A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
The parts which we may wish to examine in the region of the neck in a
post-mortem examination, include the tongue, the larynx, the trachea and
the œsophagus. These may be removed together, by first making a single,
straight incision from the chin, down the central line of the neck to
the sternum. Next turn aside the integument with the superficial
structures, separate the muscles of the tongue from their attachment to
the jaw, and divide the mucous membrane of the floor of the mouth on
either side of the tongue, when, with the tenaculum, the latter may be
drawn down beneath the jaw. The neck being well extended and the tongue
forcibly drawn down, the knife may be carried back on either side of
that organ, dividing the muscles and mucous membranes, including the
palatine arches and tonsils, when the tongue may be so drawn down as to
permit the knife to reach the posterior walls of the pharynx. This being
divided, from the slight adhesion to the spinal column, the whole may
now be drawn down and removed together, the trachea and œsophagus being
divided at the upper end of the sternum.
By the use of the enterotome, the pharynx, larynx and trachea may be
laid open from behind, which will fully expose their interior for
careful examination.
After the examination of the parts is completed, if it is desired to
preserve the specimen, the cavity remaining may be so filled with paper
or rags, as, upon the closing of the part, to leave little or no
evidence of the absence of any portion.
Through the mouth, the buccal cavity may be examined, when there may be
noted the condition of the teeth, gums, tonsils, palate, etc.; the
presence or absence of ulcers on any of these parts, or of food or other
foreign substances within the cavity.
OPERATION ON THE CHEST.
Public-domain text, read in full here on John Shaqi.
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