CHAPTER 17

CERVICAL FASCIA

Overview and Topographic Anatomy

Fascia of the Neck

Fascial Spaces

Clinical Correlates

Questions

Overview and Topographic Anatomy

GENERAL INFORMATION

Fascia: a band of connective tissue that surrounds structures (such as enveloping muscles), giving rise to potential tissue spaces and pathways that allow infection to spread

Superficial Fascia

Immediately deep to the skin

Contains fat

Deep Fascia

Deep to the superficial fascia

Aids muscle movements

Provides passageways for nerves and vessels

Provides attachment for some muscles

In the neck, it is divided into 4 regions:

• Visceral region

• Musculoskeletal region

• 2 neurovascular compartments

Also divided into 4 layers:

• Superficial layer of deep cervical fascia (investing layer of deep cervical fascia)

• Middle layer of deep cervical fascia

• Deep layer of deep cervical fascia

• Carotid sheath (composed by the contribution of all 3 layers of deep cervical fascia)

There is no deep fascia in the face, which allows free spread of fluid

Fascia of the Neck

SUPERFICIAL FASCIA

Superficial fascia lies deep to the skin and contains the cutaneous vessels and nerves

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