Surgical Treatment; a Practical Treatise On the Therapy of Surgical Diseases for the Use of Practitioners And Students of Surgery V.1

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410 SURGICAL TREATMENT Internal Carotid Artery. — The line in which this vessel lies is parallel with that of the external carotid and 1.25 cm. (I2 inch) external to it. The artery begins at the upper border of the thyroid cartilage. At its beginning it lies posterior and internal to the external carotid. The lower 2.5 cm.
(i inch) of the vessel are accessible for ligation. The internal jugular vein is in the same sheath and Ues external to the artery. The pneumogastric nerve Ues between the tw
...o but posteriorly. Behind the artery lie the superior cervical ganglion and the superior laryngeal nerve. The incision for exposing the artery is 7 or 8 cm. (3 inches) long and 1.25 cm. {^-o, inch) external to that of the external carotid. The sternomastoid muscle is drawn outward, and the external carotid artery is retracted inward. The vessel is recognized by its more posterior and external position and by the absence of branches (Fig. 266). The needle should be passed from without inward. The dangers of cerebral changes are nearly as great after ligation of this artery as after ligation of the common carotid.

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