. Manual of operative surgery. Fig. 134.—{Hotchkiss, Annals of Surg.). Fig. 135.—{Hotchkiss, Annals of Surg.) the platysma overlying the submaxillary gland, and the deep structures of theneck. LOWER LIP 115 Step 2.—Free the anterior border of the sternomastoid exposing the chainof glands extending from the submaxillary space to below the level of the cricoidcartilage. From below up remove en masse the entire lymphatic chain alongthe internal jugular vein and beneath the sternomastoid muscle until the belliesof the digastric come into view when the contents of the submaxillary space(both saliva
. Manual of operative surgery. Fig. 134.—{Hotchkiss, Annals of Surg.). Fig. 135.—{Hotchkiss, Annals of Surg.) the platysma overlying the submaxillary gland, and the deep structures of theneck. LOWER LIP 115 Step 2.—Free the anterior border of the sternomastoid exposing the chainof glands extending from the submaxillary space to below the level of the cricoidcartilage. From below up remove en masse the entire lymphatic chain alongthe internal jugular vein and beneath the sternomastoid muscle until the belliesof the digastric come into view when the contents of the submaxillary space(both salivary and lymphatic glands) must be dissected free and retractedupwards in one piece (Fig. 133). Doubly ligate and divide the external jugularand facial veins and the external carotid artery. Step 3.—Expose the outer surface of the lower jaw and prepare it for the neck wound with gauze. Make an incision all around the diseaseon the face and at a safe distance from the disease (i, 2, 10, 9, Fig. 132). Thisincision penetrates the mouth. Divide the l
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