Operative Surgery, for Students And Practitioners

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This layer of fascia is incised along the middle 246 NECK AND TONGUE.
line, corresponding to the incision in the integument. The edges of the wound being now retracted;, there are exposed, above the cricoid cartilage and just below the cricoid, lying transversely across the front of the trachea, the isthmus of the thyroid gland. The isthmus of the thyroid gland is located about one-half inch below the cricoid cartilage to which it is connected by a process of the deep cervical fascia. This slip
... of fascia covers or conceals the upper two rings of the trachea; so that, in order to expose these, it is necessary to pick up this band and snip it transversely, after which the isthmus may be drawn downward and the upper rings of the trachea exposed to view.
The next step is to enter the air-passage, but before doing this all bleeding points should be clamped. At times, during the operation, the larynx moves violently up and down in forced efforts at respira- tion, and in order to steady it a tenaculum must be employed.


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