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== '''Muscles''' == === '''Platysma''' === ** Broad sheet of muscle fibres ** Extends from midline downwards beyond clavicle, superiorly up to mandible where it blends with facial muscles, and as far posteriorly as about EJV ** Supplied by cervical branch of facial nerve === '''Digastric''' === ** Anterior belly arises from the back of mandible, in a fossa near the midline ** Intermediate tendon held by a fibrous sling to the hyoid ** Posterior belly passes backwards and upwards to insert on the medial side of mastoid process (deep and anterior to SCM) *** Crosses internal and external carotid arteries, the hypoglossal nerve, IJV, the transverse process of the atlas, and the accessory nerve ** Supplied by a branch from the facial nerve ** === '''Sternocleidomastoid''' === ** Arises from the front of manubrium and superior surface of medial clavicle, and ascends obliquely backwards to insert into the outer surface of the mastoid process and the anterior part of the superior nuchal line ** EJV courses across it from below the earlobe to about the midpoint of the clavicle, from where it plunges deep ** Cutaneous nerves of neck are closely related (see below) ** Nerve supply from accessory nerve from the muscle's deep surface, about 5cm below mastoid process ** Main function is level rotation of the head === '''Scalenes''' === ** Descend from transverse process of first six or seven cervical vertebrae to insert in the first two ribs ** Subclavian artery and brachial plexus found between middle and anterior scalenes ** Lateral border of anterior scalene is about the same as lateral border of SCM ** Supplied by branches of the cervical nerve roots ** Thyrocervical trunk of subclavian artery typically arises alongside the medial border of the scalenus anterior muscle ** Phrenic nerve crosses anterior scalene from lateral to medial ** === '''Infrahyoid strap muscles''' - function of swallowing, depressing larynx; depressing hyoid. Nerve supply via ansa cervicales, often dual innervation above level of lower border of thyroid cartilage and also at level of suprasternal notch - so divide midway between lower border of thyroid cartilage and suprasternal notch. === ** '''Sternohyoid''' *** Originates from back of manubrium; ascends to body of hyoid ** '''Omohyoid''' *** Inserts immediately lateral sternohyoid on hyoid bone; passes downwards to an intermediate tendon behind SCM (held in position by a condensation of cervical fascia attaching it to clavicle); then passes obliquely to upper border of scapula, near scapula notch ** '''Sternothyroid''' *** Arises from back of manubrium inferior to origin of sternohyoid; passes upwards; inserts on thyroid cartilage ** '''Thyrohyoid''' *** Direct extension of sternothyroid *** Arises from line of insertion of sternothyroid; inserts to body and greater cornu of hyoid
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