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Thieme atlas of anatomy. Neck and internal organs PDF

385 Pages·2011·48.38 MB·English
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THIEME T A tH l a sI E o fM A nE a Atlas of Anatomy t THIEME Atlas of Anatomy o m Neck and Internal Organs y The THIEME Atlas of Anatomy integrates anatomy and clinical concepts and now includes access to WinkingSkull.com PLUS, the must-have online study aid for learning anatomy. N Neck and Internal Organs Michael Schuenke e Erik Schulte Praise for the THIEME Atlas of Anatomy: c “The impressive nature of these atlases cannot be overstated…the illustrations…are unique and Udo Schumacher k should be considered real works of art.”—Journal of the American Medical Association “Schematic drawings of muscles show origins and insertions as vector strands that have the a Consulting Editors effect of delineating different parts of muscles and their functions. Lymphatics are emphasized n Lawrence M. Ross in all regions and the coverage is excellent.”—American Association of Anatomists News d Edward D. Lamperti Highlights I x Organized intuitively, with self-contained guides to specific topics on every n two-page spread Illustrations by t x Hundreds of clinical applications integrated into the anatomical descriptions, e Markus Voll emphasizing the vital link between anatomical structure and function r Karl Wesker x Beautifully illustrated with expertly rendered digital watercolors, n cross-sections, x-rays, and CT and MRI scans a x Clearly labeled images help you easily identify each structure l x Summary tables throughout – ideal for rapid review O x With more than 950 original illustrations, this work presents anatomical r information layer-by-layer, moving from spaces, to organs, to blood g vessels, the lymphatic system, and autonomous innervation with a unprecedented clarity n x WinkingSkull.com PLUS includes more than 450 anatomy illustrations and radiologic images, “labels-on, labels-off” s function, and timed self-tests Setting a new standard for the study of anatomy, the THIEME Atlas of Anatomy with access to WinkingSkull.com PLUS, is more than a collection of anatomical images—it is an indispensable resource for anyone who works with the human body. The THIEME Atlas of Anatomy series also features General Anatomy and Musculos keletal System and Head and Neuroanatomy. Each atlas is available in softcover and hardcover. ISBN 978-1-60406-288-5 www.thieme.com TTAAAA22__NNeecckk__22eedd__sscc__228888 11 0033..0088..0099 1144::2277 Titelei_EngBd2.indd 1 09.07.2009 10:11:29Uhr Titelei_EngBd2.indd 2 09.07.2009 10:11:32Uhr Neck and Internal Organs THIEME Atlas of Anatomy Consulting Editors Lawrence M. Ross, M.D., Ph.D., DepartmentofNeurobiologyandAnatomy UniversityofTexasMedicalSchoolatHouston Edward D. Lamperti, Ph.D., ImmuneDiseaseInstituteand HarvardMedicalSchool Authors Michael Schuenke, M.D., Ph.D., InstituteofAnatomy ChristianAlbrechtUniversityKiel Erik Schulte, M.D., DepartmentofAnatomyandCellBiology JohannesGutenbergUniversity Udo Schumacher, M.D., FRCPath,CBiol,FIBiol,DSc, InstituteofAnatomyII:ExperimentalMorphology CenterforExperimentalMedicine UniversityMedicalCenterHamburg-Eppendorf In collaboration with Juergen Rude Illustrations by Markus Voll Karl Wesker 962Illustrations 78Tables Thieme Stuttgart · New York Titelei_EngBd2.indd 3 10.07.2009 8:06:03Uhr LibraryofCongressCataloging-in-PublicationDataisavailablefromthe Important note: Medicine is an ever-changing science undergoing publisher. continualdevelopment.Researchandclinicalexperiencearecontinu- allyexpandingourknowledge,inparticularourknowledgeofproper