Ligation of blood vessels is commonly performed in oral and maxillofacial surgery to control bleeding. The document discusses the definition and reasons for vessel ligation. It then describes the general ligation procedure and techniques for ligating specific vessels like the external carotid artery, lingual artery, and internal carotid artery. Ligating vessels helps arrest blood flow after amputation or in cases of hemorrhage, aneurysms, or tumors. While ligation reduces risks, it can also potentially damage nearby nerves or tissues if not performed carefully.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This seminar explains about the development, relations, ligaments, various attachments, vascular and nervous supply and various surgical approaches and its modifications to TMJ
The Middle Third Of The Facial Skeleton Is Defined As An Area Bounded,
Superiorly –Line Drawn Across The skull from the Zygomatico frontal Suture across the Frontonasal & Frontomaxillary sutures to the Zygomaticofrontal suture on the opposite side
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
It is made up of the following bones:
1. Two maxillae
2. Tw o palatine bones
3. Two zygomatic bones and their temporal processes
4. Two zygomatic processes of the temporal bone
5. Two nasal bones
this presentation describes about each bone individually and its applied anatomy
Arthrocentesis of the temporomandibular jointAhmed Adawy
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine, Al-Azhar University. Arthrocentesis of the temporomandibular joint refers to lavage of the upper joint space, hydraulic pressure and manipulation to release adhesions of the “anchored disc phenomenon” and improve motion. The technique of arthrocentesis is discussed together with the indications and contraindications of the procedure. Further, the presentation includes modifications of the standard technique.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This seminar explains about the development, relations, ligaments, various attachments, vascular and nervous supply and various surgical approaches and its modifications to TMJ
The Middle Third Of The Facial Skeleton Is Defined As An Area Bounded,
Superiorly –Line Drawn Across The skull from the Zygomatico frontal Suture across the Frontonasal & Frontomaxillary sutures to the Zygomaticofrontal suture on the opposite side
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
It is made up of the following bones:
1. Two maxillae
2. Tw o palatine bones
3. Two zygomatic bones and their temporal processes
4. Two zygomatic processes of the temporal bone
5. Two nasal bones
this presentation describes about each bone individually and its applied anatomy
Arthrocentesis of the temporomandibular jointAhmed Adawy
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine, Al-Azhar University. Arthrocentesis of the temporomandibular joint refers to lavage of the upper joint space, hydraulic pressure and manipulation to release adhesions of the “anchored disc phenomenon” and improve motion. The technique of arthrocentesis is discussed together with the indications and contraindications of the procedure. Further, the presentation includes modifications of the standard technique.
Orbital anatomy and orbital fracture/oral surgery courses by indian dental ac...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
1. LIGATION OF
VESSELS IN
ORAL AND
MAXILLO FACIAL
SURGERY
Presented by – Sumit aman
MDS- 1ST
Year
Dept. Of Oral And Maxillofacial Surgery
Moderator :Dr. Neelima Gehlot
3. LIGATION Means act of binding or
tying of blood vessels with sutures or wires is
called Ligation…
* First ligation was done by
AMBROSE PARE in
amputation procedure.
• AMPUTATION : is the removal of limb
by trauma,medical illness or surgery .it
is used to cntrl pain or a disease
process in affected limb such in
Malignancy or Gangrene…
4. WHY WE LIGATE VESSELS???
AFTER AMPUTATION TO ARREST
THE BLOOD FLOW
IN WOUNDS OF ARTERIES WHERE
HAEMMORRHAGE CAN’T BE
CONTROLLED
IN SECONDARY HAMMORAGHE
WHERE THEY CAN’T BE
CONTROLLED BY OTHER MEANS
IN LOCAL HYPERTROPHIES TO
ARREST THE NUTRITIONAL SUPPLY
TO THAT AREA
5. IN CASE OF ANEURYSMS
IN CASE OF MALIGNANT TUMOUR TO
STOP THE BLOOD FLOW
IN ACUTE INFLAMMATION WHERE
NEITHER RESECTION NOR AMPUTATION
IS POSSIBLE
IN VARIOUS OPERATIVE PROCEDURES
WHEN WE ENCOUTER VESSELS TO
REDUCE BLOOD FLOW TO THAT REGION .
