Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
When the neck is extended in surgical position, as seen in Plates 3 and
4, its general outline assumes a quadrilateral shape, approaching to a
square. The sides of this square are formed anteriorly by the line
ranging from the mental symphysis to the top of the sternum, and
posteriorly by a line drawn between the occiput and shoulder. The
superior side of this cervical square is drawn by the horizontal ramus
of the lower maxilla, and the inferior side by the horizontal line of
the clavicle. This square space, R 16, 8, 6, Plate 4, is halved by a
diagonal line, drawn by the sterno-cleido-mastoid muscle B, which cuts
the square into two triangles. In the anterior triangle, F 16, 6, Plate
4, is located the superficial common carotid artery, C, and its
branches, D, with accompanying nerves. In the posterior triangle, 9, 8,
6, Plate 4, is placed the superficial subclavian artery, A, its
branches, L M, and the brachial plexus of nerves, I. Both these
triangles and their contents are completely sheathed by that thin
scarf-like muscle, named platysma myoides, A A, Plate 3, the fibres of
which traverse the neck slantingly in a line, O A, of diagonal direction
opposite to and secant of that of the sterno-mastoid muscle.
When the skin and subcutaneous adipose membrane are removed by careful
dissection from the cervical region, certain structures are exposed,
which, even in the undissected neck, projected on the superficies, and
are the unerring guides to the localities of the blood-vessels and
nerves, &c. In Plate 4, the top of the sternum, 6; the clavicle, 7; the
"Pomum Adami," 1; the lower maxilla at V; the hyoid bone, Z; the
sterno-cleido-mastoid muscle, B; and the clavicular portion of the
trapezius muscle, 8; will readily be felt or otherwise recognised
through the skin, &c. When these several points are well considered in
their relation to one another, they will correctly determine the
relative locality of those structures--the blood-vessels, nerves, &c.,
which mainly concern the surgical operation.
Public-domain text, read in full here on John Shaqi.
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