The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . rve. 8. Facial artery. 9. Facialvein. 10. Occipital and internal maxillary veins. II. External carotid arteryseen after the removal of the parotid gland. 12, Masseter muscle. 13. Pectoralmuscle and clavicle. 14. Hook holding aside the external jugular vein. After Bernard and Huette. Fig, 4. A front view of the Veins of the Neck. 1, 1. Base of the lower Os hyoides, 3, 3. Interna


The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . rve. 8. Facial artery. 9. Facialvein. 10. Occipital and internal maxillary veins. II. External carotid arteryseen after the removal of the parotid gland. 12, Masseter muscle. 13. Pectoralmuscle and clavicle. 14. Hook holding aside the external jugular vein. After Bernard and Huette. Fig, 4. A front view of the Veins of the Neck. 1, 1. Base of the lower Os hyoides, 3, 3. Internal jugular vein. 4. Omo-hyoid muscle. 5. Larynx,6, Sterno-hyoid and thyroid muscles. 7, 8. Superficial veins. 9. External jugu-lar vein. 10. Sterno-cleido mastoid muscle. After Bernard and Huette. Fig. 5. A side view of the oesophagus and adjacent parts, I. Facial arteryand vein passing on to the face. 2. Lingual artery. 3 Os hyoides. 4. Superiorthyroid artery. 5. CEsophagus. 6. Trachea. 7. Inferior thyroid artery. 8. Ster-no-cleido-mastoid, cut across. 9. Primitive carotid. 10. Internal jugular Upper portion of the sterno-cleido-mastoid muscle. After Bernard and Huette.(242) riate Z9 Fi^.l, , Rg3. THE LARYNGO-TRACHEAL AND SUPRA-STERNAL REGIONS. 243 have also an important influence upon the blood-vessels connected with it. Intwo cases which occurred under ray observation, it led to the entire oblitera-tion of the carotid artery, and in one, to that of the internal jugular vein, aswell as the artery. When enlarged by scirrhus or similar deposits, the shapeof parotid tumors is always at first more or less flattened in consequence ofthis expansion of the fascia over the surface of the gland, though ultimatelythey may attain considerable size and a globular form. Having no propercapsule, in the normal condition, the parotid gland owes its shape, and thecontinuity of its structure, to connective tissue, the induration of which, aswell as its adhesion to the fascia just allud


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