6. 1. EXPOSE THE SHEATH OF VESSEL
2. ISOLATE THE VESSEL
3. PLACE THE LIGATURE
8. EXPOSED AT TWO SITES
1. IN THE CAROTID TRIANGLE -AT ITS ORIGIN
FROM THE COMMON CAROTID ( ABOVE THE
ORIGIN OF SUPERIOR THYROID ARTERY)
2. IN THE RETROMANIBULAR FOSSA HERE WE
LIGATE IT BEHIND THE ANGLE OF LOWER JAW
( DEALS WITH THE HAEMORRHAGE FROM
ONE OF THE BRANCHES OF MAXILLARY
ARTERY)
9. INCISION
A SUBMANDIBULAR SKIN
CREASE INCISION IS
MADE APPROXIMATELY
TWO FINGER BREADTH
BELOW THE ANGLE OF
MANDIBLE EXTENDING
FROM THE INFERIOR
TO THE MASTOID
PROCESS TO JUST
SHORT OF MIDLINE
(behind the anterior
border of
sternocledomastoid
process)
10. CONTINUE DOWNWARDS / TO
THE ANTERIOR BORDER UP TO
THE LEVEL OF CRICOID
CARTILAGE
AFTER PENETRATING SKIN,
PLATYSMA SUPERFICIAL SHEATH
OF STERNOCLEDIOMASTOID IS
INCISED
EXPOSURE OF GREAT
VESSEL
WITH BLUNT DISSECTION
ANTERIOR BORDER IS
EXPOSED, MUSCLE IS
RETRACTED AND DEEP LAYER IS
SEEN
IN THIS PART Internal Juglar Vein
IS EXPOSED
11. THE JUGULAR VEIN IS MOBILIZED BY OPENING
THE CAROTID SHEATH & FREE THE JUGULAR
VEIN.
RETRACT POSTERIORLY VEIN TO VISUALIZE
ARTERY
12. AS THE DISSECTION
PROCEED
POSTERIORLY THE
CAROTID BULB IS
IDENTIFIED AND
BIFURCATION IS
SEEN
MANIPULATION OF
BULB AT THIS
STAGE LEAD TO
ARRYTHEMIA AND
ANAESTHESIST
SHOULD BE
INFORMED
13. LIGATION
EXTERNAL CAROTID ARTERY IS
IDENTIFIED & LIGATED ABOVE THE
SUPERIOR THYROID ARTERY
CLOSURE OF WOUND
A VACCUM DRAIN IS PLACED AND WOUND
IS SUTURED IN LAYERS
14. HAMEORRHAGE DUE TO IJV OR ECA( profuse bleeding)
DAMAGE TO VAGUS NERVE (posteriomedially)
LIGATION OF ICA( contra lateral hemiplegia &
blindness on the same side)
HEMATOMA FORMATION
INFECTION
15. ADVANTAGES:
SIMPLER
LESS DANGROUS PROCEDURE
artery is ligated in the retromandibular fossa behind
the angle of mandible & here artery crosses the
stylomandibular ligament at lateral side so
LIGATION OF CAROTID ARTEY AT THE
STYLOMANDIBULAR LIGAMENT
16. INCISION
STARTS THE TIP OF
MASTOID PROCESS
AND CIRCLING THE
MANDIBULAR ANGLE,
CONTINUING
FORWARD BELOW THE
MANDIBLE FOR
ABOUT ONE INCH
INCISION SHOULD BE
AT EQUAL DISTANCE
FROM THE POSTERIOR
AND INFERIOR
BORDER OF
MANDIBLE
17. EXPOSURE
AFTER THE BLUNT
DISSECTION OF SKIN,
SOME POST. FIBERS OF
PLATYSMA,
RETROMANDIBULAR
VEIN OR EJV IS
LOCATED, CUT & TIED
BRANCHES OF GREATER
AURICULAR NERVE IS
CUT & TIED TO PERMIT
THE MOBILIZATION OF
CERVICAL LOBE OF
PAROTID GLAND
ATTACHMENT OF
PAROTID WITH
STERNOMASTOID AT
ANTERIOR BORDER IS
SEVERED & GLAND IS
RETRACTED ANTERIORLY
