Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
B. Sternal attachment of the sterno-mastoid muscle, marking the
situation of the root of common carotid.
C. Common carotid at its point of division, uncovered by sterno-mastoid.
D. External carotid artery branching into lingual, facial, temporal,
and occipital arteries.
E. Internal carotid artery.
F. Temporo-maxillary branch of external carotid artery.
G. Temporal artery and temporal vein, with some ascending temporal
branches of portio-dura nerve.
H. External jugular vein descending from the angle of the jaw, where it
is formed by the union of temporal and maxillary veins.
I. Brachial plexus of nerves in connexion with A, the subclavian
artery.
K. Posterior half of the omo-hyoid muscle.
L. Transversalis colli artery.
M. Posterior scapular artery.
N. Scalenus anticus muscle.
O. Lymphatic bodies of the posterior triangle of neck.
P. Superficial descending branches of the cervical plexus of nerves.
Q. Auricularis magnus nerve ascending to join the portio-dura.
R. Occipital artery, accompanied by its nerve, and also by some
branches of the occipitalis minor nerve, a branch of cervical plexus.
S. Portio-dura, or motor division of seventh pair of cerebral nerves.
T. Parotid duct.
U. Facial vein.
V. Facial artery.
W. Submaxillary gland.
X. Digastric muscle.
Y. Lymphatic body.
Z. Hyoid bone.
1. Thyroid cartilage.
2. Superior thyroid artery.
3. Anterior jugular vein.
4. Hyoid half of omo-hyoid muscle.
5. Sterno-hyoid muscle.
6. Top of the sternum.
7. Clavicle.
8. Trapezius muscle.
9. Splenius capitis and colli muscle.
10. Occipital half of occipito-frontalis muscle.
11. Levator auris muscle.
12. Frontal half of occipito-frontalis muscle.
13. Orbicularis oculi muscle.
14. Zygomaticus major muscle.
15. Buccinator muscle.
16. Depressor anguli oris muscle.
(Page 16)
[Illustration: Right side of the head, showing blood vessels, muscles
and other internal organs. ]
Plate 4
COMMENTARY ON PLATES 5 & 6.
THE SURGICAL FORM OF THE DEEP CERVICAL AND FACIAL REGIONS, AND
THE RELATIVE POSITION OF THE PRINCIPAL BLOODVESSELS AND
NERVES, &c.
While the human cervix is still extended in surgical position, its
deeper anatomical relations, viewed as a whole, preserve the
quadrilateral form. But as it is necessary to remove the
sterno-cleido-mastoid muscle, in order to expose the entire range of the
greater bloodvessels and nerves, so the diagonal which that muscle
forms, as seen in Plates 3 and 4, disappears, and thus both the cervical
triangles are thrown into one common region. Although, however, the
sterno-mastoid muscle be removed, as seen in Plate 5, still the great
bloodvessels and nerves themselves will be observed to divide the
cervical square diagonally, as they ascend the neck from the
sterno-clavicular articulation to the ear.
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