By Donald Piermattei, Kenneth A. Johnson
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Additional resources for An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat 4th Edition
The Vertebral Column ■ Plate 12 Approach to Cervical Vertebrae 1 and 2 Through a Ventral Incision continued Sternohyoideus m. Sternothyroideus m. Cricothyroideus m. Thyrohyoideus m. Incision Carotid a. and int. jugular v. Longus capitis m. Longus colli m. Thyroid gland D C1–C2 articulation Longus colli m. Sternohyoideus m. Ventral tubercle, C1 Dens, C2 E 51 52 ■ The Vertebral Column Approach to Cervical Vertebrae 1 and 2 Through a Dorsal Incision Based on a Procedure of Funkquist13 INDICATIONS 1.
The transverse incision follows the nuchal crest of the occiput and ends just short of the base of the ears. The subcutaneous fascia is incised in the same lines as the skin and is undermined with the skin to allow lateral retraction of each skin flap. The platysma muscle will be incised and retracted with subcutaneous fascia. B. The first muscles seen upon retraction of the skin are the cervicoscutularis and superficial cervicoauricularis. Originating on the exposed area of the cervical midline and passing cranially toward the ears, these muscles resemble a chevron with the point situated caudally.
The mylohyoideus and rostral insertion of the masseter muscle both can be elevated for more exposure of the ventral border of the mandible. ADDITIONAL EXPOSURE Ventral exposure of the entire shaft and ramus of the mandible is obtained by combining with the approaches described in Plates 6 and 8. CLOSURE The intermuscular septum between the digastricus and masseter muscles is closed, with care being taken not to impinge the facial vessels. Platysma muscle is included with subcutaneous fascia in a separate layer.