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Blood supply of the head and
           neck
ARTERIES OF THE HEAD AND
NECK
Branches of the Arch of Aorta
1. Brachiocephalic artery - divides into right
   common carotid artery and right subclavian
   artery.

2. Left common carotid artery

3. Left subclavian artery
A. SUBCLAVIAN ARTERY
ORIGIN
Right:
Brachiocephalic a.




Left:
Arch of aorta
COURSE
      Subclavian triangle



Beneath the clavicle up the level
         of the 1st rib



  Terminates as the axillary a.
Branches of the Subclavian Artery:
1. Vertebral A. -
       enters the transverse foramina of the cervical vertebrae enters the
     foramen magnum into the cranial cavity.

2.   Thyrocervical trunk. -
       supplies the thyroid, neck and scapular region

3. Internal Thoracic A. -
       supplies the mammary gland, anterior thoracic wall and diaphragm.

4. Costocervical trunk –
       gives off the deep cervical artery and supreme intercostal artery.
11.




14.               12.




            13.
B. COMMON CAROTID ARTERY
- The main arterial trunk which gives rise to
  branches that supply the head and neck.

- Enclosed in the carotid sheath found in the
  carotid triangle.
ORIGIN

Right :
   Brachiocephalic
artery

Left:
   Arch of Aorta
COURSE

Ascends within the carotid sheath
Up to the level of the upper border
      of the thyroid cartilage



    Divides into its to branches



   At the bifurcation is a slight
 enlargement called carotid sinus
BRANCHES


1. Internal Carotid A.


2. External Carotid A.
C. INTERNAL CAROTID ARTERY
ORIGIN             Commencement
Common Carotid Artery   Upper border of the thyroid
                                cartilage
Branches:
A. Cervical portion :
     no branches in the neck

B. Petrossal portion:
      Carotico-tympanic A. supplies the middle ear

C. Intracranial portion
     divides into:
        1. anterior cerebral A.
        2. middle cerebral A.
Caroticotympanic A.
D. EXTERNAL CAROTID A.
ORIGIN             Commencement
Common Carotid Artery   Upper border of the thyroid
                                cartilage
Termination
Back of the neck of the mandible where it divides into superficial temporal
a. and maxillary a.
5


6
        4

            3

            2
    7




        1


8
Branches of External Carotid A.:

                         Maxillary A.
Artery             Further branches               Tissues supplied


1. Superior Thyroid A.   a. Infrahyoid A.              Hyoid bone

                         b. Superior laryngeal A.      Larynx

                         c. Sternocleidomastoid A.     SCM

                         d. Cricothyroid A.            Cricothyroid M.

                         e. Terminal glandular         Thyroid gland
                            branches
2. Lingual A.            a. Dorsal lingual branches    Tissues superior to the hyoid
                                                       bone, including suprahyoid
                         b. Sublingual A.              m. and floor of the mouth;

                                                       Tongue;
                         c. Deep A. of the tongue or
                            profunda linguae A.
Artery                 Further branches             Tissues supplied

3. Facial A.                a. Cervical A.                -Face in the oral, buccal,
                               i. Ascending palatine      zygomatic, nasal ,
                               ii. Tonsillar              infraorbital, and orbital
                               iii. Glandular branch to   regions.
                                 submandibular gland      -Soft palate, palatine m.,
                               iv. Submental a.           palatine tonsils;
                                                          -Submandibular lymph
                            b. Facial A.                  nodes, submandibular
                               i. Inferior labial a.      salivary glands, mylohyoid,
                               ii. Superior labial a.     digastric m.,
                               iii. Lateral nasal a.      -Muscles of facial
                               iv. Angular a.             expression

4. Occipital a.             Medial and lateral branches SCM, meninges, mastoid,
                                                        and ear.

5. Posterior Auricular a.   a.   Muscular a.              Internal ear and mastoid air
                            b.   Parotid a.               cells
                            c.   Stylomastoid a.
                            d.   Terminal auricular a.
                            e.   Occipital a.
Artery                     Further branches         Tissues supplied

6. Ascending pharyngeal a.   i.  Small Pharyngeal        Pharyngeal walls soft palate,
                                 branches                meninges of the brain
                             ii. Meningeal branches


7. Superficial temporal a.   i.     Parotid              -Parotid duct;
                             ii.    Auricular,           -Temporalis m.;
                             iii.   Transverse facial,   -Portions of the scalp in the
                             iv.    Middle temporal,     frontal and parietal regions
                             v.     Zygomatic,
                             vi.    Anterior terminal,
                             vii.   Posterior terminal
                                    branches

