Lymphatic drainage of head and neck Flashcards
all the lymph from the region of the head and neck drains into what
deep cervical lymph nodes
efferents from the deep cervical lymph nodes form what
jugular trunk
on the right side the jugular trunk drains into what
the right lymphatic duct
on the left side the jugular trunk drains into what
thoracic duct
out of the 400-450n lymph nodes in the human body how many are located in the head and neck region
60-70 nodes
lymph nodes in the head and neck region can be grouped into what
superficial nodes
deep nodes
whats the lymphatic drainage of the superficial tissues of the head and neck
lymph can go from superficial tissues to regional lymph nodes then deep cervical nodes
or
lymph goes from superficial tissues to deep cervical nodes
where do superficial lymph nodes lie
above investing layer of the deep cervical fascia
superficial lymph nodes consist of a few small nodes lying superficial to what
external jugular and internal jugular veins
superficial lymph nodes include
1.submental nodes
2. submandibular nodes
3. buccal nodes
4. parotid nodes
-5. mastoid (postauricular/ retroauricular) nodes
6. occipital nodes
7. superficial cervical nodes
where are the submental nodes located
submental triangle
how many are the submental nodes
3/4
where are the submental nodes located
on mylohyoid muscles between the anterior bellies of both digastric muscles
submental nodes get afferents from what
tip of tongue
floor of mouth
lower gums opposite the incisor teeth
central part of lower lip
submental nodes efferents drain into what
submandibular nodes
jugulo-omohyoid nodes
where are the submandibular nodes located
in digastric triangle beneath the deep cervical fascia in contact with the submandibular salivary gland
how many submandibular nodes are there
3
the submandibular nodes get afferents from what
- center of forehead
- medial angle of eye
- side of nose
- cheek and angle of mouth
- whole of upper lip
- lateral part of lower lip
- anterior 2/3 of tongue
- upper gums
- lower gums
- frontal, maxillary and most ethmoidal sinuses
- submental lymph nodes
submandibular nodes efferents drain into what
jugulo-omohyoid
partly jugulo-digastric nodes
where do the buccal nodes lie
buccinator muscle
buccal nodes get afferents from what
part of the cheek
lower eyelid
buccal nodes efferents drain into what
upper deep cervical nodes
where are the parotid nodes lie
superficial and deep to the fascial capsule of the parotid glad and within its substance
parotid gland is divided into what 2 groups
superficial group
deep group
the superficial group of the parotid nodes receive afferents from what
upper part of forehead
temporal region
upper part of lateral surface of auricle
anterior wall of external acoustic meatus
eyelids
the deep group of the parotid nodes receives afferents from what
nasopharynx
posterior part of nose
tympanic cavity
parotid nodes efferents drain into what
upper deep cervical nodes
where are the mastoid nodes located
superficial to the sternocleidomastoid near its attachment to the mastoid process
the mastoid nodes get afferents from what
upper part of cranial surface of auricle
adjoining portion of scalp
posterior wall of external acoustic meatus
mastoid node efferents drain into what
upper deep cervical nodes
facial lymph nodes are comprised of what 3 groups
infraorbital/ maxillary
buccinator
supra-mandibular
afferent vessels of the facial lymph nodes drain what
eyelids
the conjunctiva
skin and mucous membrane of the nose and cheek
facial lymph nodes efferents drain into what
submaxillary glands
where are the occipital nodes located
apex of posterior triangle superficial to the trapezius
occipital nodes get afferents from where
posterior part of scalp
occipital nodes efferents drain into what
supra-clavicular nodes
where are the superficial cervical nodes located
superficial to upper part of the sternocleidomastoid by the side of the external jugular vein
the superficial cervical nodes get afferents from what
floor of external acoustic meatus
lobule of the ear
angle of jaw
lower part of parotid region
superficial cervical nodes efferents drain into what
lower deep cervical nodes
where are anterior cervical nodes located
arranged along the anterior jugular vein
anterior cervical nodes get afferents from what
anterior triangle of neck below the hyoid bone
anterior cervical nodes efferents drain into what
lower deep cervical nodes
whats the lymphatic drainage of the deeper tissues of the head and neck
lymph goes from deeper tissues of head and neck to regional lymph nodes then to deep cervical lymph nodes
or
lymph goes from deeper tissues of head and neck to deep cervical lymph nodes
what are the 3 deep lymph nodes
deep cervical nodes
Waldeyer’s ring
nodes of midline
what do the deep cervical lymph nodes surround and where do they extend to
surround the internal jugular vein
they extend from base of the skull to the root of neck
what divides the deep cervical lymph nodes into 2 groups
intermediate tendon of omohyoid
what are the 2 groups of the deep cervical lymph nodes
upper deep cervical nodes
lower deep cervical nodes
where do the upper deep cervical nodes lie
they lie along the upper part of the internal jugular vein deep to the SCM
where do the lower deep cervical nodes lie
along the lower part of the internal jugular vein deep to the SCM
whats a member of the upper deep cervical lymph nodes
jugulo-digastric nodes
where are the jugulo-digastric nodes located
below the posterior belly of the digastric muscle
jugulo-digastric nodes get afferents from where
palatine tonsils
posterior 1/3 of tongue
jugulo-digastric nodes , efferents drain into what
lower deep cervical nodes
what nodes are the principle nodes of palatine tonsils
jugulo-digastric nodes
whats a member of the lower deep cervical lymph nodes nodes
jugulo-omohyoid nodes
virchows nodes
where do the jugulo-omohyoid nodes lie
on internal jugular vein just above the intermediate tendon of omohyoid
jugulo-omohyoid nodes get afferents from where
tongue
submental nodes
submandibular nodes
upper deep cervical nodes
jugulo-omohyoid nodes efferents drain into what
lower deep cervical nodes
what nodes are principal nodes of the tongue
jugulo-omohyoid nodes
where are Virchow’s nodes located
left supraclavicular nodes / left scalene nodes
when are Virchow’s nodes enlarged
in malignancy of the stomach
what are the nodes of midline
infrahyoid
prelaryngeal
pretracheal
paratracheal
lymph nodes can be classified as what
peripheral
terminal
how are peripheral lymph nodes arranged
in outer and inner circles
what does the outer circle of the peripheral lymph nodes form
a pericervical / cervical collar at the junction of head and neck
the outer circle extends from where
chin to occiput
the outer circle includes what
- submental nodes
- submandibular nodes
- buccal nodes
- parotid nodes
- mastoid nodes
- occipital nodes
what does the inner circle of the peripheral lymph nodes surround
the upper part of the respiratory and alimentary passages
what does the inner circle include
- prelaryngeal
- pretracheal nodes
- paratracheal nodes
- retropharyngeal nodes
where are prelaryngeal nodes located
in front of conus elasticus
where are pretracheal nodes located
in front of trachea and above the isthmus of the thyroid gland