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809 - Exam Block 2 > Lymphatics of the Head & Neck - Herring > Flashcards

Lymphatics of the Head & Neck - Herring Flashcards

1
Q

The face, scalp, and
skin/subcutaneous tissue of the neck drain to what lymph nodes

A

Superficial

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2
Q

Superficial lymphnodes drain to ______ network

A

Deep

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3
Q

All deep lymph nodes surround the

A

IJV

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4
Q

deep LNs form the

A

jugular trunks

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5
Q

The jugular trunks drain into what 2 ducts

A

thoracic duct

right lymphatic duct

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6
Q

The occipital region of the scalp drains to what lymph nodes

A

occipital LNs

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7
Q

The occipital LNs empty to what LNs ? what levels ?

A

superior deep cervical LNs

level 5 to level 3

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8
Q

The parietal region can drain to 2 LNs, what are they

A

mastoid nodes and parotid nodes

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9
Q

where do the mastoid LNs drain to ________ and then _________

A

the lateral cervical nodes ; superior deep cervical nodes

level 5 to level 3

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10
Q

where to the parotid LNs drain to

A

superior deep cervical nodes

Level 2

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11
Q

the parotid nodes drain what?

A

the lateral face

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12
Q

where do the parotid nodes empty primarily to

A

superior deep cervical nodes

level 2

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13
Q

where do a smaller percentage of parotid nodes drain to

A

lateral cervical nodes along the EJV (level 5 to level 3)

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14
Q

the mid portion of the face (inferior eyelids, nose, cheek, superior lip, lateral aspects of inferior lip) drains towards the _______ nodes

A

facial

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15
Q

the facial nodes empty to what nodes and then to what nodes

A

submandibular nodes (level 1b to level 2) ; superior deep cervical nodes

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16
Q

the chin, medial lower lip, mandbular incisors & gingivae, and tip of tongue drain to the

A

submental nodes

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17
Q

the primary route the submental nodes drain to is to the

A

superior deep cervical nodes (level 2)

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18
Q

a smaller percentage the submental nodes drain to is to the

A

submandibular nodes (level 1b)

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19
Q

all of the following drain to where:

facial nodes
maxillary sinus
palate
sublingual glands
submandibular glands
anterolateral tongue
anterior nasal cavity
all maxillary teeth (e/x 3rd molar)
all mandibular teeth (e/x incisors)

A

submandibular lymph nodes

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20
Q

the submandibular nodes drain to what

A

superior deep cervical nodes (level 2)

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21
Q

what 5 structures form the superficial horizontal ring

A

submental
submandibular
parotid
mastoid
occipital

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22
Q

what cervical nodes drain skin and muscles of the infrahyoid region

A

anterior cervical nodes

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23
Q

the anterior cervical nodes empty to

A

inferior deep cervical nodes (level IV)

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24
Q

the lateral cervical nodes travel with the

A

EJV

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25
Q

what drains the lower ear and partoid region

A

lateral cervical nodes

26
Q

the lateral cervical nodes empty to lymph nodes in the

A

posterior triangle (level 5)

27
Q

LNs in the posterior triangle empty to what cervical nodes

A

superior and inferior deep (levels 3-4)

28
Q

What nodes are between investing layer of deep cervical fascia and viscera of neck

A

deep anterior cervical (juxtavisceral) nodes

29
Q

the trachea, larynx, and thyroid glands are drained by what nodes

A

deep anterior cervical (juxtavisceral) nodes

30
Q

the deep anterior cervical (juxtavisceral) nodes are composed of 3 groups, what are they

A

paratracheal
pretracheal
prelaryngeal

31
Q

paratracheal LNs empty to

A

inferior deep cervical nodes (level IV)

32
Q

pretracheal LNs empty to

A

inferior deep cervical nodes (level IV)

33
Q

prelaryngeal LNs empty to

A

superior deep cervical nodes (level III)

34
Q

what LNs are located in the buccopharyngeal fascia at the level of atlast (extend to C2/3)

A

retropharyngeal nodes

35
Q

The following structures are drained by what LNs:

