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PLATE IV. Fig. 1. This dissection is carried more deeply than the
last, and is especially intended to show the mutual relations of
the great vessels. It also shows the next stage in the dissection
of the submaxillary region. In order to obtain it from the last the
sternal heads of both sterno-mastoids were cut away, and the
omo-hyoids and the sterno-hyoids, and the left sterno- thyroid,
were removed completely, the right sterno-thyroid only in part. In
the submaxillary region the right digastric, both mylo- hyoids, and
the left hyo-glossus muscle, and hypoglossal and gustatory nerves,
were taken away. Lastly, the first piece of the sternum was cut out
and taken away, with the muscles attached to it. Lymphatic
Glands.?One of the mediastinal glands, +, is shown. A number of
lymphatic glands, not shown in the drawing, pass across the
submaxillary region, uniting the deep series of the two sides (p.
8). They are important, because they are affected secondarily to
inflammatory or malignant disease of the tongue and mouth.
Myxomatous tumours, in connexion with the salivary glands and cysts
(serous mucous or sebaceous) of the sublingual region, may occur in
this part, rendering the diagnosis of tumours in this part
sometimes difficult. In the removal of any of these it is easy to
displace or remove the submaxillary gland. The submaxillary gland
is principally shown on Plate 3, Fig. 2, If. The deep part of it is
here drawn, x . It is shown in side view in Plates 1 and 2. It is
disc-shaped, and consists of large flattened lobules. It is
contained in a sheath ofdeep cervical fascia, the upper and outer
part of which, strong and attached above to the styloid process, is
called the stylo- maxillary ligament, and separates this gland from
the parotid. Lying below and beneath...
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|Country of origin:
Rickman John Godlee
||246 x 189 x 8mm (L x W x T)
||Paperback - Trade
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