Ansa
Cervicalis - Running over the outside of the carotid sheath (but sometimes
deep to it) is the Ansa Cervicalis, a motor
division of the cervical plexus. It is composed of two limbs, a superior
root which is derived from C1, associated
with CN XII, and anteriorly placed, and an
inferior
root which is derived from
C2 and C3
and posteriorly placed. A loop is formed where the superior and inferior
roots join and from this loop, branches arise which innervate the infrahyoid
muscles (except thyrohyoid). This is a very delicate structure and
time should be spent dissecting the roots and motor branches to each of
the infrahyoids.