Recognition of the anatomy of carotid sheath

Chinese Journal of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (5) : 520-522.

Chinese Journal of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (5) : 520-522. DOI: 10.13418/j.issn.1001-165x.2015.05.007

Recognition of the anatomy of carotid sheath

  • NIE Zheng 1, SHAN Jian-lin2, JIANG Heng3
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Abstract

Objective To acquire the correct and accurate knowledge of carotid sheath by investiating the relationships between carotid sheath and cervical fascia. Methods 20 adult cadavers (40 sides) were dissected. The posterior part of envelope fascia(superficial layer of cervical fascia)was dissected to observe whether it connected with carotid sheath, and to observe the characteristics of the connection. The relationships of carotid sheath to middle cervical fascia and superficial and deep layers of deep cervical fascia were observed. Meanwhile, the characteristics of connection were observed. Results Envelope fascia connected with carotid sheath loosely could be  separated easily by blunt dissection. Middle layer of the cervical fascia was composed of the junction of facial sheath of infrahyoid muscles, joining the anterior carotid sheath. Prevertebral fascia was composed of two parts, the superficial layer and deep layer, the former enveloping the carotid artery, jugular veinand vagus nerve, the latter not forming the carotid sheath. The junction fascia between middle layer of the cervical fascia and superficial layer of prevertebral fascia and carotid sheath was thick and tight. Conclusion Carotid sheath was closely associated with every layer of cervical fascia. Middle layer of the cervical fascia and superficial layer of prevertebral fascia forms the main body of carotid sheath.

Key words

Carotid sheath / Cervical fascia / Applied anatomy

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Recognition of the anatomy of carotid sheath[J]. Chinese Journal of Clinical Anatomy. 2015, 33(5): 520-522 https://doi.org/10.13418/j.issn.1001-165x.2015.05.007

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