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A vast quantity of important structures are present at the root of the neck. The primary branches of
the aortic arch ascend out through the superior thoracic aperture before giving off cutaneous and
muscular branches to the structures in the neck. The brachial plexus formed from spinal nerve roots
C5-T1 form their trunks at the root of the neck before moving into the axilla to form their divisions and
cords. The trunks pass between the anterior and posterior scalene muscles.
The subclavian arteries each provide supply to the anterior thorax via the internal thoracic arteries
which descend parallel to the midline, either side of the sternum. The thyrocervical trunks from them
give rise to the inferior thyroid arteries, ascending and transverse cervical, and suprascapular arteries
which supply the structures of the neck. The vertebral arteries from each subclavian artery ascend
toward the brain through the foramina transversaria of the cervical vertebrae to form part of the
cerebral arterial circle. The subclavian veins returning blood from the upper limbs join the two internal
jugular veins from the head to form the brachiocephalic veins, which unite in the superior
mediastinum to form the superior vena cava. The thoracic duct, the major lymphatic vessel of the
body, loops over the subclavian artery to empty into the subclavian vein.
In addition to the brachial plexus, the middle and inferior cervical ganglia are also present near the
sixth and seventh cervical vertebrae, these give off sympathetic innervation and give rise to the two
sympathetic trunks which descend down the trunk.
The phrenic nerve can be seen weaving past the branches of the right thyrocervical trunk, and the
recurrent laryngeal nerves can be seen poking out just lateral to the common carotid arteries.