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The pretracheal layer of the deep cervical fascia passes in front of the carotid sheath (i.e., common carotid artery, internal jugular vein, and vagus nerve) and in front of the cervical viscera (larynx, oesophagus, and pharynx). The muscular layer ensheathes the infrahyoid muscles. Above, the pretracheal fascia is fixed to the hyoid bone.
The infrahyoid muscles, or strap muscles, are a group of four pairs of muscles in the anterior (frontal) part of the neck. [1] The four infrahyoid muscles are the sternohyoid, sternothyroid, thyrohyoid and omohyoid muscles.
The carotid sheath is a condensation of the deep cervical fascia [1]: 578 enveloping multiple vital neurovascular structures of the neck, [2] including the common and internal carotid arteries, the internal jugular vein, the vagus nerve (CN X), and ansa cervicalis. [1]: 578 [2] The carotid sheath helps protects the structures contained therein. [2]
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The head rests on the top part of the vertebral column, with the skull joining at C1 (the first cervical vertebra known as the atlas).The skeletal section of the head and neck forms the top part of the axial skeleton and is made up of the skull, hyoid bone, auditory ossicles, and cervical spine.
Fascial spaces (also termed fascial tissue spaces [1] or tissue spaces [2]) are potential spaces that exist between the fasciae and underlying organs and other tissues. [3] In health, these spaces do not exist; they are only created by pathology, e.g. the spread of pus or cellulitis in an infection.
The buccopharyngeal fascia is a thin lamina given off from the pretracheal fascia. [citation needed] It is the portion of the pretracheal fascia situated posterior and lateral to the pharynx. It encloses the entire superior part of the alimentary canal. [3] The buccopharyngeal fascia envelops the superior pharyngeal constrictor muscles.
Roof: Investing layer of the deep cervical fascia. Floor: (From superior to inferior) 1) M. semispinalis capitis 2) M. splenius capitis 3) M. levator scapulae 4) M. scalenus posterior 5) M. scalenus medius