Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The length of the common carotid artery varies, of course, according to
the place where the innominate artery below divides, and also according
to that place whereat the common carotid itself divides into internal
and external carotids. In general, the length of the common carotid is
considerable, and ranges between the sterno-clavicular articulation and
the level of the os hyoides; throughout the whole of this length, it
seldom or never happens that a large arterial branch is given off from
the vessel, and the operation of ligaturing the common carotid is
therefore much more likely to answer the results required of that
proceeding than can be expected from the ligature of any part of the
subclavian artery which gives off large arterial branches from every
part of its course.
The sympathetic nerve, R, Plate 6, is as close to the carotid artery
behind, as the vagus nerve, N, Plate 5, and is as much endangered in
ligaturing this vessel. The branch of the ninth nerve, E, Plate 5,
(descendens noni,) lies upon the common carotid, itself or its sheath,
and is likely to be included in the ligature oftener than we are aware
of.
The trunk of the external carotid, D, Plate 5, is in all cases very
short, and in many bodies can scarcely be said to exist, in consequence
of the thyroid, lingual, facial, temporal, and occipital branches,
springing directly from almost the same point at which the common
carotid gives off the internal carotid artery. The internal carotid is
certainly the continuation of the common arterial trunk, while the
vessel named external carotid is only a series of its branches. If the
greater size of the internal carotid artery, compared to that of the
external carotid, be not sufficient to prove that the former is the
proper continuation of the common carotid, a fact may be drawn from
comparative philosophy which will put the question beyond doubt,
namely--that as the common carotid follows the line of the cervical
vertebrae, just as the aorta follows that of the vertebrae of the trunk,
so does the internal carotid follow the line of the cephalic vertebrae.
I liken, therefore, those branches of the so-called external carotid to
be, as it were, the visceral arteries of the face and neck. It would be
quite possible to demonstrate this point of analogy, were this the place
for analogical reasoning.
The common carotid, or the internal, may be compressed against the
rectus capitis anticus major muscle, 13, Plate 6, as it lies on the
fore-part of the vertebral column. The internal maxillary artery, 16,
Plate 6, and the facial artery, G, Plate 5, are those vessels which
bleed when the lower maxilla is amputated. In this operation, the
temporal artery, 15, Plate 6, will hardly escape being divided also, it
lies in such close proximity to the neck and condyle of the jaw-bone.
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