The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.Le Clerc, M. (Charles Gabriel)
Science
The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.
Le Clerc, M. (Charles Gabriel)
Surgery -- Early works to 1800
The Hole thro' which runs the _Auditory_ Nerve, that makes the seventh
Pair, is in the middle of the hinder-part of the _Os Petrosum_, that looks
toward the _Cerebellum_: This Hole being very large, is the Entrance of a
_Ductus_ that is hollow'd in the _Os Petrosum_, and which sinking obliquely
from the fore-part backward, for the depth of about two Hairs breadth,
forms as it were the bottom of a Sack, the lowermost part whereof is
terminated partly by the _Basis_ of the _Cochlea_, and partly by a Portion
of the Mouth of the _Vestibulum_. At the bottom of this _Ductus_ are many
Holes, but the most considerable is that of the upper-part, thro' which
passeth a Portion of the Auditory Nerve. This is also the Entrance of
another _Ductus_ made in the _Os Petrosum_, which is open'd between the
_Apophysis Mastoides_ and _Styloides_: These other Holes afford a Passage
to the Branches of the soft Portion of the same Auditory Nerve. {86}
Below this _Ductus_ there is a remarkable Hole form'd by the meeting of two
hollow Cuts the larger whereof is in the Occipital Bone and the other in
the lower-part of the _Apophysis Petrosi_: From the middle of the
upper-part of this Hole issueth forth a small Prominence or bony Point,
whereto is join'd an Appendix of the _Dura Mater_, which divides the Hole
into two parts; so that thro' the foremost Orifice passeth the Nerve of the
eighth Pair, and that which is call'd the _Spinal_ Nerve. We shall have
occasion hereafter to shew the Use of the hinder Orifice.
Near the great Hole of the Occipital Bone from whence proceeds the _Medulla
Oblongata_, we may observe a Hole almost round and oblong thro' which
passeth the Nerve of the ninth Pair. This Hole is entirely situated in the
Occipital Bone, and making a little Way in the Bone passeth obliquely from
the back-part forward. In the inside of the Skull this Hole is sometimes
double, but its two Entrances are re-united in the outward-part of the
Skull; and the two Branches that form the Origine of this Nerve and which
pass thro' these two Holes, are likewise re-united at their Departure,
These are the Passages of the nine Pairs of Nerves that proceed from the
_Medulla Oblongata_, and it remains only to show that Paths thro' which the
Intercostal Nerve goes forth, as also that of the tenth Pair. The
Intercostal runs out of the Skull thro' the _Ductus_ that gives Entrance to
the Internal _Carotick_ Artery. As for the tenth Pair, in regard that it
ariseth from the Marrow which is enclos'd between the Occipital {87} Bone
and the first _Vertebra_, it goes forth thro' the Hole of the _Dura Mater_,
where the Vertebral Artery enters.
To know well the Holes thro' which the Vessels that belong to the
inner-part of the Head enter, and issue forth, it is requisite to
distinguish them into those which are distributed to the _Dura Mater_, and
those that are appointed for the Brain. The Vessels of the _Dura Mater_,
are Branches of the _Carotick_ or Vertebral Arteries.
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