Stylohyoid Gutteral Pouch

On the floor of the pouch find the retropharyngeal lymph nodes and look for signs of strangles abscesses. The guttural pouch is opened medial to the stylohyoid bone through the standard and modified whitehouse approaches and care must be taken to avoid the pharyngeal branch of the vagus nerve and the cranial laryngeal nerve which are close to the incision. On the walls of the guttural pouch look for internal and external carotid arteries and cranial nerves 9 and 12.

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