. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. external r. mental nerve \ , , • Dignstricas (ant. belly) : In/, submental art. dental plexus Fig. 217.—The nerves and vessels of the face (fourth layer, the deep facial veins).The zygomatic arch has been removed, the temporalis with the mandibular coronoidprocess reflected upward, the mandibular neck excised, the external ear cut off, and theentire


. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. external r. mental nerve \ , , • Dignstricas (ant. belly) : In/, submental art. dental plexus Fig. 217.—The nerves and vessels of the face (fourth layer, the deep facial veins).The zygomatic arch has been removed, the temporalis with the mandibular coronoidprocess reflected upward, the mandibular neck excised, the external ear cut off, and theentire mandibular canal opened up. * = Anastomosis between supratrochlear and infra-trochlear nerves. **= Branches of buccinator nerve passing to mucous membrane ofthe cheek. + = Mylohyoid nerve. + on the vein = divided communication with ex-ternal jugular vein. (Sobotta and McMurrich.) We have now examined the relation of the axis of the trigeminusto the upper jaw in different skulls, and designate as the middle partan axis which strikes the upper alveolar margin at the height of themiddle molar tooth (Fig. 207, a). Steep means (c) cutting point of 59° LOCAL ANESTHESIA 12 3 4. Fig. 218.—Normal course of the internal maxillary arten,- on the outer side of the muscle: i, Coronoid process; 2, temporal muscle; 3, deep ant. branch temp,art.; 4, infra-orbital artery; 5, post. sup. alveolar art.; 6, buccinator art. and nerve; 7,buccinator muscle; 8, superficial temp, art.; 9, internal maxillary art.; 10, massetermuscle; n, inferior alveolar art. and nerve; 12, lingual nerve; 13, int. pterygoid muscle;14, ext. pterygoid muscle. (After Poirier.)


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