r N vagus[X]
V brachiocephalicasinistra a
, N laryngeus
recurrens
A carotiscommunisa
a V brachiocephalicadextra
N laryngeus
recurrensi
Trachea,Pariesmembranaceus

N vagus[X] ,
a Truncusbrachiocephalicus

Parsdescendensaortaea o V cavasuperior

231+

Fig.252 Vesselsand nervesof the pharynx,Pharynx,


a n dt h e p a r a p h a r y n g e a
spI a c eS
, p a t i u ml a t e r o p h a r y n g e u m
251
937
Sk eteton
Vo[.

/esse/sandnervesof the neck

a V auricularisoosterior
'J N auricularisposterior(Vll)

o A. auricularis
oosterior

a M epicranius,
M occipitofrontalis,
Venteroccipitalis

parotidea
Glandula

N auricularis
magnus,, .A occipitalis
Rr posteriores

V jugularis
externao

a V occipitalis

transversus
colli,,
Rr superiores
* N occipitalis
maJor

.' N occipitalisminor

s M sternocleidomastoideus

$ N auricularis
magnus

Platysma f
e M levatorscapulae

* N accessorius
[xl]
* lvl trapezius

t Nn supraclaviculares
laterales

F i g .2 5 3 V e s s e t sa n d n e r v e so f t h e a n t e r i o ra n d t h e l a t e r a Ir e g i o n
o f t h e n e c k ,R e g i o n e sc e r v i c a t eas n t e r i o re t L a t e r a I i s ;
superficia[layer.
Muscles

Vessels
and

a V auricularisDosterior

& N occipitalisminor
Platysma
a
O A occipitalis

V tacialis O a V occipitalis

N lacialis [Vll], R colli


a N occipitalis major

V retromandibularis
O magnus
I N auricularis
R communicans
s O M. spleniuscapitis
a M levatorscapulae
O M. trapezius
V jugularis
externaa
a N. accessorius[Xll
Nodi lymphoidei cervicales
N transversus
colli6 laterales. Nodi superficiales

V jugularis
anteriorO a Nn supraclaviculares
laterales

o M omohyoideus

M sternocleidomastoideus
o I Plexus brachialis

a V transversacolli
Arcusvenosusjugularisa

Nn supraclaviculares
r,
mediales I Nn supraclaviculares
intermedii

121
255

Fig.251 Vessetsand nervesof the lateraI regionof the neck,


R e g i oc e r v i c a t i lsa t e r a t i s ;
parts of the ptatysmahavebeen reftectedcraniattyand the 253
superficiallayer of the cervicaIfasciahas been [argetyremoved
> Neck Skel.eton

/esselsand nervesof theneck

V jugularis
internaa
posterior
a V auricularis
V retromandibularis
o

N facialis [Vll], R c o l l i

V facialis o
.. N occipitalisminor

Glandula aaA:V occioitalis


submandibularis

,* N occipitalis
maJor

M digastricus,*
Venteranterior

R suprahyoideus a
(A lingualis)

R. infrahyoideus
a
(A thyroideasuperior) S M sternocleidomastoideus

A carotisexlernaO
* M splenius
capitis
A laryngea
superiorO
, Plexuscervicalis
A thyroidea superior O
*' N. accessorius
[Xl]
A carotiscommunis
a

N vagus[X] ,, *, Plexusbrachialis,
Truncussuoerior

M omohyoideus,c a A. transversa
colli,
Ventersuperior R superficialis
i M omohyoideus,
Venter inferior

l\4 sternohyoideus
6
Clavicula

Ansaceruicalis,;
Radixsuperior
(Plexuscervicalis) a A transversa
colli,
R profundus
lvl sternothyroideus
*

l\4 scalenusanterior*

V jugularis
externao
a M deltoideus

A suprascapularis
a a A thoracoacromialis,
R deltoideus
O V cephalica
A subclaviaa
., Plexus brachialis,
M pectoralismajor fl A transversacolli a Pars supraclavicularis

