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anastomosis
connection between two vessels of the same type to allow blood flow to be shared between different vascular territoties
endothelium
single layer of flattened epithelial cells lining the inside of all blood and lymphatic vessels
aortic arch branches
brachiocephlic trunk, left common carotid artery and left subclavian artery
brachiocephalic trunk branches
right common carotid artery and right subclavian artery
bovine arch
13.6%, 2 connections to aortic arch, 1) branch into RS, RCC and LCC and 2) LV and LS
vertebral artery
first branch of subclavian artery which is deep, posterior and ascending passing through the transverse foramen of cervical vertebra 1-6 and foramen magnum to form basilar artery
inferior thoracic artery
inferior and descending towards thorax
thyrocervical trunk
branches upwards including the inferior thyroid artery
costocervical trunk
lateral to the thyrocervical trunk and goes towards thorax and neck
carotid sheath
thin layer of fascia which is dense CT that encloses the common and internal carotid arteries, internal jugular vein and vagus nerve
anterior branches of external carotid artery
superior thyroid, lingual and facial
posterior branches of external carotid artery
ascending pharyngeal, occipital and posterior auricular
terminal branches of external carotid artery
maxillary and superficial temporal
bifurcation of common carotid artery occurs at
laryngeal prominence, around level of C3-C4
branches of the ascending pharyngeal artery
pharyngeal branches, inferior tympanic artery and the meningeal branches
thyroid arteries dual blood supply
inferior thyroid artery from thyrocervical trunk and superior thyroid artery from external carotid artery
linguofacial trunk
15.3-20%, facial and lingual arteries come from a common trunk
thyrolingual trunk
2.5%, superior thyroid and lingual arteries come from a common trunk
thyrolinguofacial trunk
1.25-2.5%, superior thyroid, lingual and facial arteries come from a common trunk
occipitoauricular trunk
12.5%, occipital and posterior auricular arteries come from a common trunk
superficial temporal artery branches
frontal and parietal branches
frontal branch supplies
frontal scalp
parietal scalp supplies
temporal and parietal scalp
other branches of the superficial temporal artery
transverse facial and zygomatico-orbital arteries
branches of the maxillary artery
deep auricular, anterior tympanic, middle meningeal, inferior alveolar, muscles of mastication branches, deep temporal, posterior superior alveolar and infraorbital arteries
carotid sinus
dilation at the origin of the internal carotid artery which contains baroreceptors (pressure receptors)
baroreceptors
detect changes in blood pressure and help regulate blood pressure through the ANS
cartoid body
located outside the arterial wall near the carotif bifurcation which contains chemoreceptors
chemoreceptors
detect changes in blood chemistry (low oxygen, high carbon dioxide and low pH) and helps regulate respiration
internal carotid artery route
ICA → travels superiorly and turns medially passing over foramen lacerum → cavernous sinus → S-shaped bend → ophthalmic artery → optic canal → Circle of Willis through anterior cerebral, middle cerebral and posterior communicating artery
branches of ophthalmic artery
supraorbital and supratrochlear
intracranial venous sinuses
specialised venous channels between the layers of dura mater to collect deoxygenated blood from the brain and cranial bones and receive CSF via arachnoid granulations
intracranial venous sinus features
no valves, no smooth muscle in their walls and drain into the internal jugular veins
major dural venous sinuses
superior sagittal sinus, inferior sagittal sinus, straight sinus, occipital sinus, transverse sinus and confluence of sinuses
pterygoid venous plexus clinical relevance
comunicates with the cavernous sinus through emissary veins to provide a potential route for infection to spread from the face tot he cranial cavity
structures within parotid gland
facial nerve, retromandibular vein and external carotid artery
nerves associated with parotid gland
greater auricular nerve and auriculotemporal nerve
greater auricular nerve
provides sensory innervation to the skin around parotid region and ear
auriculotemporal nerve
carries postganglionic parasympathetic fibres to the parotid gland after synapsing in the otic ganglion
jugular veins
internal, external and anterior
anterior jugular vein
found in superficial neck and submandibular area and is a tributary of the external jugular or subclavian vein
external jugular vein
superficial to SCM and is a tributary of the subclavian vein
internal jugular vein
deep to SCM and is a tributary of the brachiocephalic vein
middle and superior thyroid veins
tributaries of the internal jugular vein
inferior thyroid vein
tributaries of the brachiocephalic veins