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The Lymphatic Drainage of the
       Head and Neck
Lymphatic system is part of the defense system
  against microorganisms and other substances.
  It helps to maintain fluid balance in tissues
  and to absorb fats from the digestive tract.

Functions:
    Fluid balance
    Fat absorption
    Defense
The lymph nodes of the
  head and neck are
  arranged as a regional
  collar that extends from
  below the chin to the
  back of the head and as
  a deep vertical terminal
  group that is embedded
  in the carotid sheath in
  the neck.
REGIONAL NODES
Node         Location         Structures drained

Occipital        Occipital bone on     Back of the scalp
                 the back of the skull


Retroauricular   Behind the ear over Scalp over the ear,
(mastoid)        the mastoid process the auricle, and



Parotid          On or within the      Scalp above the
                 parotid salivary      parotid gland, the
                 gland                 eyelids, the parotid
                                       gland, the auricle,
                                       and the external
                                       auditory meatus
Node            Location            Structures drained

Buccal (facial)   Cheek over the           Drain the lymph
                  buccinator muscle        that ultimately
                                           passes into the
                                           submandibular
                                           nodes
Submandibular     Lie superficial to the   Front of the scalp, the
nodes             submandibular            nose, the cheek, the
                                           upper lip, the lower lip
                  gland just below the     (except the central
                  lower margin of the      part), the frontal,
                  jaw                      maxillary, and ethmoid
                                           sinuses, the upper and
                                           lower teeth (except the
                                           lower incisors), the
                                           anterior 2/3s of the
                                           tongue, the floor of the
                                           mouth and vestibule,
                                           and the gums
Node                 Location           Structures drained
Submental              Submental triangle      Tip of the tongue, the
                       below the chin          floor of the anterior
                                               part of the mouth,
                                               the incisors, the
                                               central part of the
                                               lower lip. And the
                                               skin over the chin.
Anterior cervical      Lie along the course    The skin and
                       of the anterior         superficial tissues of
                       jugular vein in front   the front of the neck
                       of the neck
Superficial cervical   Lie along the course    Skin over the angle of
                       of the external         the jaw, skin over the
                       jugular vein            lower part of the
                                               parotid gland, and
                                               the lobe of the ear
Node             Location           Structures drained

Retropharyngeal   Lie behind the           The nasopharynx,
                  pharynx and in front     the auditory tube,
                  of the vertebral         and the vertebral
                  column                   column
Laryngeal         In front of the larynx   larynx


Tracheal          Alongside the            Neighboring
(paratracheal)    trachea                  structures, including
                                           the thyroid gland
DEEP CERVICAL NODES
- Form a vertical chain along the course of
the internal jugular vein within the carotid
sheath.
   - receive the lymph from all the groups of
regional nodes.
   - efferent lymph vessels from the deep
cervical nodes join to form the jugular trunk,
which drains into the thoracic duct or right
lymphatic duct.
Node                 Location          Structures drained


Jugulodigastric node   Below and behind       Tonsil and the tongue
                       the angle of the jaw




Jugulo-omohyoid        Close to the           tongue
node                   omohyoid muscle
Lymphatics of the head and neck

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Lymphatics of the head and neck

  • 1. The Lymphatic Drainage of the Head and Neck
  • 2. Lymphatic system is part of the defense system against microorganisms and other substances. It helps to maintain fluid balance in tissues and to absorb fats from the digestive tract. Functions: Fluid balance Fat absorption Defense
  • 3. The lymph nodes of the head and neck are arranged as a regional collar that extends from below the chin to the back of the head and as a deep vertical terminal group that is embedded in the carotid sheath in the neck.
  • 5. Node Location Structures drained Occipital Occipital bone on Back of the scalp the back of the skull Retroauricular Behind the ear over Scalp over the ear, (mastoid) the mastoid process the auricle, and Parotid On or within the Scalp above the parotid salivary parotid gland, the gland eyelids, the parotid gland, the auricle, and the external auditory meatus
  • 6. Node Location Structures drained Buccal (facial) Cheek over the Drain the lymph buccinator muscle that ultimately passes into the submandibular nodes Submandibular Lie superficial to the Front of the scalp, the nodes submandibular nose, the cheek, the upper lip, the lower lip gland just below the (except the central lower margin of the part), the frontal, jaw maxillary, and ethmoid sinuses, the upper and lower teeth (except the lower incisors), the anterior 2/3s of the tongue, the floor of the mouth and vestibule, and the gums
  • 7. Node Location Structures drained Submental Submental triangle Tip of the tongue, the below the chin floor of the anterior part of the mouth, the incisors, the central part of the lower lip. And the skin over the chin. Anterior cervical Lie along the course The skin and of the anterior superficial tissues of jugular vein in front the front of the neck of the neck Superficial cervical Lie along the course Skin over the angle of of the external the jaw, skin over the jugular vein lower part of the parotid gland, and the lobe of the ear
  • 8. Node Location Structures drained Retropharyngeal Lie behind the The nasopharynx, pharynx and in front the auditory tube, of the vertebral and the vertebral column column Laryngeal In front of the larynx larynx Tracheal Alongside the Neighboring (paratracheal) trachea structures, including the thyroid gland
  • 10. - Form a vertical chain along the course of the internal jugular vein within the carotid sheath. - receive the lymph from all the groups of regional nodes. - efferent lymph vessels from the deep cervical nodes join to form the jugular trunk, which drains into the thoracic duct or right lymphatic duct.
  • 11. Node Location Structures drained Jugulodigastric node Below and behind Tonsil and the tongue the angle of the jaw Jugulo-omohyoid Close to the tongue node omohyoid muscle