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Lymphatic Drainage of the Head and Neck
Aatif Ansari, NFDC - 6
Regional: 1. Occipital Nodes2. Retroauricular Nodes (Mastoid)3. Preauricular Nodes (Parotid)4. Buccal Nodes (Facial)5. Submandibular Nodes6. Submental Nodes7. Anterior Cervical Nodes8. Superficial Cervical Nodes9. Retropharyngeal Nodes10. Laryngeal Nodes11. Tracheal Nodes
Terminal:Deep Cervical Nodes Jugular
Lymph Trunk Thoracic Duct or Subclavian Lymph Trunk
Lymphatic Drainage
Of The Tongue
Clinical Notes
Examination of the deep cervical lymph nodes
• Patient should be seated
• Inspect
• Palpate: compare, assess, mobilty, consistency
Clinical Notes
Cervical Metastasis – Block dissection• Internal Jugular Vein, Fascia and lymph nodes and
the submandibular salivary glands removed
• Carotid artery and vagus nerves are carefully preserved
• Bilateral spread 3-4 weeks