. 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. gles withthe pterygomaxillary fissure. This fissure forms a means of com-munication between four fossae—the orbital in front, sphenomaxil-lary behind and internally, the temporal and zygomatic externallyand behind. Through this fissure pass the superior maxillary nerveand its orbital branch, the infra-orbital vessels, and ascendingbranches from the sphenopalat
. 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. gles withthe pterygomaxillary fissure. This fissure forms a means of com-munication between four fossae—the orbital in front, sphenomaxil-lary behind and internally, the temporal and zygomatic externallyand behind. Through this fissure pass the superior maxillary nerveand its orbital branch, the infra-orbital vessels, and ascendingbranches from the sphenopalatine or jSIeckels ganglion. At the apex of the orbital fossa, below and external to the orbitalforamen, is seen the foramen lacerum anterius or sphenoidal fissure,formed internally by the body of the sphenoid, above and internallyby the lesser wing of the sphenoid, below and externally by the greaterwing of the sphenoid. Through this fissure pass the third, ft)urlh, the tliree divisions ofthe ophthalmic division of the llfth (UuTimal, frontal, and nasal), THE HEAD, SCALP, CRANIUM, BRAIN, AND FACE 541 and sixth nerves, some filaments from the cavernous plexus of thesympathetic, the orbital branch of the middle meningeal artery, a. Fig. 171.—Ocular muscles viewed after removal of lateral wall of orbit: a, Eyeball;b, optic nerve; c, c, eyelids; d, maxillary sinus; e, pterygoid plate;/, foramen rotundum;g, roof of orbit; A,frontal sinus; /, supra-orbital nerve; k, septum orbitale; i, levator pal-pebras superioris; 2, 3, superior and inferior recti; 4, 4, portions of the cut external rec-tus; 5, internal rectus; 6, inferior oblique; 7, insertion of superior oblique; 8, annular liga-ment or tendon of Zinn. (Testut.) Rectus superior IAnnular tendon | | I
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