Surgical therapeutics and operative technique . Fig. 305.—Extirpation of a Bunch of the Tuberculous Carotid Fig 306.—Extirpation of Tuberculous Supraclavicular Glands. Tuberculosis frequently involves nearly the whole of the following groups ofglands: Carotid, posterior cervical, parotidean, submaxillary, median supra- 184 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE hyoid, and supraclavicular. Operation is nearly always more difficult thanin cases of lymphadenoma, on account of the inflammatory adhesionswhich tuberculous glands are prone to contract with the sheaths of thegreat vess
Surgical therapeutics and operative technique . Fig. 305.—Extirpation of a Bunch of the Tuberculous Carotid Fig 306.—Extirpation of Tuberculous Supraclavicular Glands. Tuberculosis frequently involves nearly the whole of the following groups ofglands: Carotid, posterior cervical, parotidean, submaxillary, median supra- 184 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE hyoid, and supraclavicular. Operation is nearly always more difficult thanin cases of lymphadenoma, on account of the inflammatory adhesionswhich tuberculous glands are prone to contract with the sheaths of thegreat vessels, and notably with that of the internal jugular vein. I have inmany cases extirpated this vein tliroughout nearly its whole length, betweentwo ligatures. The technique of the operation is that above procedure may extend into the supraclavicular fossa. I make two incisions along the anterior border of the sterno-mastoidmuscle, a superior and an inferior, separated by an interval of 5 or 6 centi-metres, through wliich the glands can easily be enucleated by divulsion. Itis sometimes necessary to
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