THE HEAD AND NECK. 



39 



4. The lateralis nasi, to the side of the nose. 



5. The angular, to the inner angle of the orbit. 



6. Muscular branches to the various muscles. 



Anastomosis takes place between the facial and all the arteries on the face 

 above enumerated. 



The veins of the face (Fig. 18) accompany the arteries, and take the same 

 names, as a rule. (Fig. 17.) They must be dissected with the arteries and 



Frontal 



Stipraorbital vein 

 Communication with 



ophthalmic vein 

 Transverse nasal vei> 



Angular vein 

 Lateral nasal veins 



Transverse facia 



vein 

 Superior labial or 



coronary vein 



Anterior pterygoid 



or deep facial vein 



Inferior coronary 



vein 



Facial vein 



Inferior labial vein 



Submental vein 

 Lingual vein 



Superior thyroid 

 vein 



Middle thyroid 

 vein 



Sterno-mastoid 



Anterior jugular 



vein 



Communication 

 between anterior 

 jugular veins 



Platysma 



Anterior temporal vein 

 Posterior temporal rein 



Deep temporal vein 

 Parotid lymphatic glands 

 Common temporal vein 

 Internal maxillary vein 

 Occipital vein 

 Temporo-maiillary vein 

 Posterior auricular vein 



Occipital lymphatic glands 

 Sterno-masloid lymphatic 



glands 



Communication between 

 facial and external 

 jugular veins 

 Svbmaxillary lymphatic 



glands 



Internal jugular vein 

 Posterior external jugular 



vein 

 External jugular vein 



Superficial cervical chain 

 of glands 



- Transverse 



cervical vein 



^- Suprascapular 

 vein 



Jugido-cephalic 

 vein 



m 



FIG. 18. THE SUPERFICIAL VEINS AND LYMPHATICS OF THE SCALP, FACE, AND NECK. 



nerves. These veins must be handled very carefully, not to be injured, as they 

 are very easily ruptured. 



Observe the deep temporal vein piercing the temporal fascia, above the 

 zygoma. This returns blood from the temporal muscle. Observe the confluence 

 of the internal maxillary vein, in front of the ear, in the substance of the parotid 

 gland, with the temporal vein, and the result of their confluence the temporo- 

 inaxillary vein. Observe the communication between the facial vein and the 

 external jugular; also the communication between the angular, supraorbital, 

 and ophthalmic veins. Erysipelas of the face may reach the meninges through 

 this communication. The ophthalmic vein opens into the cavernous sinus. 



