This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 Excerpt: ... in a canal in the bone, it may be requisite to plug the open mouth of the bony canal with a small piece of wood, in order to arrest haemorrhage. The main trunk of the middle meningeal artery within the cranium.--This vessel may be ligatured through a trephine aperture, placed a little nearer the zygoma than the above. ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 Excerpt: ... in a canal in the bone, it may be requisite to plug the open mouth of the bony canal with a small piece of wood, in order to arrest haemorrhage. The main trunk of the middle meningeal artery within the cranium.--This vessel may be ligatured through a trephine aperture, placed a little nearer the zygoma than the above. In applying a ligature to the main artery, it will usually be found necessary to push inwards the dura mater for a short distance below the trephine aperture, in order to freely expose the vessel. This can in most cases be fairly easily effected with the periosteal elevator. The posterior branch of the middle meningeal artery.--This vessel may be ligatured in a manner similar to the above, the trephine aperture being made about in. above the external auditory meatus, and just below and in front of the parietal eminence. The internal carotid artery.--This vessel is one of the terminal branches of the common carotid artery, and is given off at the level of the upper border of the thyroid cartilage. From this point the artery passes upwards to the base of the skull, where it enters the carotid canal in the petrous bone. At its commencement the internal carotid lies a little external and in a plane somewhat posterior to that of the external carotid. As it passes upwards it takes a course behind the digastric, and is very deeply placed. A ligature is only applied to this artery immediately above its commencement. Operation.--The skin incision and early stages of the operation are similar to those described for the external carotid (Fig. 195), and when this vessel has been exposed it is retracted to the inner side. The sheath of the internal carotid is thus laid bare, and is opened in the usual manner. The needle is passed from the outer side so as...
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