18. UNDERNEATH THE PAROTID GLAND & POST. BELLY OF
DIGASTRIC, SMALL THIN PART OF STYLOHYOID
MUSCLE IS VISIBLE
ABOVE THIS- STYLOID PROCESS &
STYLOMANDIBULAR LIGAMENT IS PALPATED
NOW MOVING THE JAW FORWARD ENTRANCE TO
RETROMANDIBULAR FOSSA IS WIDENED & PULSE OF
ECA IS FELT, ISOLATE & LIGATE IT
20. INCISION
INCISION GIVEN
BELOW THE LOWER
BORDER OF
MANDIBLE AFTER
PALPATING THE
SUBMANDIBULAR
GLAND
THE POSTERIOR
PART OF INCISION
SHOULD BE TOWARDS
THE TIP OF
MASTOID PROCESS
AND ANTERIOR
SHOULD POINT
TOWARDS THE CHIN
22. DIGASTRICS TENDON
PULLED DOWNWARD ,
HYOGLOSSUS MUSCLE
DISSECTED AND
LINGUAL ARTERY IS
FOUND AND LIGATED
FIBERS OF
HYOGLOSSUS MUSCLE
SHOWS VERTICAL
COURSE (THIN & FINE)
WHILE THAT OF
MYLOHYOID SHOWS
OBLIQUE COURSE
(THICK)
23. INDICATIONS
INJURY IS OBSERVED
WHEN SHARP
INSUMENTS OR ROTATING
DISC ARE SKIPPED ON
FLOOR OF THE MOUTH
IN VARIOUS SURICAL
PROCEDURE LIKE
RANULA AND TUMOURS
OF SALIVARY GLANDS
24. DIFFICULT TO LIGATE
SUBLINGUAL ARTREY MAY BE A
BRANCH OF
1. LINGUAL ARTERY
2. SUBMENTAL ARTERY
25. INCISION
IN THE SUBLINGUAL
GROOVE
STRUCTURES IN
CLOSE ASSOCIATION
SUBLINGUAL GLAND(MED.
&INF.)
SUBMANDIBULAR DUCT
LINGUAL NERVE(MED.&
INF.)
HYPOGLOSSAL NERVE
AND SUBLINGUAL VEIN
27. INCISION
½ INCH BELOW & PARALLEL TO THE LOWER BORDER OF
MANDIBLE
EXPOSURE
THE SKIN, PLATYSMA MUSCLE AND DEEP FACIA ARE
CUT, SOFT TISSUE IS BLUNTLY CUT AND RETRACTED
28. LIGATION
PULSE OF FACIAL ARTERY IS FELT &
ARTERY IS ISOLATED AND LIGATED
FACIAL ARTERY CROSSES THE LEVEL OF
INFERIOR VESTIBULAR FORNIX IN THE
REGION OF 1ST
MANDIBULAR MOLAR
DURING BUCCAL SPACE INFECTION THE
ARTERY IS DISLOCATED
AVOID DEEP INCISION, INCISION
SHOULD BE DOWNWARDS & INWARDS
INSTEAD OF STRAIGHT UPWARDS
30. LIGATION CAUSES DECREASE IN INTRA
VASCULAR PRESSURE GRADIENT,
RESULTING IN HOMEOSTASIS
APPROACHES:
CAN BE DONE BY
1. TRANSANTRAL APPROACH &
2. INTRAORAL APPROACH
31. TRANSANTRAL APPROACH
BY CALD WELL LUC APPROACH
PROCEDURE
A LATERALLY BASED U SHAPE
MUCOSAL INCISION IS CREATED
POSTERIOR WALL OF MAXILLARY
SINUS IS IDENTIFIED
POSTERIOR MAXILLARY WALL IS
REMOVED
32. EXPOSURE & LIGATION
AREA IS ENLARGED,ARTERY IS
IDENTIFIED &LIGATED
SUCCESS RATE
87% SUCCESS RATE
33. INTRA ORAL APPROACH
THIS PROCEDURE IS GIVEN IN
1984 BY MACERI & MAKILSKI
LIGATE INFRATEMPORAL PORTION
OF MAXILLARY ARTERY
34. INDICATION:
- IN CHILDREN AS AN ALTERNATE TO
EMBOLIZATION & EXTERNAL
ARTERY LIGATION FOR REMOVAL OF
VASCULAR TUMOR
- TO CONTROL BLEEDING IN
VARIOUS MAXILLECTOMY
PROCEDURES WHERE CALD WELL
LUC IS CONTRAINDICATED
