Cervical portion

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Artery: Cervical portion
Gray's subject #146 567

The Cervical portion (or cervical segment) of the internal carotid begins at the bifurcation of the common carotid, opposite the upper border of the thyroid cartilage, and runs perpendicularly upward, in front of the transverse processes of the upper three cervical vertebræ, to the carotid canal in the petrous portion of the temporal bone.

It is comparatively superficial at its commencement, where it is contained in the carotid triangle, and lies behind and lateral to the external carotid, overlapped by the Sternocleidomastoideus, and covered by the deep fascia, Platysma, and integument: it then passes beneath the parotid gland, being crossed by the hypoglossal nerve, the Digastricus and Stylohyoideus, and the occipital and posterior auricular arteries.

Higher up, it is separated from the external carotid by the Styloglossus and Stylopharyngeus, the tip of the styloid process and the stylohyoid ligament, the glossopharyngeal nerve and the pharyngeal branch of the vagus.

It is in relation, behind, with the Longus capitis, the superior cervical ganglion of the sympathetic trunk, and the superior laryngeal nerve; laterally, with the internal jugular vein and vagus nerve, the nerve lying on a plane posterior to the artery; medially, with the pharynx, superior laryngeal nerve, and ascending pharyngeal artery.

At the base of the skull the glossopharyngeal, vagus, accessory, and hypoglossal nerves lie between the artery and the internal jugular vein.

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This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

Arteries of head and neckedit

EXTERNAL CAROTID: Anterior: superior thyroid - superior laryngeal - lingual (sublingual)

facial: cervical branches (ascending palatine - tonsillar - submental) - facial branches (inferior labial - superior labial - lateral nasal - angular)

Posterior and ascending: occipital - posterior auricular - stylomastoid - ascending pharyngeal (meningeal branches)
Terminal: superficial temporal - transverse facial - middle temporal (zygomaticoörbital) - parietal branch
internal maxillary - 1st part: anterior tympanic - deep auricular - middle meningeal - superior tympanic - accessory meningeal - inferior alveolar - lingual
2nd part: deep temporal - masseteric - buccinator - posterior superior alveolar
3rd part: infraorbital - descending palatine - artery of the pterygoid canal - sphenopalatine | (Gray's s144)

INTERNAL CAROTID: cervical portion - petrous portion - cavernous portion
ophthalmic - orbital group: lacrimal - supra-orbital - posterior ethmoidal - anterior ethmoidal - medial palpebral - supratrochlear - dorsal nasal
ocular group: central retinal - ciliary
cerebral portion: anterior cerebral - anterior communicating - middle cerebral - posterior communicating - anterior choroidal - circle of Willis | (Gray's s146 - Gray's s147)

SUBCLAVIAN: vertebral: meningeal branches - posterior spinal - anterior spinal - posterior inferior cerebellar - basilar (internal auditory - anterior inferior cerebellar - superior cerebellar - posterior cerebral)
thyrocervical trunk: inferior thyroid - inferior laryngeal - ascending cervical - suprascapular - transverse cervical - dorsal scapular
internal thoracic: musculophrenic - anterior intercostal - pericardiacophrenic - superior epigastric
costocervical trunk: highest intercostal, deep cervical | (Gray's s148)