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Surgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief Facial Plastic and Reconstructive Surgery Washington University In Saint Louis The Facial Plastic Surgery Center

Transcript of Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the...

Page 1: Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the Neck.pdfSurgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief ... Cervical

Surgical Anatomy of the

Neck

Gregory H. Branham, MD

Professor and Chief

Facial Plastic and Reconstructive Surgery

Washington University In Saint Louis

The Facial Plastic Surgery Center

Page 2: Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the Neck.pdfSurgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief ... Cervical

I have no financial disclosures

Page 3: Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the Neck.pdfSurgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief ... Cervical
Page 4: Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the Neck.pdfSurgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief ... Cervical

Overview

Ramirez. Clin Plastic Surg 35 (2008) 679–690

Page 5: Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the Neck.pdfSurgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief ... Cervical

Subcutaneous Fat

Ramirez. Clin Plastic Surg 35 (2008) 679–690

Page 6: Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the Neck.pdfSurgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief ... Cervical

Superficial Anatomy of the Neck

Ramirez. Clin Plastic Surg 35 (2008) 679–690

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Superficial Musculoaponeurotic

System (SMAS) Distinct from underlying parotidomasseteric fascia

Continuous with temporoparietal fascia of scalp and platysma of neck

Fibrous adhesions to skin allowchanges in skin with tension on SMAS

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Platysma

Ramirez. Clin Plastic Surg 35 (2008) 679–690

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Platysma Types

Type 1

75%

Type 2

15%

Type 3

10%

Castro. Clin Plastic Surg 35 (2008) 625–642

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Deep Cervical Fat

Ramirez. Clin Plastic Surg 35 (2008) 679–690

Page 11: Surgical Anatomy of the Neck - jriegermd.comjriegermd.com/Sugery diagrams/PASE Anatomy of the Neck.pdfSurgical Anatomy of the Neck Gregory H. Branham, MD Professor and Chief ... Cervical

Deep Cervical Musculature

Ramirez. Clin Plastic Surg 35 (2008) 679–690

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Sensory Innervation

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Great Auricular Nerve

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Facial Nerve

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Marginal Mandibular Nerve

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