Lymphatics of Head and Neck

Question 1

What pericervical ring?

Answer 1

-Occipital 
 – Retroauricular 
 – Parotid 
 – Submandibular 
 – Submental
 – Facial

Question 2

What central cervical nodes?

Answer 2

Sublingual

Retropharyngeal

Question 3

What are the Anterior Cervical nodes?

Answer 3

Anterior jugular , Prelaryngeal, Prethyroid, Pretracheal

Question 4

What are the Lateral Cervical nodes?

Answer 4

-External jugular
– Internal jugular
– Spinal accessory
– Supraclavicular

Question 5

What are the robbin gradings?

Answer 5

Submental Level IA 
Submandibular Level IB 
Upper Jugulars Level II (IIA Anterior and IIB posterior) 
Middle Jugulars Level III 
Lower Jugulars Level IV 
Spinal accessory / Posterior Cervical Level V (VA Upper and VB Lower) 
Supraclavicular - 
Prelaryngeal and paratracheal Level VI 
Retropharyngeal (included in III) 
Parotid - 
Buccal - 
Retroauricular and occipital (included in VA)

Question 6

What LN drain the nasopharynx, oropharynx, hypopharynx and larynx.

Answer 6

Level 3 middle internal jugular chain, Retropharyngeal

Question 7

what drains the Hypopharynx, Thyroid, cervical oesophagus, larynx.

Answer 7

Level 4 lower internal jugular chain

Question 8

What LN drains Thyroid gland, glottic/subglottic larynx, cervical esophagus

Answer 8

Level VI prelaryngeal, paratracheal and perithyroid

Question 9

WHat does group V drain (posteror cervical/spinal accessory)?

Answer 9

Drains Larynx and scalp

Question 10

What drains the tongue and tonsils?

Answer 10

Level 2 upper internal jugular chain and 1A submental 1B submandibular