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Transcript
Human Anatomy
Lecture: 10
Dr. Hatem A Hatem
MAJOR ARTERIES OF THE HEAD AND NECK
Contents:
1 .Carotid Arteries.
1.1 .External Carotid Artery.
1.2 .Internal Carotid Artery.
2 .Vertebral Arteries.
3 .Other Arteries of the Neck.
The head and neck receives the majority of its blood supply through the carotid and vertebral
arteries. This lecture shall explore the anatomy of this arterial system – its anatomical course
and branches.
1. Carotid Arteries:
We shall start at the origin of the carotid arteries. The right common carotid artery arises
from a bifurcation of the brachiocephalic trunk (the right subclavian artery is the other branch).
This bifurcation occurs roughly at the level of the right sternoclavicular joint. The left common
carotid artery branches directly from the arch of aorta.
The left and right common carotid arteries ascend up the neck, lateral to the trachea and the
oesophagus. They do not give off any branches in the neck. At the level of the superior margin of
the thyroid cartilage (C4), the carotid arteries split into the external and internal carotid arteries.
This bifurcation occurs in an anatomical area known as the carotid triangle. The common carotid
and internal carotid are slightly dilated here, this area is known as the carotid sinus, and is
important in detecting and regulating blood pressure.
External Carotid Artery:
The external carotid artery supplies the areas of the head and neck external to the cranium.
After arising from the common carotid artery, it travels up the neck, posterior to the mandibular
neck and anterior to the lobule of the ear. The artery ends within the parotid gland, by dividing
into the superficial temporal artery and the maxillary artery. Before terminating, the external
carotid artery gives off six branches:
1. Superior thyroid artery.
2. Lingual artery.
3. Facial artery.
4. Ascending pharyngeal artery.
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Human Anatomy
Lecture: 10
Dr. Hatem A Hatem
5. Occipital artery.
6. Posterior auricular artery.
The facial, maxillary and superficial temporal arteries are the major branches of note. The
maxillary artery supplies the deep structures of the face, while the facial and superficial
temporal arteries generally supply superficial areas of the face.
1.1.
Internal Carotid Artery:
The internal carotid arteries do not supply any structures in the neck, entering the cranial
cavity via the carotid canal in the petrous part of the temporal bone. Within the cranial cavity,
the internal carotid artery supplies:
a. The brain.
b. Eyes.
c. Forehead.
2. Vertebral Arteries:
The right and left vertebral arteries arise from the subclavian arteries, medial to the anterior
scalene muscle. They then ascend up the posterior side of the neck, through holes in the
transverse processes of the cervical vertebrae, known as foramen transversarium. The vertebral
arteries enter the cranial cavity via the foramen magnum, and converge. They then give rise to
the basilar arteries, which supply the brain. The vertebral arteries supply no branches to the
neck, or extra-cranial structures.
3. Other Arteries of the Neck:
The neck is supplied by arteries other than the carotids. The right and left subclavian arteries
give rise to the thyrocervical trunk. From this trunk, several vessels arise, which go on to supply
the neck. The first branch of the thyrocervical trunk is the inferior thyroid artery. It supplies the
thyroid gland. The ascending cervical artery arises from the inferior thyroid artery, as it turns
medially in the neck. This vessel supplies the posterior prevertebral muscles. The transverse
cervical artery is the next branch off the thyrocervical trunk. It crosses the base of the carotid
triangle, and supplies the trapezius and rhomboid muscles. Lastly, the suprascapular artery
arises. It supplies the posterior shoulder area.
The Blood Vessels of your Oral Cavity:
The organs and structures of the oral cavity and its structures require a reasonable amount of
blood flow, coming from the following branches of the external carotid artery:
1. Superior labial branches of the facial arteries and infraorbital arteries: Supply blood to
the upper lip.
2. Inferior labial branches of the facial arteries and mental arteries: Supply the lower lip.
3. Superior alveolar arteries (from the maxillary artery): Supply blood to the upper teeth.
4. Inferior alveolar arteries (from the maxillary artery): Supply the lower teeth.
5. Greater and lesser palatine arteries branches of the maxillary artery: Supply the palate.
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Human Anatomy
Lecture: 10
Dr. Hatem A Hatem
6. Branches of the lingual artery: Supply blood to the tongue.
7. Dorsal lingual arteries: Supply the posterior part of the tongue.
8. Deep lingual artery: Supplies the anterior part of the tongue and communicates with
the dorsal arteries at the apex.
9. Sublingual artery: Supplies the sublingual gland and the floor of the oral cavity
10. Branches of the external carotid and superficial temporal arteries: Supply the parotid
salivary glands.
11. Submental arteries: Supply the submandibular glands and sublingual glands.
Blood supply of teeth:
From the external carotid artery arises the maxillary artery which supplies both the maxillary
and mandibular teeth. The maxillary arch is supplied by a plexus of three arterial branches which
include the anterior superior alveolar artery, the middle superior alveolar artery and the
posterior superior alveolar artery.
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Human Anatomy
Lecture: 10
Dr. Hatem A Hatem
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Human Anatomy
Lecture: 10
Dr. Hatem A Hatem
The end
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