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The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. [ 3 ]
The accessory nerve is tested by evaluating the function of the trapezius and sternocleidomastoid muscles. [8] The trapezius muscle is tested by asking the patient to shrug their shoulders with and without resistance. The sternocleidomastoid muscle is tested by asking the patient to turn their head to the left or right against resistance. [8]
There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
The supraclavicular nerve is a cutaneous (sensory) nerve of the cervical plexus that arises from the third and fourth cervical (spinal) nerves.It emerges from beneath the posterior border of the sternocleidomastoid muscle, then split into multiple branches.
The anterior margin of sternocleidomastoid Superior boundary (base) The lower border of the body of the mandible, and a line extending from the angle of the mandible to the mastoid process
The great auricular nerve is a large trunk that ascends almost vertically over the sternocleidomastoid. [2] It winds around the posterior border of the sternocleidomastoid muscle, then perforates the deep fascia before ascending alongside the external jugular vein upon that sternocleidomastoid muscle beneath the platysma muscle to the parotid gland. [1]
Controls the sternocleidomastoid and trapezius muscles, and overlaps with functions of the vagus nerve (CN X). Symptoms of damage: inability to shrug, weak head movement. XII Hypoglossal: Mainly motor Medulla: Located in the hypoglossal canal.
The mastoid process serves for the attachment of the sternocleidomastoid, the posterior belly of the digastric muscle, splenius capitis, and longissimus capitis. On the medial side of the process is a deep groove, the mastoid notch, for the attachment of the digastric muscle ; medial to this is a shallow furrow, the occipital groove , which ...