Surgical therapeutics and operative technique . owing:1Below,THE Digastric; in the Middle, the Divided Edge of the Mtlohtoid;WITH THE Sublingual Gland above it, and the Submaxillary curled]|around ITS JPOSTERIOR MARGIN, The tongue has been drawn out through the wound. double ;ligature of the lingual artery. It often happens that the carotidglands are also involved. In such a case a further incision of 4 or 5 centi-metresshould be made from the posterior extremity of the first, as if forexposure of the external carotid artery. The glands are then extnpated,and the external carotid and its princ


Surgical therapeutics and operative technique . owing:1Below,THE Digastric; in the Middle, the Divided Edge of the Mtlohtoid;WITH THE Sublingual Gland above it, and the Submaxillary curled]|around ITS JPOSTERIOR MARGIN, The tongue has been drawn out through the wound. double ;ligature of the lingual artery. It often happens that the carotidglands are also involved. In such a case a further incision of 4 or 5 centi-metresshould be made from the posterior extremity of the first, as if forexposure of the external carotid artery. The glands are then extnpated,and the external carotid and its principal branches are tied (see p. 291). Third Stage.^—^The dental arcades are separated with the ringed surgeon recognizes the glosso-gingival groove with his left index-finger,while he explores the depths of the wound with his right, separating thevarious cellular strata till he has reached the mucous membrane. Themylohyoid muscle is found at the anterior part of the field of operation. 152 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE. Fig. 265.—Ablation of a Tumour of the Base of the Tongue bt the Lateiial SuPKAHTOiD Route. Exposure of tlie cancerous lymphatic glands.


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