Regio Colli Superficialis Ham
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Transcript of Regio Colli Superficialis Ham
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REGIO COLLI SUPERFICIALIS
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A.Pembagian Regio Cervicalis
• Regio cervicalis anterior (Trigonum cervicale anterius)
• Regio cervicalis posterior
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Regio Cervicalis Anterior(Trigonum anterius)
• Trigonum submandibulare
• Trigonum caroticum
• Trigonum suprahyoid/submentale
• Trigonum Musculare
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1.Trigonum Submandibulare
• Batas-batas:
- Cranial : corpus mandibula
- Anterocaudal : M.Digasticus anterior
- Posterocaudal : M.Digastricus post. dan M.Stylohyoid
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2.Trigonum caroticum
• Batas-batas:
- Cranial :M.Digastricus post. dan M.Stylohyoid
- Caudal : M.Omohyoid Superior
- Posterior : M.Sternocleidomastoid
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3.Trigonum Submentale/Suprahyoid
• Batas-batas:
- Lateral : M.Digastricus Anterior
- Caudal : Corpus Os Hyoid
- Medial : Midline
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4.Trigonum Musculare
• Batas-batas:
- Post. Caudal : M.Sternocleidomastoid
- Post.cranial : M.Omohyoid venter sup.
- Medial : Midline dr os hyoid ke sternum
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5.Trigonum Cervicalis Posterior
• Batas-batas:
- Anterior: M.sternocleidomastoideus
- Posterior: M. Trapezius
- Caudal : Clavicula
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•5.Trigonum Cervicalis Posterior
Trigonum ini dibagi menjadi:1. Trigonum occipital
Batas caudalnya M. Omohyoid venter inf.
2. Trigonum omoclavicularanterior : M.sternocleidomastoidCranial : M.Omohyoid venter inf.caudal : Clavicula
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MUSCULI REGIO COLLI
MUSCULUS ORIGO INSERTIO ACTION INNERVASI
PLATYSMA FASCIA DEL-TOIDEA & PECTORALIS
KULIT & MANDIBULA
MEMBUKA MULUT DAN MENARIK SDT MULUT
N. VII
STERNOCLEIDOMASTOIDEUS
STERNUM & CLAVICULA
PROCESSUS MASTOIDEUS
MENENGOK,MENGANGKAT DAGU KE SAM-PING/DEPAN
N. XI, C2 &C 3
TRAPEZIUS LINEA NU-CHAE SUP, PROT OCC EXT
CLAVICULA MENGANGKAT SCAPULA DAN CLAVICULA
N. XI, C2 & C3
STERNOHYO-ID
MAN STERNI & CLAVICUL
OS HYOID MENEKAN OS HYOID KE BAWAH
C1-3 VIA ANSA HYPOGLOSSI
STERNOTHYROID
MAN STERNI LINEA OBLI-QUA LAMINA CART THYRO-ID
MENEKAN CART THYRO-ID KE BAWAH
C1-3, VIA ANSA HYPOGLOSSI
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VENTER SUP OMOHYOID
TENDON PENGHUBUNG DARAI CLAV
OS HYOID MENEKAN OS HYOID KE BAWAH
C1-3, VIA ANSA HYPOGLOSSI
VENTER INF OMOHYOID
SCAPULA TENDON PENGHUBUNG DARI CLAV
SDA SDA
THYROHYO-ID
LINEA OBLI-QUA LAMINA CARTILAGO THYROID
OS HYOID SDA C1-2
SCALENUS ANTERIOR
PROC TRANSV C3-6
TUBERCULUM SCALENI COSTA 1
MENGANGKAT COSTA 1
C5-8
SCALENUS MEDIUS
PROC TRANSV C2-7
COSTA 1 DIBEL CEKUNGAN SULCUS SUBCLAVIUS
SDA C5-8
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SCALENUS POSTERIOR
PROC TRANV C5-7
COSTA 2 MENGANGKAT COSTA 2
C6-8
OBLIQUE SUP LONGUS COLLI
PROC TRANSV C3-5
ATLAS FLEXI LEHER C2-7
OBLIQUE INF LONGUS COLLI
CORPUS VERT TH 1-3
PROC TRANSV C5-6
ROTASI LEHER
SDA
VERTICAL LONGUS COLLI
CORPUS C5-TH3
CORPUS C2-4 FLEXI ;EHER SDA
LONGUS CAPITIS
PROC TRANSV C3-6
PARS BASI-LARIS OSSIS OCCIPITALIS
FLEXI LEHER C1-3
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B. Fascia CervicalisTerdiri dari:• Fascia superficialis
• Fascia profundus memiliki 3 lamina:- Lamina superficialis
- Lamina pretrachealis
- Lamina prevertebralis
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B. Fascia Cervicalis
• Fascia superficialis disebut juga sebagai fascia generalis
