By Vijay K. Maker, Edgar D. Guzman-Arrieta
This textual content is prepared via organ method and the illustrations spotlight surgical pearls borne of expertise and polished by way of the research of pertinent references. Hand-drawn and illustrated figures convey detailed anatomical relationships as we see them in-vivo. A question/answer layout augments the pictures to permit the reader to actively contemplate the subject and to appraise his/her wisdom in that region. The dialogue sections try to provide an explanation for not just what the right kind solution is, but in addition why the distractors are unsuitable, as a way to inspire dialogue and self-reflection.
Cognitive Pearls mostly Surgery info the categorical notion approaches and institutions that underlie the certainty of the themes to hand, with the motive of bettering the joys and pleasure that basically an educated and well-grounded perform of surgical procedure can provide.
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Extra info for Cognitive Pearls in General Surgery
In this location, there is the least chance of injury to the neurovascular bundle. For fluid drainage, a chest tube is inserted laterally near the anterior axillary line and in the safest lower intercostal space for dependent drainage 2 Thoracic Wall and Pleura 53 Fig. 3 Intercostal block. Two to three inches lateral to the post midline, intercostal nerves are in the ideal location for an intercostal nerve block. The needle is advanced until it approaches the lower border of the rib. Gradually, the needle is walked down the lower border of the rib until it advances.
Comments Even though the facial nerve is embedded within the parotid parenchyma, it does not innervate this gland. It enters the gland from its posterior aspect, and within one centimeter from this entry point, it divides into its five branches. The facial nerve divides the gland in a superficial and a deep portion. Answer c 38 1 The Neck 21. All of the following are correct except: (a) The majority of parotid tumors are malignant, whereas tumors in the submandibular gland tend to be benign. (b) Benign tumors of the parotid should be treated by nerve-preserving lobectomy.
C) The facial nerve has multiple branches innervating the parotid gland. (d) The parotid gland is supplied by the external carotid artery. (e) Regarding the structures embedded in the parotid parenchyma, the facial nerve is superficial, the artery is deep, and the veins are intermediate. Comments Even though the facial nerve is embedded within the parotid parenchyma, it does not innervate this gland. It enters the gland from its posterior aspect, and within one centimeter from this entry point, it divides into its five branches.