THE HEAD AND NECK. 



39 



4. The latcralis 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 



J*Yontul vein 



Stipraorbital rein 

 Coininnn ication with 



ophthalmic vein _ 

 Transverse nasnl > ri. 



Angular rein 

 Lateral natal rfinx 



Transverse facial 



rein 

 Superior labial or 



coronary rein 



Anterior pterygoid 



or deep facial vein 



Inferior coronary 



vein 



Facial vein 



Inferior labial vein 



Submental rein - 



Lingual vein 

 Superior thyroid 



I't'ill 



Middle thyroid 

 vein 



Sterno-maatoid 



Anterior jugular 



vein 



Communication 

 between anterior 

 jugular veins 



Platyama 



Anterior temporal vein 

 Posterior temporal rein 



Deep temporal vein 

 Parotid lymphatic glands 

 Common temporal vein 

 Internal maxillary vein 

 Occipital vein 

 Temporo-marillary vein 

 Posterior auricular vein 



Occipital lymphatic gland* 

 Sferno-ma&toid lymphatic 



glan ds 



Communication between 

 facial and external 

 jugular veins 

 Submaxillary lymphatic 



glands 



Internal jugular vein 

 Posterior external jugular 



vein 

 External jugular rein 



Superficial cervical chain 

 of glands 



~ Transverse 



cervical vein 



Suprascapular 

 vein 



Jugulo-crphalic 

 rein 



FIG. 18. THE SUPERFICIAL VEINS AND LYMPHATICS OK 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- 

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

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

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

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



