c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Submandibular Salivary Gland Resection: 4

A D V E R T I S E M E N T

   
 

An incision is made in the skin lines just above the hyoid bone extending posteriorly to the edge of the sternocleidomastoid muscle.       

Notes:

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Submandibular Salivary Gland Resection: 5

A D V E R T I S E M E N T

   
 

The platysma layer is opened over the lower portion of the submandibular gland, exposing the facial vein overlying the pseudocapsule.       

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Submandibular Salivary Gland Resection: 6

A D V E R T I S E M E N T

   
 

The facial vein is ligated and divided well below the margin of the mandible to avoid damage to the marginal branch of the facial nerve which may descend two centimeters or more. Lifting up the vein elevates the nerve which lies superficial to it and keeps it out of harm's way. The facial artery emerges from beneath the gland closer to the mandibular border and may not be safely divided with the vein at this early stage.      

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This page was last modified on 1/15/1999.