8. Maxillary a.
Branches of the Maxillary A.
      Major Branches        Further Branches         Tissues Supplied
Middle meningeal       Anterior and posterior   Meninges of the brain and
                       branches                 bones of skull

Inferior alveolar      Mylohyoid, mental, and   Mandibular teeth, floor of
                       incisive                 the mouth, and mental
                                                region

Deep temporal                                   Temporalis m.
Pterygoid                                       Lateral and medial
                                                pterygoid

Masseteric                                      Masseter m. and TMJ
Buccal                                          Buccinator m. and buccal
                                                region
Branches of the Maxillary A.
      Major Branches               Further Branches             Tissues Supplied

Posterior superior alveolar                                Posterior maxillary teeth,
                                                           gums and mucous
                                                           membrane and maxillary
                                                           sinus
Infraorbital                  Orbital and anterior         Anterior part of cheek,
                              superior alveolar            upper eyelid, lacrimal
                                                           gland, side of the nose,
                                                           root of the upper lip
Descending palatine           Lesser palatine              Hard and soft palate,
                                                           mucosa and glands; gingiva
                                                           on the lingual surface of
                                                           the upper alveolar process
Sphenopalatine                Lateral nasal, septal, and   Nasal cavity , the adjacent
                              nasopalatine                 sinuses and the pharynx
9.
          10.


1.                             8.

                                    7.




                              6.
     2.


                         5.

          3.
               4.
VEINS OF THE HEAD AND NECK
A. Superficial Veins
1.   External jugular vein

2.   Anterior jugular vein
B. Deep Veins
1.   Anterior facial vein

2.   Internal jugular vein

3.   Subclavian vein
Region or Tributaries         Drainage Veins                   Major Veins
         Drained

Meninges of the brain      Middle meningeal              Pterygoid plexus

Lesser scalp area          Superficial temporal and      Retromandibular and
                           posterior auricular           external jugular

Frontal region             Supratrochlear and            Facial and ophthalmic
                           supraorbital

Orbital region             Ophthalmic                    Cavernous sinus and
                                                         pterygoid plexus

Superficial temporal and   Retromandibular vein          External jugular
maxillary veins

Upper lip area             Superior labial               Facial

Maxillary teeth            Posterior superior alveolar   Pterygoid plexus
Region or Tributaries             Drainage Veins            Major Veins
         Drained

Lower lip areas               Inferior labial         Facial

Mandibular teeth and          Inferior alveolar       Pterygoid plexus
submental region

Submental region              Submental               Facial



Lingual and sublingual        Lingual                 Facial or internal jugular
regions

Deep facial areas and         Pterygoid plexus        Maxillary
posterior superior alveolar
and inferior alveolar veins


