Surgical Anatomy a Treatise On Human Anatomy in Its Application to the Practice

Cover Surgical Anatomy a Treatise On Human Anatomy in Its Application to the Practice
Surgical Anatomy a Treatise On Human Anatomy in Its Application to the Practice
John B John Blair Deaver
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458 SURGICAL . I. Y. I TOMY.
The puncta lachrymalia arc readily discernible near the inner canthus, the lower being the larger ami more c. Xlcrnal. The introduction nf a probe into the lacrynial canaliculus should he preceded by drawing the lid outward, thus straightening the canal.
The tendo oculi can be felt after drawing the eyelids outward, or forcibly clos- ing the eye. Immediately behind this is the laerymal sac. If a knife were pushed backward just below the tendo oculi it would enter th
...e sac, with the angular artery and vein on the inner side of the puncture. A probe passing through this opening into the sac, and then downward, slightly outward, and backward, would enter the nasal duct and appear in the inferior meatus of the nose. Tension upon the tendon, as in closure of the eyelids, compresses the sac, with which it is closely connected, thus emptying the sac and forcing the tears which have collected at the inner angle of the eye down the nasal duct.
The nasal duct extends from the inner angle of the eye to the inferior nasal meatus, just under the inferior turbinated bone.


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