21
t{, F i g . 2 5 5 V e s s e t sa n d n e r v e so f t h e a n t e r i o ra n d t h e L a t e r arIe g i o n
t o f t h e n e c k ,R e g i o n e sc e r v i c a L easn t e r i o re t [ a t e r a t i s ;
25t, t h e s u p e r f i c i aal n d t h e m i d d t e[ a y e ro f t h e c e r v i c a I f a s c r a
h a v eb e e nr e m o v e d .
Musctes 0rgans Topography S ections

lvl digastricus,
*
Venterposterior . V retromandibularis
N hypoglossus
[Xll] , N cervicalis [C2] R anterior

Glandula
submandibularis
posterior
a A auricularis
V.submentaliso. A
N mylohyoideus posterior
* N auricularis (N,facialis)

A submentalis
O 0 M sternocleidomastoideus

lvl stylohyoideus
*

M digastricus,
*
Venteranterior

minor
a N occipitalis

M mylohyoideusC

A lingualiso

V lacialis a
* N accessorius
[Xl]
A carotisexternaO

A laryngea
superiora
Badixsuperior.
Ansacervicalis,

A thyroidea superiora a N cervicalis [C3], R anterior

R sternocleidomastoideusa I N cervicalis [C4], R. anterior

V thyroidea
superiora & Ansa cervicalis,Radix inferior
* Plexus brachialis,Truncus suoerior
A cervicalis
ascendens
O a A transversa
colli,R superficialis

l\4 omohyoideus s M trapezius


e
a M omohyoideus,
Venterinferior
Glandula
thyroidea
oA transversacolli,
(A cervicalis R profundus
a
superticialis,
Var)
a A subclavia
N p h r e n i c u s.
o V jugularis
externa
M scalenusanteriore
o V,subclavia

Bulbusinleriora
venaejugularis C M pectoralis
mrnor

carotiscommunis
a)
a l\il deltoideus

vagus[X] , a a A ; V thoracoacromialis a V cephalica

M sternocleidomastoideus*

257

F i g . 2 5 6 V e s s e [ sa n d n e r v e so f t h e [ a t e r a Ir e g i o no f t h e n e c k ,
R e g i oc e r v i c a I i L
sateratis;
a f t e r a I m o s tc o m p L e t ree m o v a L otfh e s t e r n o c l e i d o m a s t o i d 255
muscLe.
> Neck Ske[eton

/esselsandnervesof the neck

, N hypoglossus
[Xll]

o V retromandibularis

a V jugularis
interna
B sternocleidomastoideusa
(A occipitalis)

A facialisa

Platysma t s l\4 sternocleidomastoideus

lvl mylohyoideus*
O A occipitalis
N mylohyoideus

* M spleniuscapitis
A submentalis
a

M digastricus,
S occipitalis
Venteranterior

Glandula
submandibularis
A carotis externa O
N laryngeussuperior
ar N accessorius[Xl]

A carotis interna a
A laryngeasuperior a

A thyroidea superiora
& M levatorscapulae
N vagus [X] ,,
i N ceruicalis[C5], R anterior
M omohyoideus,* I N ceruicalis[C6], B anterior
Venter superior
a (A ceruicalissuperficialis,Var )
A carotiscommunis
O ;, N cervicalis[C7], R anterior

Ansacervicalis e l\il omohyoideus, Venter inferior


(Plexuscervicalis)
a A suprascapularis
A thyroidea
inleriora

A cervicalisO
ascendens
o M deltoideus
Glandula thyroidea

A vertebralis,
a
Parsprevertebralis

N phrenicus,

Truncus
thyrocervicalis
a

A subclavia
O

A thoracica
internaa
,; Plexus brachialis,
Pars infraclavicularis
V jugularisinternaa o A axillaris
V brachioceohalicasinistra a
O A thoracoacromialis
V jugularis
externaa
I M pectoralisminor
lvl pectoralismajor, Pars clavicularis*
o V axillaris o V cephalica

t
Fig.257 Vessetsand nervesof the LateraIregionof the neck,
t R e g i oc e r v i c a t i [sa t e r a L i s ;
256 oeep rayer.
l l: -lil- r:l

