An Atlas of Surgical Approaches to the Bones and Joints of - download pdf or read online

By Donald Piermattei, Kenneth A. Johnson

ISBN-10: 0721687075

ISBN-13: 9780721687070

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Additional info for An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat 4th Edition

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PATIENT POSITIONING Lateral recumbency with the affected side uppermost. DESCRIPTION OF THE PROCEDURE A. The skin incision starts dorsally over the temporomandibular joint and extends rostroventrad to end over the mandibular shaft at the level of the last molar. B. The incision is deepened through subcutaneous tissue and platysma muscle. The dorsal and ventral buccal branches of the facial nerve and the parotid gland and duct are identified and preserved. An incision is made across the fibers of the superficial layers of the masseter muscle, roughly paralleling the caudal border of the mandible.

COMMENTS The caudal brain stem and cranial spinal cord may be exposed by elevating the muscles from the atlas and performing a dorsal laminectomy on this vertebra. The Head ■ 45 Plate 11 Approach to the Caudal Surface of the Skull External occipital protuberance Occipitalis m. Cervicoscutularis m. Cervicoauricularis superficialis m. Incision B Incisions Temporalis m. Nuchal crest Splenius capitis m. C Rhomboideus m. Splenius capitis and rhomboideus mm. Foramen magnum Dorsal arch of atlas (C1) D Occipital bone Spinous process of axis (C2) SECTION III The Vertebral Column ■ Approach to Cervical Vertebrae 1 and 2 Through a Ventral Incision ■ Approach to Cervical Vertebrae 1 and 2 Through a Dorsal Incision ■ Approach to Cervical Vertebrae and Intervertebral Disks 2-7 Through a Ventral Incision ■ Approach to the Midcervical Vertebrae Through a Dorsal Incision ■ Approach to Cervical Vertebrae 3-6 Through a Lateral Incision ■ Approach to the Caudal Cervical and Cranial Thoracic Vertebrae Through a Dorsal Incision ■ Approach to the Thoracolumbar Vertebrae Through a Dorsal Incision ■ Approach to the Thoracolumbar Intervertebral Disks Through a Dorsolateral Incision ■ Approach to the Thoracolumbar Intervertebral Disks Through a Lateral Incision ■ Approach to Lumbar Vertebra 7 and the Sacrum Through a Dorsal Incision ■ Approach to Lumbar Vertebrae 6 and 7 and the Sacrum Through a Ventral Abdominal Incision ■ Approach to the Caudal Vertebrae Through a Dorsal Incision 47 48 ■ The Vertebral Column Approach to Cervical Vertebrae 1 and 2 Through a Ventral Incision Based on a Procedure of Sorjonen and Shires43 INDICATIONS 1.

The midline portion of the skin incision extends caudally from the external occipital protuberance to the spinous process of the axis (C2). 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.

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An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat 4th Edition by Donald Piermattei, Kenneth A. Johnson


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