Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
Now as the cranio-spinal chamber is lined by the common dura-matral
membrane, and contains the common mass of nervous structure, thus
inviting us to fix attention upon this structure as a whole, so we find
that the frontal cavity, Z, the nasal cavity, X W, the oral cavity, 4,
5, S, the pharyngeal and oesophageal passages 8 Q, are lined by the
common mucous membrane, and communicate so freely with each other that
they may be in fact considered as forming a common cavity divided only
by partially formed septa, such as the one, U V, which separates to some
extent the nasal fossa from the oral fossa.
As owing to this continuity of structure, visible between the head and
spine, we may infer the liability which the affections of the one region
have to pass into and implicate the other, so likewise by that
continuity apparent between all compartments of the face, fauces,
oesophagus, and larynx, we may estimate how the pathological condition
of the one region will concern the others.
The cranium, owing to its comparatively superficial and undefended
condition, is liable to fracture. When the cranium is fractured, in
consequence of force applied to its anterior or posterior surfaces, A or
B, Plate 20, the fracture will, for the most part, be confined to the
place whereat the force has been applied, provided the point opposite
has not been driven against some resisting body at the same time. Thus
when the point B is struck by a force sufficient to fracture the bone,
while the point A is not opposed to any resisting body, then B alone
will yield to the force applied; and fracture thus occurring at the
point B, will have happened at the place where the applied force is met
by the force, or weight, or inertia of the head itself. But when B is
struck by any ponderous body, while A is at the same moment forced
against a resisting body, then A is also liable to suffer fracture. If
fracture in one place be attended with counter-fracture in another
place, as at the opposite points A and B, then the fracture occurs from
the force impelling, while the counter-fracture happens by the force
resisting.
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