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LYMPHATIC DRAINAGE
OF
HEAD & NECK
Presented by:-
Dr. Sushma Tomar
Associate Professor
Department of Anatomy
INTRODUCTION
• All the lymph from the region of head and neck drains into deep
cervical lymph nodes.
• The efferents from these nodes form the jugular trunk.
• On the right side, jugular trunk drains into right lymphatic duct.
• On the left side, jugular trunk drains into thoracic duct.
INTRODUCTION CONTD…
• Out of total 400-450 lymph nodes of human
body, ~60-70 nodes are located in the region of
head and neck.
• Lymph nodes in the head and neck region can be
grouped into:
• Superficial nodes.
• Deep nodes.
SUPERFICIAL LYMPH NODES
• Lie above the investing layer of
deep cervical fascia.
• Consists of a few small nodes
lying superficial to the external
jugular and anterior jugular
veins.
• Includes:-
I. Submental nodes.
II. Submandibular nodes.
III. Buccal nodes.
IV. Parotid (preauricular) nodes.
V. Mastoid (postauricular or
retroauricular) nodes.
VI. Occipital nodes.
VII. Superficial cervical nodes.
VIII. Anterior cervical nodes.
SUPERFICIAL CERVICAL NODES
• These are offshoot of superficial
parotid nodes.
• Located superficial to upper part of
sternocleidomastoid by the side of
external jugular vein.
AFFERENTS- from
1. Floor of external acoustic meatus.
2. Lobule of the ear.
3. Angle of jaw.
4. Lower part of parotid region.
EFFERENTS- drain into
• Lower deep cervical nodes.
ANTERIOR CERVICAL NODES
• Arranged along the
anterior jugular vein.
AFFERENTS- from
• Anterior triangle of neck
below the hyoid bone.
EFFERENTS- drain into
• Lower deep cervical
nodes.
DEEP LYMPH NODES
• Deep cervical nodes.
• Waldeyer’s ring.
• Nodes of midline.
NODES OF MIDLINE
• Termed in correspondence to
the anatomical area where
they exist:
• Infrahyoid.
• Prelaryngeal.
• Pretracheal.
• Paratracheal.
DEEP CERVICAL LYMPH NODES
• All the lymph from the
region of head and
neck drains directly or
indirectly into a vertical
chain of deep cervical
lymph nodes.
• Deep cervical lymph
nodes surround the
internal jugular vein
and extend from base
of the skull to the root
of neck.
DEEP CERVICAL LYMPH NODES CONTD…
o Subdivided into 2 groups by the
intermediate tendon of
omohyoid.
• Upper deep cervical nodes.
• Lower deep cervical nodes.
UPPER DEEP CERVICAL NODES-
• Lie along the upper part of
internal jugular vein deep to
sternocleidomastoid muscle.
LOWER DEEP CERVICAL NODES-
• Lie along the lower part of
internal jugular vein deep to
sternocleidomastoid muscle.
UPPER DEEP CERVICAL LYMPH NODES
JUGULO-DIGASTRIC NODES-
• Member of upper deep cervical
group.
• Located below the posterior belly of
digastric muscle.
AFFERENTS- from
1. Palatine tonsils.
2. Posterior 1/3rd of tongue.
EFFERENTS- into
• Lower deep cervical nodes.
 These nodes act as principal nodes
of palatine tonsils.
LOWER DEEP CERVICAL LYMPH NODES
JUGULO-OMOHYOID NODES-
• Member of lower deep cervical group.
• Lie on the internal jugular vein just above
the intermediate tendon of omohyoid.
AFFERENTS- from
1. Tongue.
2. Submental nodes.
3. Submandibular nodes
4. Upper deep cervical nodes.
EFFERENTS- into
• Lower deep cervical nodes.
 These nodes act as principal nodes of
tongue.
LOWER DEEP CERVICAL LYMPH NODES CONTD…
VIRCHOW’S NODES-
• Left supraclavicular nodes or left scalene nodes.