ThisbookisanauthorizedandrevisedtranslationoftheGerman treatmentanddrugtherapy.Insofarasthisbookmentionsanydosage editionpublishedandcopyrighted2005byGeorgThiemeVerlag, orapplication,readersmayrestassuredthattheauthors,editors,and Stuttgart,Germany.TitleoftheGermanedition:Schuenkeetal.: publishershavemadeeveryefforttoensurethatsuchreferencesarein HalsundInnereOrgane:PrometheusLernatlasderAnatomie. accordancewiththestateofknowledgeatthetimeofproductionof thebook. Nevertheless, this does not involve, imply, or express any guarantee Illustrators orresponsibilityonthepartofthepublishersinrespecttoanydosage MarkusVoll,Fürstenfeldbruck,Germany; instructionsandformsofapplicationsstatedinthebook.Everyuseris KarlWesker,Berlin,Germany(homepage:www.karlwesker.de) requestedtoexaminecarefullythemanufacturers’leafletsaccompa- nyingeachdrugandtocheck,ifnecessaryinconsultationwithaphy- Translator sicianorspecialist,whetherthedosageschedulesmentionedtherein TerryTelger,FortWorth,Texas,USA or the contraindications stated by the manufacturers differ from the statementsmadeinthepresentbook.Suchexaminationisparticularly important with drugs that are either rarely used or have been newly releasedonthemarket.Everydosagescheduleoreveryformofapplica- tionusedisentirelyattheuser’sownriskandresponsibility.Theauthors andpublishersrequesteveryusertoreporttothepublishersanydis- crepanciesorinaccuraciesnoticed.Iferrorsinthisworkarefoundafter publication,erratawillbepostedatwww.thieme.comontheproduct descriptionpage. ©correctedreprint2010 GeorgThiemeVerlag Rüdigerstraße14 D-70469Stuttgart Germany http://www.thieme.de ThiemeNewYork,333SeventhAvenue, NewYork,NY10001,USA http://www.thieme.com Typesettingbyweyhingdigital,Ostfildern-Kemnat Someoftheproductnames,patents,andregistereddesignsreferred PrintedinChinabyEverbestPrintingLtd,HongKong tointhisbookareinfactregisteredtrademarksorproprietarynames even though specific reference to this fact is not always made in the text.Therefore,theappearanceofanamewithoutdesignationaspro- PlusVersion–includesonlineaccesstoWinkingSkull.comPLUS prietaryisnottobeconstruedasarepresentationbythepublisherthat itisinthepublicdomain. Thisbook,includingallpartsthereof,islegallyprotectedbycopyright. Softcover Anyuse,exploitation,orcommercializationoutsidethenarrowlimits ISBN978-1-60406-288-5 setbycopyrightlegislation,withoutthepublisher’sconsent,isillegal andliabletoprosecution.Thisappliesinparticulartophotostatrepro- Hardcover duction,copying,mimeographing,preparationofmicrofilms,andelec- ISBN978-1-60406-294-6 tronicdataprocessingandstorage. 123456 Titelei_EngBd2.indd 4 15.07.2009 9:49:52Uhr Foreword Preface Our enthusiasm for the THIEME Atlas of Anatomy began when each AsitstartedplanningthisAtlas,thepublishersoughtouttheopinions of us, independently, saw preliminary material from this Atlas. Both and needs of students and lecturers in both the United States and ofuscontinuetobecaptivatedbythenewapproach,theconceptual Europe. The goal was to find out what the “ideal” atlas of anatomy organization,andbythestunningqualityanddetailoftheimagesofthe shouldbe—idealforstudentswantingtolearnfromtheatlas,master Atlas.Weweredelightedbytheongoingopportunityprovidedbythe theextensiveamountsofinformationwhileonabusyclassschedule, editorsatThiemetocooperatewiththeminmakingthisoutstanding and,intheprocess,acquiresound,up-to-dateknowledge.Theresultof resourceavailabletoourstudentsandcolleaguesinNorthAmerica. thisworkisthisAtlas.TheTHIEMEAtlasofAnatomy,unlikemostother atlases,isacomprehensiveeducationaltoolthatcombinesillustrations Asconsultingeditorswewereaskedtoreview,foraccuracy,theEnglish