Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ FIGURE 1 ICP Lateral From a lateral perspective, this shows an ICP bolt inserted into the space around the brain via the skull bone to facilitate continuous ICP monitoring. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 2 Burr Hole The ideal location of a cranial burr hole depends on the anticipated injury in the three skull bones. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 3 Steps in Performing a Lateral Parietal Craniotomy A. The exact location and size of the skin flap vary, depending on extent of the wound, but must not extend to the midline at the top of the skull. B. Skin clips are placed for hemostasis, and burr holes elevate the skull bone flap. C–D. The bone flap is removed, the dura mater is opened to expose and release an epidural hematoma, and bleeding vessels are ligated. In the absence of significant brain swelling, the skull plate is reattached once hemorrhage is controlled and other necessary procedures have been accomplished. With significant brain swelling, the dura is closed, sometimes using dural substitutes, and the bone flap is not replaced at initial operation (decompressive craniotomy). Graphic Jump LocationView Full Size||Download Slide (.ppt) Graphic Jump LocationView Full Size||Download Slide (.ppt) Graphic Jump LocationView Full Size||Download Slide (.ppt) Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 4 Nasal Packing for Hemorrhage Control Under general or topical anesthesia, gauze impregnated with Vaseline to facilitate insertion is layered into a bleeding nasal passage to achieve hemostasis. Balloon devices are commercially available to provide posterior and anterior nasal packing. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 5 Lateral Canthotomy This drawing of the eye demonstrates the location for creation of a lateral canthotomy in the eye covering. Note the lateral ligament, which may be cut with ocular scissors. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 6 Anatomy of the Neck Anterior perspective—Although usually approached from incisions just anterior to the sternocleidomastoid muscle, the surgeon must always review the cervical anatomy and its structural relationships prior to incision. The external jugular vein is a subcutaneous structure, and the internal jugular vein and carotid arteries are deep and medial in the neck. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 7 Lateral Anatomy of the Neck This is the anatomy of the neck as seen from a left lateral view. Note the location and course of the facial vein, the division of which is the key to exposing the mid to upper structures in the deep neck. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 8 Carotid Artery There are six branches of the external carotid artery. The right carotid artery is the mirror image ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Download the Access App: iOS | Android Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.