Musctes

Vessels

N vagus [X]
a V jugularis
interna
[Xll] .
N hypoglossus
N mylohyoideus
A facialisO
(Truncus
Rr communicantes sympathicus)

a A occipitalis
A submentalis
a
o R mastoideus
A carotis externa a
N occipitalisminor

A carotisinternaa

Ganglion
ceruicale
superius; I N occipitalis
(Truncussympathicus) malor

M omohyoideus,Venter superior
i N accessorius
A thyroideasuperiora lxtl
lvl sternohyoideus&
a A cervicalis
R cardiacus ascendens
cervicalissuperior (N vagus)
Ansa ceruicalis,Radix superior , N phrenicus
(Plexus ceruicalis)

M constrictorpharyngisinferior.&
N cardiacus
ceruicalis
superior
M sternothyroideus
&
O (A ceruicalis Var)
superficialis,
(Ganglion
sympathicum * M scalenus
anterior
accessonum)
V thyroidea
superiora
,* N suprascapularis
A thyroideainferiora
Ganglion
cervicale
medium a A suDrascaDularis
TruncusO
thyroceruicalis
A subclavia Clavicula
a
A thoracica
internaa
N laryngeusrecurrens, a R acromialis
(A thoracoacromialis)
Trachea

V thyroidea
inferioro
A M deltoideus
N cardiacus
ceruicalis
medius(Truncus
sympathicus)
* M pectoralis
V vertebralis,
o minor,Tendo
Pars
prevertebralis
a A axillaris
A carotiscommunis
o

O A, thoraco-
V j u g u l a r i sn t e r n o
a acromialis

V brachio-O
cephalicasinistra
a V cephalica
V jugularis
externaa

M pectoralismajor6 , Plexus brachialis,


Pars infraclavicularis,
Fasciculusmedialis
CostaI
N pectoralismedialis a V axillaris
M pectoralis*
mtnor : N intercostobrachialis
V cephalicao ,, N thoracodorsalis

A ; V thoracica
lateralis
o a longus
: N thoracicus
a W thoracoepigastricae

F i g .2 5 8 V e s s e t sa n d n e r v e so f t h e l a t e r a lr e g i o no f t h e n e c k ,
s t e r a t i sa, n d t h e a x i t l a r yr e g i o n ,R e g i oa x i t l a r i s .
R e g i oc e r v i c a L li a
T h e n u m b e r sV - V l l l i n d i c a t ev e n t r a Lb r a n c h e so f t h e
c o r r e s p o n d i ncge r v i c a nI e r v e s
Sk eteton

of the neck

l\4 digastricus,
Venteranteriore
s lV mylohyoideus
V,jugularis
anteriorO s M hyoglossus
V submentalis
o a V submentalis
a A facialis
G l a n d u lsau b m a n d i b u l a r i s
oY.facialis
/ ,z

V facialis a

,, N hypoglossus
[Xll]
V retromandibularis
o
Glandula
parotidea

M stylohyoideus
*
o V facialis

V occipitalis
o

a V occipitalis
V facialisa

V jugularis
internao Prominentia
laryngea

V thyroidea
superiorO O V thyroidea
superior

V jugularis
externao f M sternocleidomastoideus
&.Ansaceruicalis.
Radixsuoerior
A carotiscommunis
al (Plexus cervicalis)

o V, jugularis interna
l\4 sternocleidomastoideusB
lsthmusglandulae
thyroideae
V cervicalis
suoerticialis
o
a V jugularis
externa
V transversa
collia o V jugularis
anterior
lV omohyoideus,s & M omohyoideus
Venter inlerior
& M. trapezius

V cephalica a

M pectoralismajor 6
o V cephalica

a M pectoralis
R perforans
(A thoracica
interna)a maJor
a V thoracoacromialis
R cutaneus
anteriorDectoralis
,
o V axillaris
Rr perforantes(A; V thoracica interna)a a
* lvl sternocleidomastoideus
V thyroidea inferiora O Arcusvenosusjugularis