with explanatory text and summarizing tables, introducing clinical editionoftheTHIEMEAtlasofAnatomy.Ourworkinvolvedaconversion applications throughout, and presenting anatomical concepts in a ofnomenclaturetotermsincommonusageandsomeorganizational step-by-stepsequencethatallowsfortheintegrationofbothsystem- changes to reflect pedagogical approaches in anatomy programs in by-systemandtopographicalviews. NorthAmerica.Thistaskwaseasedgreatlybytheclearorganizationof theoriginaltext.Inallofthis,wehavetrieddiligentlytoremainfaithful SincetheTHIEMEAtlasofAnatomyisbasedonafreshapproachtothe totheintentionsandinsightsoftheoriginalauthors. underlying subject matter itself, it was necessary to create for it an entirelynewsetofillustrations—ataskthattookeightyears.Ourgoal WeextendourspecialthankstoBrianR.MacPherson,Ph.D.forhistimely was to provide illustrations that would compellingly demonstrate assistanceintheroleofaConsultingEditorduringtheemergencyillness anatomicalrelationsandconcepts,revealingtheunderlyingsimplicity ofoneeditor(LMR). ofthelogicandorderofhumananatomywithoutsacrificingdetailor aesthetics. We would like to thank the team at Thieme Medical Publishers who worked with us: Kelly Wright, Developmental Editor, and Cathrin E. With the THIEME Atlas of Anatomy, it was our intention to create an SchulzM.D.,ExecutiveEditor,forcheckingandcorrectingourworkand atlas that would guide students in their initial study of anatomy, fortheirconstantavailabilityandencouragement. stimulate their enthusiasm for this intriguing and vitally important subject, and provide a reliable reference for experienced students WewouldalsoliketoextendourheartfeltthankstoStefanieLangner, andprofessionalsalike. ProductionManager,forpreparingthisvolumewithcareandspeed. “Ifyouwanttoattainthepossible,youmustattempttheimpossible” LawrenceM.Ross, (RabindranathTagore). EdwardD.Lamperti MichaelSchünke,ErikSchulte,UdoSchumacher, MarkusVoll,andKarlWesker Titelei_EngBd2.indd 5 09.07.2009 10:11:36Uhr Titelei_EngBd2.indd 6 09.07.2009 10:11:36Uhr Acknowledgments Firstwewishtothankourfamilies.Thisatlasisdedicatedtothem. WearegratefultoAntjeBühl,whowastherefromthebeginningasproj- ectassistant,working“behindthescenes”onnumeroustaskssuchas WealsothankProf.ReinhardGossrau,M.D.,forhiscriticalcomments repeatedproofreadingandhelpingtoarrangethefigurelabels. andsuggestions.Wearegratefultoseveralcolleagueswhorendered valuablehelpinproofreading:Mrs.GabrieleSchünke,JakobFay,M.D., WeoweagreatdeptofthankstoMartinSpencker,ManagingDirector Ms.ClaudiaDücker,Ms.SiminRassouli,Ms.HeinkeTeichmann,andMs. ofEducationalPublicationsatThieme,especiallytohisabilitytomake SylviaZilles.WearealsogratefultoDr.JuliaJürns-Kuhnkeforhelping quick and unconventional decisions when dealing with problems and withthefigurelabels. uncertainties.Hisopennesstoalltheconcernsoftheauthorsandart- istsestablishedconditionsforacooperativepartnership. WeextendspecialthankstoStephanieGayandBertSender,whocom- posedthelayouts.Theirabilitytoarrangethetextandillustrationson Without exception, our collaboration with the entire staff at Thieme facingpagesformaximumclarityhascontributedgreatlytothequality MedicalPublisherswasconsistentlypleasantandcordial.Unfortunately oftheAtlas. wedonothaveroomtolisteveryonewhohelpedinthepublicationof thisatlas,andwemustlimitouracknowledgmentstoafewcolleagues Weparticularlyacknowledgetheeffortsofthosewhohandledthisproj- whomadeaparticularlynotablecontribution:RainerZepfandMartin ectonthepublishingside: Waletzko for support in all technical matters; Susanne Tochtermann- WenzelandManfredLehnert,representingallthosewhowereinvolved