Pterygoid plexus of veins     Maxillary               Retromandibular
BLOOD TRACING
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  • 1.
  • 2. Blood supply of the head and neck
  • 3. ARTERIES OF THE HEAD AND NECK
  • 4. Branches of the Arch of Aorta 1. Brachiocephalic artery - divides into right common carotid artery and right subclavian artery. 2. Left common carotid artery 3. Left subclavian artery
  • 7. COURSE Subclavian triangle Beneath the clavicle up the level of the 1st rib Terminates as the axillary a.
  • 8. Branches of the Subclavian Artery: 1. Vertebral A. - enters the transverse foramina of the cervical vertebrae enters the foramen magnum into the cranial cavity. 2. Thyrocervical trunk. - supplies the thyroid, neck and scapular region 3. Internal Thoracic A. - supplies the mammary gland, anterior thoracic wall and diaphragm. 4. Costocervical trunk – gives off the deep cervical artery and supreme intercostal artery.
  • 9. 11. 14. 12. 13.
  • 11. - The main arterial trunk which gives rise to branches that supply the head and neck. - Enclosed in the carotid sheath found in the carotid triangle.
  • 12. ORIGIN Right : Brachiocephalic artery Left: Arch of Aorta
  • 13. COURSE Ascends within the carotid sheath Up to the level of the upper border of the thyroid cartilage Divides into its to branches At the bifurcation is a slight enlargement called carotid sinus
  • 14. BRANCHES 1. Internal Carotid A. 2. External Carotid A.
  • 16. ORIGIN Commencement Common Carotid Artery Upper border of the thyroid cartilage
  • 17. Branches: A. Cervical portion : no branches in the neck B. Petrossal portion: Carotico-tympanic A. supplies the middle ear C. Intracranial portion divides into: 1. anterior cerebral A. 2. middle cerebral A.
  • 19.
  • 21. ORIGIN Commencement Common Carotid Artery Upper border of the thyroid cartilage
  • 22. Termination Back of the neck of the mandible where it divides into superficial temporal a. and maxillary a.
  • 23. 5 6 4 3 2 7 1 8
  • 24. Branches of External Carotid A.: Maxillary A.
  • 25. Artery Further branches Tissues supplied 1. Superior Thyroid A. a. Infrahyoid A. Hyoid bone b. Superior laryngeal A. Larynx c. Sternocleidomastoid A. SCM d. Cricothyroid A. Cricothyroid M. e. Terminal glandular Thyroid gland branches 2. Lingual A. a. Dorsal lingual branches Tissues superior to the hyoid bone, including suprahyoid b. Sublingual A. m. and floor of the mouth; Tongue; c. Deep A. of the tongue or profunda linguae A.
  • 26. Artery Further branches Tissues supplied 3. Facial A. a. Cervical A. -Face in the oral, buccal, i. Ascending palatine zygomatic, nasal , ii. Tonsillar infraorbital, and orbital iii. Glandular branch to regions. submandibular gland -Soft palate, palatine m., iv. Submental a. palatine tonsils; -Submandibular lymph b. Facial A. nodes, submandibular i. Inferior labial a. salivary glands, mylohyoid, ii. Superior labial a. digastric m., iii. Lateral nasal a. -Muscles of facial iv. Angular a. expression 4. Occipital a. Medial and lateral branches SCM, meninges, mastoid, and ear. 5. Posterior Auricular a. a. Muscular a. Internal ear and mastoid air b. Parotid a. cells c. Stylomastoid a. d. Terminal auricular a. e. Occipital a.
  • 27. Artery Further branches Tissues supplied 6. Ascending pharyngeal a. i. Small Pharyngeal Pharyngeal walls soft palate, branches meninges of the brain ii. Meningeal branches 7. Superficial temporal a. i. Parotid -Parotid duct; ii. Auricular, -Temporalis m.; iii. Transverse facial, -Portions of the scalp in the iv. Middle temporal, frontal and parietal regions v. Zygomatic, vi. Anterior terminal, vii. Posterior terminal branches 8. Maxillary a.
  • 28. Branches of the Maxillary A. Major Branches Further Branches Tissues Supplied Middle meningeal Anterior and posterior Meninges of the brain and branches bones of skull Inferior alveolar Mylohyoid, mental, and Mandibular teeth, floor of incisive the mouth, and mental region Deep temporal Temporalis m. Pterygoid Lateral and medial pterygoid Masseteric Masseter m. and TMJ Buccal Buccinator m. and buccal region
  • 29. Branches of the Maxillary A. Major Branches Further Branches Tissues Supplied Posterior superior alveolar Posterior maxillary teeth, gums and mucous membrane and maxillary sinus Infraorbital Orbital and anterior Anterior part of cheek, superior alveolar upper eyelid, lacrimal gland, side of the nose, root of the upper lip Descending palatine Lesser palatine Hard and soft palate, mucosa and glands; gingiva on the lingual surface of the upper alveolar process Sphenopalatine Lateral nasal, septal, and Nasal cavity , the adjacent nasopalatine sinuses and the pharynx
  • 30. 9. 10. 1. 8. 7. 6. 2. 5. 3. 4.
  • 31.
  • 32. VEINS OF THE HEAD AND NECK
  • 33.
  • 35. 1. External jugular vein 2. Anterior jugular vein
  • 36.
  • 38. 1. Anterior facial vein 2. Internal jugular vein 3. Subclavian vein
  • 39.
  • 40. Region or Tributaries Drainage Veins Major Veins Drained Meninges of the brain Middle meningeal Pterygoid plexus Lesser scalp area Superficial temporal and Retromandibular and posterior auricular external jugular Frontal region Supratrochlear and Facial and ophthalmic supraorbital Orbital region Ophthalmic Cavernous sinus and pterygoid plexus Superficial temporal and Retromandibular vein External jugular maxillary veins Upper lip area Superior labial Facial Maxillary teeth Posterior superior alveolar Pterygoid plexus
  • 41. Region or Tributaries Drainage Veins Major Veins Drained Lower lip areas Inferior labial Facial Mandibular teeth and Inferior alveolar Pterygoid plexus submental region Submental region Submental Facial Lingual and sublingual Lingual Facial or internal jugular regions Deep facial areas and Pterygoid plexus Maxillary posterior superior alveolar and inferior alveolar veins Pterygoid plexus of veins Maxillary Retromandibular
  • 42.