  • Nasal cavity
  • Paranasal sinuses
  • Hard & soft palate
  • Nasopharynx
  • Posterior tongue
A

retropharyngeal nodes

36
Q

The retropharyngeal nodes empty to what nodes

A

superior and inferior deep cervical nodes (levels 2, 3, 4)

37
Q

A deep ring on lymphatic tissue is called _______ ring

A

Waldeyer’s

38
Q

Waldeyer’s ring forms around entrance to

A

GI tract

39
Q

Waldeyer’s Ring consists of what 4 tonsils

A

palatine
lingual
pharyngeal
tubal

40
Q

what lymph nodes receive ALL lymph from head & neck

A

deep cervical (internal jugular) nodes

41
Q

the deep cervical (internal jugular) nodes empty via the _______ to what ducts

A

jugular trunks to thoracic duct (left side) or lymphatic duct

42
Q

the superior deep cervical chain is superior to the

A

omohyoid

43
Q

what levels is the superior deep cervical chain

A

levels 2 and 3

44
Q

the superior deep cervical chain drain to the

A

inferior deep cervical chain

45
Q

the inferior deep cervical chain is at or inferior to the

A

omohyoid

46
Q

what drains the superior deep cervical chain and superficial cervical nodes (levels 2, 3, 5, 6)

A

inferior deep cervical chain

47
Q

what level/group receives drainage from skin of the mental region, mid-lower lip, tip
of the tongue, anterior floor of the mouth, mandibular incisors

A

Level 1A / submental group

48
Q

what are the assoicated primary malignancies with Level 1A/submental group

A

Malignancies of the floor of the mouth, tip of the tongue, anterior mandibular alveolar ridge, and medial lower lip

49
Q

what level/group receives drainage from level 1A, lower nasal cavity, hard & soft palates, maxillary & mandibular alveolar ridges (most), skin & mucosa of cheek, upper lip, lateral lower lip, anterolateral tongue, sublingual gland, submandibular gland, maxillary sinus, lower eyelid

A

Level 1B / submandibular group

50
Q

what are the assoicated primary malignancies with Level 1B/submandibular group

A

Malignancies from most of oral cavity, soft tissues of mid-face, submandibular gland

51
Q

What is the most commonly involved LN level

A

Upper Jugular Group (subdivides parotid space into 2, 3, 4)

52
Q

What level/group receives drainage from levels 1A & 1B, lateral face, parotid gland, parotid nodes, retropharyngeal nodes, nasal cavity, upper pharynx, ear

A

Level 2 / upper jugular group

53
Q

what are the associated primary malignancies with Level 2/ upper jugular group

A

Malignancies of nasal and oral cavities, nasopharynx, oropharynx, major salivary glands

54
Q

what level / group receives drainage from level II and V, retropharyngeal, prelaryngeal
(level VI), base of tongue, palatine tonsils, larynx,
laryngopharynx, thyroid gland

A

Level 3 / middle jugular group

55
Q

what are the associated primary malignancies with level 3 / middle jugular group

A

Malignancies of oral cavity, nasopharynx, oropharynx, laryngopharynx, and larynx

56
Q

What level/group receives drainage from levels III and V, retropharyngeal, pretracheal,
paratracheal (level VI), larynx, laryngopharynx, thyroid gland, cervical trachea, cervical esophagus

A

Level IV / lower jugular group

57
Q

what are the associated primary malignancies with level IV / primary jugular group

A

Malignancies of the laryngopharynx, lower larynx, cervical trachea, cervical esophagus, thyroid gland

58
Q

What level/group receives drainage from occipital, mastoid lymph nodes (small percentage of parotid nodes), skin of lateral and posterior neck and shoulder, pharynx

A

Level V / posterior triangle group

59
Q

what is the associated primary malignancy of level V / posterior triangle group

A

malignancies of the pharynx

60
Q

what level / group receives drainage from the skin of anterior neck, lower face, floor of mouth, larynx, thyroid gland

A

level VI / anterior group

61
Q

What are the associated primary malignancies of Level VI / anterior group

A

Malignancies of lower lip & chin (advanced gingiva-mandibular carcinoma), floor of mouth, thyroid gland, larynx

809 - Exam Block 2 (14 decks)

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