JürgenLüthje,M.D.,Ph.D.,executiveeditoratThiemeMedicalPublish- intheproductionofthebook;AlmutLeopoldfortheIndex;Marie-Luise ers, has “made the impossible possible.” He not only reconciled the Kürschnerandherteamforcreatingthecoverdesign;toBirgitCarlsen wishesoftheauthorsandartistswiththedemandsofrealitybutalso andAnneDöbler,representingallthosewhohandledmarketing,sales, managedtokeepateamoffivepeopleworkingtogetherforyearsona andpromotion. projectwhosegoalwasknowntousfromthebeginningbutwhosefull dimensionswecametoappreciateonlyovertime.Heisdeservingof TheAuthors ourmostsincereandheartfeltthanks. Sabine Bartl, developmental editor, became atouchstone for the au- thorsinthebestsenseoftheword.Shewasabletodeterminewhether abeginningstudent,andthusonewhoisnot(yet)aprofessional,could clearly appreciate the logic of the presentation. The authors are in- debtedtoher. Titelei_EngBd2.indd 7 09.07.2009 10:11:36Uhr To access additional material or resources available with this e-book, please visit http://www.thieme.com/bonuscontent. After completing a short form to verify your e-book purchase, you will be provided with the instructions and access codes necessary to retrieve any bonus content. Titelei_EngBd2.indd 8 09.07.2009 10:11:36Uhr Table of Contents Neck 1 OverviewandMuscles 4 TopographicalAnatomy 1.1 TheNeck:GeneralAspects............................. 2 4.1 SurfaceAnatomyandTrianglesoftheNeck.............. 42 1.2 OverviewandSuperficialNeckMuscles................... 4 4.2 PosteriorCervicalTriangle ............................ 44 1.3 SuprahyoidandInfrahyoidMuscles....................... 6 4.3 AnteriorCervicalTriangle............................. 46 1.4 PrevertebralandLateral(Deep)NeckMuscles............. 8 4.4 DeepLateralCervicalRegion,CaracotidTriangle, andThoracicInlet ................................... 48 4.5 PosteriorCervicalandOccipitalRegions ................ 50 2 Arteries 4.6 Cross-sectionalAnatomyoftheNeck 2.1 Arteries ............................................ 10 fromtheT1/T2toC6/C7Levels ......................52 2.2 Veins .............................................. 12 4.7 Cross-sectionalAnatomyattheLevel 2.3 LymphaticSystem ................................... 14 oftheC5/C6VertebralBodies.........................54 2.4 OverviewoftheNervousSystemintheNeck andtheDistributionofSpinalNerveBranches............ 16 2.5 CranialNervesandAutonomicNervousSystem intheNeck........................................... 18 3 CervicalViscera 3.1 Embryology ........................................ 20 3.2 ThyroidGlandandParathyroidGlands...................22 3.3 Larynx: Location,Shape,andLaryngealCartilages ............. 24 3.4 InternalFeaturesandNeurovascularStructures.........26 3.5 Muscles............................................28 3.6 TopographicalandClinicalAnatomy ..................30 3.3 Pharynx: Muscles ...........................................32 3.8 SurfaceAnatomyoftheMucosaandits ConnectionswiththeSkull ..........................34 3.9 TopographicalAnatomyandInnervation...............36 3.10 NeurovascularStructuresintheParapharyngealSpace..38 3.11 TheParapharyngealSpaceandItsClinicalSignificance ..40 IX Titelei_EngBd2.indd 9 09.07.2009 10:11:36Uhr

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Setting a new standard for the study of anatomy, the THIEME Atlas of Anatomy, with access to WinkingSkull.com PLUS, is more than a collection of anatomical images - it is an indispensable resource for anyone who works with the human body.Praise for the THIEME Atlas of Anatomy: Neck and Internal Orga
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Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.