Week 8: Lymphatics, oral cavity, SG + submandibular region, Flashcards
where do lymph drain to from head and neck
deep cervical lymph nodes
where do the deep cervical lymph nodes drain to and how
the R or L subclavian vein
through the thoracic or R lymphatic duct
what are the 5 groups of paired of SUPERFICIAL lymph nodes of the HEAD
occipital
posterior auricular
anterior auricular
superficial parotid
facial
what cerivical lymph node is unpaired
(midline) submental nodes
drain the tissue in the submental triangle bilaterally
what are the four groups of SUPERFICIAL CERVICAL lymph nodes
submental
submandibular
external jugular
anterior jugular
where do the DEEP CERVICAL lymph nodes lie
along the length of the internal jugular vein on each side of the neck, deep to the SCM muscle
how are the superior and inferior deep lymph nodes divided
based on where the omohyoid crosses the jugular vein.
what structures does the superior deep lymph nodes drain
posterior nasal cavity
posterior hard palate
soft palate]
base of the tongue
maxillary third molars with associated tissues
TMJ
esophagus
trachea
thyroid gland.
what clinical significance does the lymphatic drainage have on the tongue
drainage of the back of the tongue is bilateral, so pathology may appear in the lymph nodes on either side rather than just on the affected side
what is a prominent node in the neck (superior deep LN)
the jugulodigastric/tonsillar node - drains palatine tonsils
what structures do the posterior deep cervical lymph nodes drain
the posterior part of the scalp and neck
the superficial pectoral region
a part of the arm
what prominent palpable nodes is located in the posterior deep LN
thejugulo-omohyoid lymph node
This node receives the lymph from the tongue and the submental triangle
what do enlarged lymph nodes indicate
current or past pathology, or area of immune activity
boundaries of the oral cavity
roof - Hard and soft palates
floor - mainly soft tissues, including tongue
lateral walls - cheeks
the oral cavity consists of what 2 parts and how is it separated
theoral vestibule and the oral cavity proper
separated by dental arches
what forms the anterior boundary of the oral cavity
lips
what is the sensory innervation of the lips
maxillary (CNV2) - upper lip
mandibular (CNV3) - lower lip
what is the lymphatic drainage of the lips
primarily via the submandibular
except medial part of lower initially via submental
features of the oral vestibule
this is the area b/w the teeth and the cheeks
labial and bucal frenum
papilla of parotid duct
the floor of the mouth is formed by
muscular diaphragm created by the paired mylohyoid muscles. 2 muscles attach in midline by mylohyoid raphe
what other muscle accompanies the mylohyoid in the floor of the mouth
The geniohyoid muscles sit superior to the mylohyoid attaching from the inferior mental spine of mandible to the body of the hyoid