• Enlarged in malignancy of stomach.
lymphatic_dra_of_head_nec..pptx

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lymphatic_dra_of_head_nec..pptx

  • 1. LYMPHATIC DRAINAGE OF HEAD & NECK Presented by:- Dr. Sushma Tomar Associate Professor Department of Anatomy
  • 2. INTRODUCTION • All the lymph from the region of head and neck drains into deep cervical lymph nodes. • The efferents from these nodes form the jugular trunk. • On the right side, jugular trunk drains into right lymphatic duct. • On the left side, jugular trunk drains into thoracic duct.
  • 3.
  • 4. INTRODUCTION CONTD… • Out of total 400-450 lymph nodes of human body, ~60-70 nodes are located in the region of head and neck. • Lymph nodes in the head and neck region can be grouped into: • Superficial nodes. • Deep nodes.
  • 5. SUPERFICIAL LYMPH NODES • Lie above the investing layer of deep cervical fascia. • Consists of a few small nodes lying superficial to the external jugular and anterior jugular veins. • Includes:- I. Submental nodes. II. Submandibular nodes. III. Buccal nodes. IV. Parotid (preauricular) nodes. V. Mastoid (postauricular or retroauricular) nodes. VI. Occipital nodes. VII. Superficial cervical nodes. VIII. Anterior cervical nodes.
  • 6. SUPERFICIAL CERVICAL NODES • These are offshoot of superficial parotid nodes. • Located superficial to upper part of sternocleidomastoid by the side of external jugular vein. AFFERENTS- from 1. Floor of external acoustic meatus. 2. Lobule of the ear. 3. Angle of jaw. 4. Lower part of parotid region. EFFERENTS- drain into • Lower deep cervical nodes.
  • 7. ANTERIOR CERVICAL NODES • Arranged along the anterior jugular vein. AFFERENTS- from • Anterior triangle of neck below the hyoid bone. EFFERENTS- drain into • Lower deep cervical nodes.
  • 8. DEEP LYMPH NODES • Deep cervical nodes. • Waldeyer’s ring. • Nodes of midline.
  • 9. NODES OF MIDLINE • Termed in correspondence to the anatomical area where they exist: • Infrahyoid. • Prelaryngeal. • Pretracheal. • Paratracheal.
  • 10. DEEP CERVICAL LYMPH NODES • All the lymph from the region of head and neck drains directly or indirectly into a vertical chain of deep cervical lymph nodes. • Deep cervical lymph nodes surround the internal jugular vein and extend from base of the skull to the root of neck.
  • 11. DEEP CERVICAL LYMPH NODES CONTD… o Subdivided into 2 groups by the intermediate tendon of omohyoid. • Upper deep cervical nodes. • Lower deep cervical nodes. UPPER DEEP CERVICAL NODES- • Lie along the upper part of internal jugular vein deep to sternocleidomastoid muscle. LOWER DEEP CERVICAL NODES- • Lie along the lower part of internal jugular vein deep to sternocleidomastoid muscle.
  • 12. UPPER DEEP CERVICAL LYMPH NODES JUGULO-DIGASTRIC NODES- • Member of upper deep cervical group. • Located below the posterior belly of digastric muscle. AFFERENTS- from 1. Palatine tonsils. 2. Posterior 1/3rd of tongue. EFFERENTS- into • Lower deep cervical nodes.  These nodes act as principal nodes of palatine tonsils.
  • 13. LOWER DEEP CERVICAL LYMPH NODES JUGULO-OMOHYOID NODES- • Member of lower deep cervical group. • Lie on the internal jugular vein just above the intermediate tendon of omohyoid. AFFERENTS- from 1. Tongue. 2. Submental nodes. 3. Submandibular nodes 4. Upper deep cervical nodes. EFFERENTS- into • Lower deep cervical nodes.  These nodes act as principal nodes of tongue.
  • 14. LOWER DEEP CERVICAL LYMPH NODES CONTD… VIRCHOW’S NODES- • Left supraclavicular nodes or left scalene nodes. • Enlarged in malignancy of stomach.