F i g .2 5 9 V e i n so f t h e n e c k ,C o t l u m .
Musctes

Vessels
andnervesof the neckand the upperthoracicaperture

* N4digastricus,
Venteranterior
Os hyoideum a l\/1.
mylohyoideus
M hyoglossus
rt f N lingualis Venteranterior
,/ a M. digastricus,

o A facialis
V retromandibularis
a

a V facialis

& N hypoglossus
[Xll]

V occipitalis
o Glandula parotidea

M sternohyoideus
i
o V thyroidea
superior
M thyrohyoideusA

M omohyoideus
o * M sternocleidomastoideus

A thyroidea
superioro s Ansacervicalis,
Fladixsuperior
(Plexuscervicalis)
Cartilago
thyroidea

V jugularis
externaa * N vagus[X]
Glandula
thyroidea
a V. thyroidea media
Plexusthyroideus
impara
& N accessorius
[Xl]
N. vagus[X] ;,
& N phrenicus

A transversa & Plexus


a brachialis,
colli Parssupra-
clavicularis

V transversaO
colli t M omo-
hyoideus

V jugularis
O Clavicula
anterior

A subclavia
o a A subclavia;
o V jugularis
exlerna

V.subclavia
o a V subclavia

V brachio-a a V cephalica
cephalica
dextra
a V jugularis
V thyroideaa interna
inferior

a M. pectoralis
major
V thoracica
internao
CostaI
V cavasuperiora ,* N vagus[X]
V brachioceohalica
sinistraa i N laryngeus a A carotiscommunis;
recurrenssinister t N laryngeusrecurrens
ParsascendensaortaeO sinister
o Vv thymicae

F i g . 2 6 0 V e s s e t sa n d n e r v e so f t h e n e c k ,C o l t u m ,a n d
, p e r t u r at h o r a c i ss u p e r i o r .
t h e u p p e rt h o r a c i ca p e r t u r eA
259
Lymphatics
of

Noduslymphoideus
buccinatorius

Nodi lymphoideitaciales

Nodus
lymphoideus
M digastricus,a JUgulo-
Venteranlerior digastricus

Nodilymphoidei
submandibulares

Nodi lymphoidei Nodi lymphoidei


submentales occipitales

I M sternocleidomastoideus
Nodi lymphoideicervicaleslaterales,
Nodi profundisuperiores
a M splenius
capitis

M omohyoideus,
Ventersuperiora Nodi lymphoideiceruicaleslaterales,
Nodi suDerficiales

Nodilymphoidei
cervicales
laterales, e M levatorscapulae
Nodiprolundiinferiores

{,}N accessorius[Xl]
Noduslymphoideus
juguloomohyoideus
t M scalenusmedius
A carotiscommunis
a
O M. trapezius
V jugularis
internaa
C M scalenusposterior
Nodus lymphoideuscervicalislateralis,
Nodus orofundus inferior
*' Plexus brachialis,
Pars supraclavicularis
M scalenus anterior C

a M omohyoideus,Venter inferior

Fig.261 Superficia[lymphatics,Vasalymphatica
s u p e r if c i a l i aa, n d [ y m p hn o d e s ,N o d it y m p h o i d e o
i ,f t h e
h e a da n d t h e n e c ko f a n B - y e a r - o t d chitd.
Musctes

Vessels
and submandibular trianqIe

R marginalis
mandibularis
,a
Glandula parotidea
o a v;A facialis
M stylohyoideus
t
Glandula
submandibularis

& N. mylohyoideus

o M mylohyoideus

o M digastricus,
Venteranterior
[Xll] '
N hypoglossus

N accessorius[Xl] a M hyoglossus

Ansacervicalis, a N hypoglossus
[Xll]
Fladixsuperior

o A lingualis
N vagus[X]

V jugularis
externaa a M digastricus,
Tendointermedius

Os hyoideum
lvl sternocleidomastoideus
o
V jugularis
internaa
a A lingualis
A carotisexternaa
a A thyroidea o * A laryngea N laryngeus
superior; superior
supenor

F i g , 2 6 2 V e s s e t sa n d n e r v e so f t h e s u b m a n d i b u t at r i a n g t e ,
T r i q o n u ms u b m a n d i b u [ a r e .

