Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Jean-Louis Petit

Jean Louis Petit
(1674 – 1750)

French surgeon and anatomist, Jean Louis Petit was born in Paris in on March 13, 1674.  His family rented an apartment at his house to Alexis Littre (1658 – 1726), a French anatomist. Petit became an apprentice of Littre at seven years of age, helping him in the dissections for his lectures and at an early age became the assistant in charge of the anatomic amphitheater.

Because of Petit’s dedication to anatomy and medicine, in 1690 at the age of sixteen, became a disciple of a famous Paris surgeon, Castel.

In 1692, Petit entered the French army and performed surgery in two military campaigns. By 1693 he started delivering lectures and was accepted as a great surgeon, being invited to the most difficult operations.  In 1700 he was appointed Chief Surgeon of the Military School in Paris and in the same year he received the degree of Master of Surgery from the Faculty of Paris.

In 1715 he was made a member of the Royal Academy of Sciences and an honorary member of the Royal Society of London. He was appointed by the King as the first Director General of the Royal Academy of Surgery when it was founded in 1731.

Petit’s written works are of historical importance.  “Traite des Maladies des Os” ( A Treatise on Bone Diseases);  “Traite des Maladies Chirurgicales et des Operation” (A Treatise on Surgical Diseases and their Operations” This last book was published posthumously in 1774. He also published a monograph on hemorrhage, another on lachrymal fistula, and others.

He was one of the first to perform choIecystotomy and mastoidotomy. His original tourniquet design for amputations saved many in the battlefield and the design of the same surgical instrument today has not changed much since its invention by him.

His name is remembered in the lumbar triangle, also called the "triangle of Petit", and the abdominal hernia that can ensue through that area of weakness, the lumbar hernia or "Petit's hernia".

Sources:
1. “Jean Louis Petit – A Sketch of his Life, Character, and Writings” Hayne, AP San Fran Western Lancet 1875 4: 446-454
2. “Oeuvres compl?tes de Jean-Louis Petit” 1837 Imprimerie de F. Chapoulaud
3. Extraits de l'eloge de Jean-Louis Petit Ius dans Ia seance publique de I' Academie royale de chirurgie du 26 mai 1750” Louis A. Chirurgie 2001: 126 : 475- 81


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Buccinator muscle

The [buccinator] muscle is a flat, thin quadrilateral muscle, that closes the space between the maxillary bone superiorly and the mandible inferiorly. It forms the side of the face and is the main muscular component of the “cheeks”. Etymologically [buccinator] means "trumpeter".

The superior and inferior boundaries of the muscle are the external surfaces of the alveolar processes of the maxilla and mandible on its posterior region, related to the posterior three molars. The posterior boundary is the anterior border of the pterygomandibular raphe, where posteriorly the middle pharyngeal constrictor also attaches. Anteriorly, its fibers appear to continue with the orbicularis oris muscle, but this is not so, as these two muscles (orbicularis oris and buccinator) are separate.

The fibers of the buccinator muscle are divided into three groups: the horizontal group continues anteriorly horizontally. The superior fibers have an anteroinferior direction and converge toward the angle of the mouth. The inferior fibers have an anterosuperior direction. These fibers appear to be continuous with the orbicularis oris, although they terminate in the mucosa, skin and some intermix with the muscular fibers of the orbicularis oris.

The buccinator muscle is covered by the buccopharyngeal fascia, and is in relation by its superficial surface and posteriorly, with a mass of fat (Bichat’s fat pad or suctorial pad), which separates it from the ramus of the mandible, the masseter, and a small portion of the temporalis muscle.

Buccinator muscle - Image in Public Domain, by Henry Vandyke Carter, MD - Gray's Anatomy, 1918 
Click on the image for a larger view

The parotid duct (Stensen’s duct) pierces the buccinator muscle opposite the second molar tooth of the maxilla.

The buccinator muscle receives innervation from the temporofacial and cervicofacial branches of the facial nerve (7th cranial nerve)

Sources:
1. “Gray’s Anatomy” Henry Gray, 1918
2. "Tratado de Anatomia Humana" Testut et Latarjet 8th Ed. 1931 Salvat Editores, Spain
3. "Gray's Anatomy" 38th British Ed. Churchill Livingstone 1995
Image in Public Domain, by Henry Vandyke Carter, MD - Gray's Anatomy, 1918

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