Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The precise locality at which the common carotid appears from under the
sterno-mastoid muscle is, in almost all instances, opposite to the
thyroid cartilage. At this place, if an incision, dividing the skin,
platysma and some superficial branches of nerves, be made along the
anterior border of the sterno-mastoid muscle, and this latter be turned
a little aside, a process of cervical fascia, and beneath it the sheath
of the carotid artery, will successionally disclose themselves. In many
bodies, however, some degree of careful search requires to be made prior
to the full exposure of the vessel in its sheath, in consequence of a
considerable quantity of adipose tissue, some lymphatic glands, and many
small veins lying in the immediate vicinity of the carotid artery and
internal jugular vein. This latter vessel, though usually lying
completely concealed by the sterno-mastoid muscle, is frequently to be
seen projecting from under its fore part. In emaciated bodies, where the
sterno-mastoid presents wasted proportions, it will, in consequence,
leave both the main blood-vessels uncovered at this locality in the
neck.
The common carotid artery ascends the cervical region almost
perpendicularly from opposite the sterno-clavicular articulation to the
greater cornu of the os hyoides. For the greater part of this extent it
is covered by the sterno-mastoid muscle; but as this latter takes an
oblique course backwards to its insertion into the mastoid process,
while the main blood-vessel dividing into branches still ascends in its
original direction, so is it that the artery becomes uncovered by the
muscle. Even the root of the internal carotid, E, may be readily reached
at this place, where it lies on the same plane as the external carotid,
but concealed in great part by the internal jugular vein. It would be
possible, while relaxing the sterno-mastoid muscle, to compress either
the common carotid artery or its main branches against the cervical
vertebral column, if pressure were made in a direction backwards and
inwards. The facial artery V, which springs from the external carotid,
D, may be compressed against the horizontal ramus of the lower jaw-bone
at the anterior border of the masseter muscle. The temporal artery, as
it ascends over the root of the zygoma, may be compressed effectually
against this bony point.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account