Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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is everywhere divisible into a superficial fibro-adiposelayer in which the cutaneous vessels and nerves ramify and a deep fibro-membranouslayer to which the superficial layer is more or less firmly attached; the superficial fasciais loosely bound to the underlying deep fascia. In certain parts of the body, the deep layer of the superficial fascia presents an in-creased density and has certain peculiarities of distribution and attachment that are ofgreat surgical importance, as for example in the perineum—Colles fascia—the attach- SURGICAL ANATOMY OF THE BREAST 29 ment of which determines the course of urine extravasated from the ruptured bulbo-membraneous urethra, and on the anterior surface of the thigh where the attachmentdetermines the direction of a hernial protrusion through the saphenous opening. In thepectoral region the superficial fascia reaches its highest development on the deep surfaceof the breast, so that intra-mammary abscesses often do not involve the retro-mammary
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Fig. 12.—Superficial fascia of the pectoral region. Showing the superficial branches of the acromio-thoracic, long thoracic and internal mammary arteries and the mammary gland in the superficial fascia. space but point either anteriorly or along the outer margins of the breast where the twolayers of the superficial fascia fuse. At the inferior margin of the breast, the deep layer inturning forward to join the superficial layer, forms a shelving edge which aids in thesupport of the breast. In the mid-line this layer is firmly attached to the deep pectoral 3° THE BREAST fascia and the latter in turn to the periosteum of the sternum thus producing the inter-mammary sulcus. Deep Pectoral Fascia.—A deep layer of fascia is also found covering all parts of thesurface of the body and in general it immediately underlies the superficial fascia, but incertain areas, such as the cervical and pectoral regions, it forms inter-muscular septathat permit of its division into two or more planes. T

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