Thieme atlas of anatomy. Neck and internal organs

385 Pages·2011·48.38 MB·English

by  Michael Schuenke

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Neck and Internal Organs
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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
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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
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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.
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GeorgThiemeVerlag
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D-70469Stuttgart
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ThiemeNewYork,333SeventhAvenue,
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Thisbook,includingallpartsthereof,islegallyprotectedbycopyright.
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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
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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.
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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.
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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
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