1 o/o 4o/o 12o/o 30 % 35o/o 12o/o 5To

F i g . 2 6 3 L e v e lo f t h e b i fu r c a t i o no f t h e c o m m o nc a r o t i da r t e r y ,
A c a r o t i sc o m m u n i s i. n r e t a t i o nt o t h e c e r v i c avI e r t e b r a e .
Sur facep . 32 Vot.l l
| Sk eteton

Subclavian

A vertebralis,
Pars
intracranialis

A vertebralis,
Parsatlantica

A vertebralis,Parstransversaria

A ceruicalisprofunda A vertebralis,
Pars prevertebralis

A ceruicalis
ascendens
Truncuscostocervicalis
A carotiscommunis
Vertebra cervicalis Vll
(A,cervicalis Var)
superficialis,

Truncusthyrocervicalis

VertebrathoracicaI A thyroidea
inferior

A, subclavia

A carotiscommunis
(A scapularis
descendens,
Var) A. suprascapularis

intercostalis
suprema
TruncusbrachioceDhalicus

Clavicula
CostaI
Manubrium
sterni
posterior
A intercostalis ll posterior
A. intercostalis I

A axillaris A thoracica
interna

Fig. 264 Subctavianartery,


A. subctavia.

90 0k

F i g .2 6 5 L e v eoLf t h ee n t r yo f t h e F i g . 2 6 6a - f V a r i a t i o n si n t h e t r u n c u sf o r m e db y t h e i n f e r i o rt h y r o i da r t e r y ,
vertebraIarteA r y.,v e r t e b r a Liinst,ot h e A . t h y r o i d e ai n f e r i o r t, h e s u p r a s c a p u t aarr t e r y ,A . s u p r a s c a p u t a r itsh, e
t r a n s v e r sf e
o r a m i n aF,o r a m i ntar a n s v e r s a r i a t r a n s v e r s ec e r v i c aaLr t e r y ,A . t r a n s v e r s ac o t I i ,a n d t h e i n t e r n a L
thoracic
a r t e r y ,A . t h o r a c i c ai n t e r n a w
, h e n t h e v e r t e b r a aI r t e r y ,A v e r t e b r a l i s ,
b r a n c h e so f f s e p a r a t e tfyr o m t h e c o s t o c e r v i c a t rIu n c u s ,T r u n c u s
costocervicaIis.
Mu s c t e s

Vessels
andnervesof the neckand the upperthoracicaperture

Lig longitudinale
anterius Vertebracervicalislll

M, longuscapitisa
Discusintervertebralis
M scalenusmediuso
R interganglionaris.,
a A vertebralis,Parstransversaria
Truncussympathicus,
Ganglion
cervicale
medium
N p h r e n i c u s, ,

l\4 scalenusanteriora t Truncussuperior


M scalenusoosterior a
* Truncusmedius Plexus brachialis
V vertebralisa
Vertebracervicalis
Vll. Proc transversus Truncusinferior
A vertebralis
a
Truncusthyrocervicalis a
prolundaa a
A ; V ceruicalis

(Nn phrenici
accessorii)

aA subclavia

e N phrenicus
Ansa subclavia

OA carotis
communls

o M longuscolli

o Arcusaortae

A I V thoracica interna a a O TruncusbrachioceDhalicus


Pleura parietalis

V cavasuperioro a W brachiocephalicae
dextra et sinistra

F i g . 2 6 7 V e s s e l sa n d n e r v e sa t t h e t r a n s i t i o n
f r o m t h e n e c kt o t h e t h o r a x .
T h e n u m b e r sl V - V l l li n d i c a t ev e n t r a Ib r a n c h e so f t h e
c o r r e s p o n d i nsgp i n a In e r v e s

F i g .2 5 8 a - d V a r i a t i o n isn t h e o r i g i no f t h e v e r t e b r a aL r t e r y ,
A.vertebratis
5keleton