35. PROCEDURE:
- BY EXPOSING THE POSTERIOR
PORTION OF MAXILLA THROUGH A
POST. GINGIVOBUCCAL INCISION
- A FINGER IS INSERTED INTO THE
DEPTH OF WOUND TO PALPATE THE
MAXILLARY ARTERY
- THE NERVE HOOK IS USED FOR
LIGATION
37. CAN BE DONE BY TWO METHODS
1. TRANSANTRAL LIGATION
2. ENDOSCOPIC LIGATION
38. TRANSANTRAL APPROACH
DESCRIBED BY SIMPSON et al. IN
1982
APPROACH CALD WELL LUC
AVOID ENTANCE TO
PTERYGOPALATINE FOSSA
MEDIAL, POSTERIOR & INFERIOR
WALL IS REMOVED
SPHENOPALATINE & VIDIAN NERVE
IS DISSECTED & LIGATION OF
ARETRY IS DONE
39. DESCRIBED BY WHITE (MODIFICATION OF
SIMPSONS TECH)
APPROACH THROUGH
1. MEATAL ANTROSTOMY &
2. CANINE FOSSA
NOT USING WIDELY AS COSTLY
ADVANTAGES
1. REDUCE PATIENT DISCOMFORT AND
2. DURATION OF HOSPITALIZATION
41. ENDANGERED DURING MINOR SURGERY PROCEDURES
AND DURING DENTAL TREATMENT
INCISION
--FROM THE LINGUAL ROOT OF FIRST MOLAR IN AN
ANTERIO POSTERIOR LINE IT SHOULD BE AS
NEAR TO THE FREE MARGINS OF THE GINGIVA AS
POSSIBLE
--THE KNIFE EDGES SHOULD BE DIRECTED
OUTWARDS AND UPWARDS , NOT STRAIGHT
UPWARDS
43. INDICATION
1. WHEN LOCAL HAMEORRHAGE CAN’T
BE CONTROLLD BY OTHER MEASURES
2. TO DECREASE BLOOD FLOW TO UPPER
NASAL VAULT FROM THE INTERNAL
CAROTID SYSTEM
GENERALLY PERFORMED IN
CONJUGATION WITH MAXILLARY
ARTERY OR ECA
44. FIRST DESCRIBED
BY :
KIRCHNER et al. IN
1961
INCISION
A CIRCUMLINEAR
INCISION IS NORMALLY
MADE BETWEEEN THE
INNER CANTHUS OF
EYE AND MIDDLE OF
NOSE(LYNCH INCISION)
45. PROCEDURE
THE PERIOSTEUM IS INCISED
AND ELEVATED
THE FRONTOETHMOIDAL
SUTURE LINE IS FOLLOWED IN
A POSTERIOR DIRECTION
ABOUT 14-22mm TO THE
ANTERIOR ETHMOIDAL
ARTERY AND ITS FORAMEN
THE POSTERIOR ARTERY IS
LIES AT FURTHER AT VARIABLE
DISTANCE
THE OPTIC NERVE LIES 4-7mm
POSTERIOR TO POSTERIOR
ETHMOIDAL FORAMEN
47. GENERALLY IT IS NOT DONE AS THE
CHANCES OF BRAIN DAMAGE
(CONTRALATERAL SIDE HEMIPLEGIA)
ARE THERE, BUT IN SOME SELECTIVE
CASES WE HAVE TO LIGATE THE ICA AS
IN CASES OF ICA ANEURYSMS AND
HEAD INJURIES.
48. COLLATERAL CIRCULATION OF COMMON CAROTID
OCCURS AS FOLLOWS:
1 OCCIPITAL ANASTOMOSIS---
B/W THE TRANSVERSE CERVICAL & DEEP
CERVICAL BRANCHES OF SUBCLAVIAN ARTERY
AND OCCIPITAL ARTERY
2 ANASTOMOSIS IN & AROUND THYROID GLAND
B/W SUPERIOR THYROID BRANCH & INFERIOR
THYROID BRANCH
3 ANASTOMOSIS B/W MIDDLE LINE B/W THE
BRANCHES OF EXTERNAL CAROTID ARTERIES OF
BOTH SIDES
49. SICHER’S ORAL ANATOMY- 8TH
EDITION
PRINCIPLES OF SURGERY BY EDWARD WARN
HEAD AND NECK SURGERY- OTOLARYNGOLOGY
BY BYRON. J. BAILEY- 2ND
EDITION