Lymphatic drainage of the neck

Question 1

Lymphatics

• Abundant lymphatics in head and neck
• Distributed along vascular supply, drain posteriorly and
  inferiorly
• Collect in large deep nodes along the internal jugular vein (IJV)
• Drain into thoracic duct/R lymphatic duct at the venous angle

Question 2

Superficial lymph nodes

Answer 2

Submental
Occipital
Mastoid
Parotid
Submandibular

Question 3

• Drains the scalp

Answer 3

Occipital
Mastoid
Parotid

Question 4

• Drains chin, tip of tongue, medial lower lip, central incisors

Answer 4

Submental

Question 5

• Drains face, oral cavity, tongue,
  submandibular/sublingual glands

Answer 5

Submandibular

Question 6

Superficial cervical
nodes follow

Answer 6

IJV

Question 7

Deep lymph nodes:

Answer 7

• Jugulodigastric node
• Jugulo-omohyoid node

Question 8

• Deep group: large, important
• Collect lymph from entire head and neck
• Follow internal jugular V, empty into thoracic duct/R lymphatic duct at venous angle

Answer 8

Deep lymph nodes