Deep layer of the deep cervical fascia
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The deep layer of the deep cervical fascia is the one of the three layers of the deep cervical fascia that forms the perivertebral space. It consists of the perivertebral fascia (the anterior part of which is called the prevertebral fascia) and alar fascia 1-3.
Gross anatomy
Attachments
- medially
- ligamentum nuchae
- cervical vertebral spinous processes and transverse processes
- laterally
- carotid sheath
- first rib (from portion of the layer called Sibson fascia)
- axillary sheath
- superiorly
- skull base
- inferiorly
- coccyx (for the prevertebral fascia)
- endothoracic fascia (for the alar fascia)
Contents
- danger space (between prevertebral and alar fascia)
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prevertebral space (anterior component of perivertebral space)
- longus colli and capitis muscles
- rectus capitis anterior and lateralis muscles
- scalenus anterior, medius, and posterior muscles
- sheath for subclavian artery and vein, brachial plexus
- vertebral column
- spinal cord and associated thecal sac, nerve roots, and vessels
- vertebrae and associated discs and ligaments
- paraspinal/paravertebral space (posterior component of perivertebral space)
- levator scapulae
- deep cervical back muscles
- pierced by the four cutaneous branches of the cervical plexus
In addition, all layers of the deep cervical fascia contribute to the carotid sheath.
-<p>The <strong>deep layer of the deep cervical fascia </strong>is the one of the three layers of the <a title="Deep cervical fascia" href="/articles/deep-cervical-fascia">deep cervical fascia</a> that forms the <a title="Perivertebral space" href="/articles/perivertebral-space">perivertebral space</a>. It consists of the perivertebral fascia (the anterior part of which is called the prevertebral fascia) and <a href="/articles/alar-fascia-1">alar fascia</a> <sup>1-3</sup>.</p><h4>Gross anatomy</h4><h5>Attachments</h5><ul>- +<p>The <strong>deep layer of the deep cervical fascia </strong>is the one of the three layers of the <a href="/articles/deep-cervical-fascia">deep cervical fascia</a> that forms the <a href="/articles/perivertebral-space">perivertebral space</a>. It consists of the perivertebral fascia (the anterior part of which is called the prevertebral fascia) and <a href="/articles/alar-fascia-1">alar fascia</a> <sup>1-3</sup>.</p><h4>Gross anatomy</h4><h5>Attachments</h5><ul>
-<a title="Prevertebral space" href="/articles/perivertebral-space">prevertebral space</a> (anterior component of perivertebral space)<ul>- +<a href="/articles/perivertebral-space">prevertebral space</a> (anterior component of perivertebral space)<ul>
-<a title="rectus capitis anterior muscle" href="/articles/rectus-capitis-anterior-muscle">rectus capitis anterior</a> and <a title="rectus capitis lateralis muscle" href="/articles/rectus-capitis-lateralis-muscle">lateralis</a> muscles</li>- +<a href="/articles/rectus-capitis-anterior-muscle">rectus capitis anterior</a> and <a href="/articles/rectus-capitis-lateralis-muscle">lateralis</a> muscles</li>
-<a title="Scalenus anterior muscle" href="/articles/scalenus-anterior-muscle-1">scalenus anterior</a>, <a title="Scalenus medius muscle" href="/articles/scalenus-medius-muscle">medius</a>, and <a title="Scalenus posterior muscle" href="/articles/scalenus-posterior-muscle">posterior</a> muscles</li>- +<a href="/articles/scalenus-anterior-muscle-1">scalenus anterior</a>, <a href="/articles/scalenus-medius-muscle">medius</a>, and <a href="/articles/scalenus-posterior-muscle">posterior</a> muscles</li>
-</ul>- +</ul><p>In addition, all layers of the deep cervical fascia contribute to the <a href="/articles/carotid-space">carotid sheath</a>.</p>
References changed:
- 1. Guidera AK, Dawes PJ, Fong A, Stringer MD. Head and neck fascia and compartments: no space for spaces. (2014) Head & neck. 36 (7): 1058-68. <a href="https://doi.org/10.1002/hed.23442">doi:10.1002/hed.23442</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/23913739">Pubmed</a> <span class="ref_v4"></span>
- 2. Peter M. Som, Hugh D. Curtin. Head and Neck Imaging - 2 Volume Set. (2019) <a href="https://books.google.co.uk/books?vid=ISBN9780323053556">ISBN: 9780323053556</a><span class="ref_v4"></span>
- 3. Kamalian S, Avery L, Lev M, Schaefer P, Curtin H, Kamalian S. Nontraumatic Head and Neck Emergencies. (2019) RadioGraphics. 39 (6): 1808-1823. <a href="https://doi.org/10.1148/rg.2019190159">doi:10.1148/rg.2019190159</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/31589568">Pubmed</a> <span class="ref_v4"></span>
Sections changed:
- Anatomy
Systems changed:
- Head & Neck
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Prevertebral fascia
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Prevertebral layer of deep cervical fascia
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