Surgical therapeutics and operative technique . ?>^^/-y. Fig. 274,—Right Tonsillar Fossa, seen from the Inner Side. The styloid apophysis, styloid muscles, and superior constrictor of j)liarynx, havebeen resected. Exposure of lingual nerve, internal pterygoid and digastricmuscles, and facial artery, which plunges into the celhilo-adipose tissue of themaxUlo-pharyngeal Fig. 275.—Right Tonsillar Fossa, seen from the Inner Side. A retractor has hooked back the digastric muscle and facial artery, and drawn theinferior angle of the tonsillar wound forcibly downwards. This disi^ositionena


Surgical therapeutics and operative technique . ?>^^/-y. Fig. 274,—Right Tonsillar Fossa, seen from the Inner Side. The styloid apophysis, styloid muscles, and superior constrictor of j)liarynx, havebeen resected. Exposure of lingual nerve, internal pterygoid and digastricmuscles, and facial artery, which plunges into the celhilo-adipose tissue of themaxUlo-pharyngeal Fig. 275.—Right Tonsillar Fossa, seen from the Inner Side. A retractor has hooked back the digastric muscle and facial artery, and drawn theinferior angle of the tonsillar wound forcibly downwards. This disi^ositionenables us to see: behind, the anterior aspect of the parotid pouch; in front,the posterior pole of the submaxillary gland; on the outside, the lingual nerve,internal pterygoid muscle, and ascending ramus of inferior maxilla; below, asmall cutaneous incision. This is the incision which we use in attacking thetonsil through the subangulo-maxillary region. 158 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE the external and internal carotid arteries, the internal jugular vein, and anumber of nerves—on the outside, the hypoglossal; between the two carotidarteries, the glosso-pharyngeal; between the internal carotid artery andinternal jugular vein, the pneumogastric; and behind the internal jugularvein, the spinal accessory. The posterior belly of the digastric is behindthe n


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