Platysma
c Lig vocale

Cartilagocricoidea
Cartilagothyroidea
Cartilago arytenoidea
M sternohyoideus
G
piriformis
Flecessus
M thyrohyoideus
a
pharyngis
a M, constrictor inferior
M omohyoideus
*
o A, thyroidea
superior
lvl sternothyroideus
a
E Truncus
sympathicus
A carotiscommunis
a
t l\4 longuscolli
Ganglion ceruicalemedium .,
Nodilymphoidei
cervicales
Nodiprolundisuperiores
laterales,
N vagus[X] ,,
a A vertebralis
V jugularisinternao
a A cervicalis
ascendens
M sternocleido-
a
mastoideus *l N. spinalis[C5]

r'
N phrenicus a V jugularis
externa

M scalenusanteriorc VertebraceruicalisV
Corpus

M scalenusmediusa Spatiumsubarachnoideum

Spatiumepidurale;
O Plexusvenosus
M levator scapulae I vertebralis
internus

M spleniusceruicis
et capitisC Periosteum

l\4 semispinaliscapitis O
Duramaterspinalis

M multilidusceruicis *

lvl trapeziusI t M spinalis

Medulla spinalis
Vertebra cervicalis lV
Proc spinosus

F i g . 2 6 9 N e c k ,C o t l u m ;
t T a n s v e r ssee c t i o na t t h e levetof the vocaIcord.
Mus ct e s 0rgans T o p o g ra p h y Sections

transversesection

o V jugularis
anterior

M sternohyoideus a V thyroidea
inferior
a
M sternothyroideus
o
M sternocleidomastoideus
o & N vagus[X]
lsthmus glandulaethyroideae
o V jugularis
interna
V thyroidea lnferior a
o V jugularis
externa
Oesophagus
Noduslymphoideus
Clavicula cervicalis
lateralis,
Nodusprofundus interior
M omohyoideus
a
a A carotiscommunis

l\4.scalenus a
antenor o * A. ceruicalis
ascenoens;
Plexusbrachialis
* N phrenicus
& N laryngeus
recurrens
M scalenusa
posterior
o V vertebralis
M scalenusa c M scalenus
medrus medius
M longuscollia aA vertebralis

N spinalis* Costa I

Vertebra
thoracical, a M supra-
Corpus sprnalus

Medulla Scapula
spinalis
thoracica

Vertebrathoracical. Proc soinosus

F i g . 2 l O N e c k ,C o L t u m ;
t r a n s v e r s es e c t i o na t t h e L e v eoLf t h e f i r s t t h o r a c i cv e r t e b r a .
"..0r gans I Topogr aphyI Sec ti ons

cavityand pharynx,

pharyngea
Tonsilla

Palatum molle
[Velum palatinum]

Lig hyoepiglotticum
M.constrictor
pharyngis
superior

Epiglottis

Os hyoideum

M constrictor
pharyngis medius
orbicularis
oris,
Parslabialis
Lig thyrohyoideum
medianum

Cartilago
thyroidea
M genioglossus M aMenoideustransversus
M constrictor
pharyngis
inferior
M geniohyoideus medianum
Lig.cricothyroideum
Cartilagocricoidea

Fascia cervicalis,
M, mylohyoideus Lamina superficialis

Glandula thyroidea Canihgines tracheales

Fig.271 Faciap L a r t o f t h e h e a d ,C a p u t ,a n d n e c k ,C o L [ u m ;
m e d i a ns e c t i o nt h r o u o ht h e h e a do f a n e o n a t e .

F i g . 2 7 2 S c h e m ai l l u s t r a t i n gt h e d i s t a n c eb e t w e e n F i g . 2 7 3 S c h e m ai t l u s t r a t i n gt h a t t h e L a r y n xi n
t h e r o o to f t h e t o n g u e ,R a d i xI i n g u a ea, n d t h e e p i g [ o t t i s , t h e n e o n a t ei s p o s i t i o n e d
c o n s i d e r a b thyi g h e rt h a n
E p i g t o t t i si n
, theadutt i n t h ea d u t t .

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