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The nerve passes deep to the neck of the mandible [1] - between it and the sphenomandibular ligament [2]: 364 - and then courses deep to the lateral pterygoid muscle. [1] It issues parotid branches and then turns superiorly, posterior to its head and moving anteriorly, gives off anterior branches to the auricle .
The great auricular nerve is a cutaneous (sensory) nerve of the head. It originates from the second and third cervical (spinal) nerves (C2-C3) of the cervical plexus.It provides sensory innervation to the skin over the parotid gland and the mastoid process, parts of the outer ear, and to the parotid gland and its fascia.
There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5] The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid.
The head and neck are emptied of blood by the subclavian vein and jugular vein. Right side of neck dissection showing the brachiocephalic, right common carotid artery and its branches. The brachiocephalic artery or trunk is the first and largest artery that branches to form the right common carotid artery and the right subclavian artery.
The cervical branch of the facial nerve is a branch of the facial nerve (VII). It runs forward beneath the platysma muscle, and forms a series of arches across the side of the neck over the suprahyoid region. One branch descends to join the cervical cutaneous nerve from the cervical plexus.
Injury to Erb's point is commonly sustained at birth or from a fall onto the shoulder.The nerve roots normally involved are C5 and partly C6. Symptoms include paralysis of the biceps, brachialis, and coracobrachialis (through the musculocutaneous nerve); the brachioradialis (through the radial nerve); and the deltoid (through the axillary nerve).
The marginal mandibular nerve may be injured during surgery in the neck region, especially during excision of the submandibular salivary gland or during neck dissections due to lack of accurate knowledge of variations in the course, branches and relations.
The internal carotid plexus is a nerve plexus situated upon the lateral side of the internal carotid artery. It is composed of post-ganglionic sympathetic fibres which have synapsed at (i.e. have their nerve cell bodies at) the superior cervical ganglion. The plexus gives rise to the deep petrosal nerve. [1]