• Mengandung jar.lemak dlm sekat-sekat jar.ikat
• Khas pd regio colli ada lapisa otot bergaris: Platysma
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Fascia Cervicalis Profundus
• Lamina Superficialis- Perlekatannya pd bagian posterior:
bagian depan/ant.: os.hyoidbagian caudal: manubrium sterni
- membungkus M.trapezius, omohyoid dan infrahyoid
-membentuk septum suprasternalis
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Fascia Cervicalis Profundus
• Lamina Pretrachealis- Terbatas di depan trachea dan terletak dibawah os hyoid
- membungkus gld.thyroidea, mm.infrahyoid, trachea, larinx,pharinx dan oesophagus
- Ke posterocranial melanjutkan diri sbg: fascia buccopharyngea
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Fascia Cervicalis Profundus• Lamina prevertebralis
- melekat pd basis cranii dan terletak di sebelah profundus M.Trapezius
- membungkus otot kuduk dan punggung, mm.prevertebrales, mm. Scaleni
- Pd bagian post.oesophagus terpsah menjadi 2 lapisan: fascia alaris dan lamina prevertebralis
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• Vagina Carotica (carotid sheath)
• Dibentuk oleh ketiga lapis fascia cervicalis
• Membungkus: V.jugularis Int.: A. Carotis Communis: N. Vagus
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C. Musculi Colli• M. Sternocleidomastoideus• M.Trapezius keduanya dipersarafi N.accesorius
• M.Infrahyoid: M.sternohyoid dan omohyoid M. sternotyroid dan tyrohyoid
Innervasi oleh ansa cervicalis
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•C. Musculi Colli
Mm. Scaleni:- M. Scaleni anterior- M. Scaleni medius- M. Scaleni posterior - M. Scaleni minimusinervasi oleh plexus brachialis
• M.Longus colli
• M.Longus capitis
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D. Vaskularisasi
1. Arteri utama: A.Carotis Communis
- Setinggi artic. Sternoclavicularis (CIII/IV) pecah menjadi:
- a. carotis externa - a. carotis interna
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D. Vaskularisasi
• Kedua cabang a.carotis communis dipisahkan oleh jar.gld.parotis, M. styloglosus dan stylopharingeus, N.Glossopharyngeus
• A. Carotis interna tidak mengeluarkan percabangannya selama perjalanannya menuju cranii
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A. Carotis Externa
• Cabang langsung : a.tyroidea sup./ ima
• Bagian anterior:- a.lingualis- a. facialis- a. maxillaris- a. temporalis superficialis sebagai cabang terminal
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A. Carotis Externa
• Bagian posterior:• a.pharingea ascenden• a.occipitalis• a.auricularis posterior
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2. A. Subclavia
• Dextra cabang dr truncus brachioCranialicus
• Sinistra dr arcus aorta
• Dibagi 3 oleh M. scaleni anterior
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Cabang A. Subclavia• A. Vertebralis terdiri atas 3 bagian:
- pars vertebralis- pars cervicalis- pars intercranialis
• A. Thoracica interna• Truncus Tyrocervicalis• Truncus costocervicalis
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E. Aliran Vena
• Vena superficialis:1. V.Jugularis externa2. V. Jugularis anterior
• Vena Profundus- Vena jugularis interna yang mengalirkan vena dari otak , kepala, leher
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F. Lnn. Regio Cervicalis
• Dibagi dlm 4-5 kelompok:1. Lnn submentales2. Lnn submandibularis3. Lnn. Cervicalis superficiales4. Lnn. Cervicales anterior (pretracheales)5.Lnn.Cervicales profundus
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G.Saraf Regio cervicalis
• N.accesorius
• Plexus cervicalis dibentuk Nn.cervicales I-IV dgncabang superficial: n. occipitalis minor
n. auricularis magnusn. transversa collin. supraclavicularis