Page 111 - Edited - Webster HEAD AND NECK - part 2-Merge PDF

HN 305 LYMPHATIC DRAINAGE (1) HN 305

ARROWS
INDICATE START HERE!
DRAINAGE OF THERE ARE SEVERAL HUNDRED
SUPERFICIAL LYMPH NODES IN THE HEAD & NECK-
STRUCTURES, ONE THIRD TO ONE HALF THE TOTAL
OUTSIDE IN THE ENTIRE BODY. THE
DEEP FASCIA, FOLLOWING APPROACH IS
& INCLUDING SUGGESTED AS THE EASIEST.
ANTERIOR
I, SUPERFICIAL NODES are
NASAL
CAVITY ()). OUTSIDE THE DEEP FASCIA
(SHEETS 17,57). WITH THE
THUS ORAL EXCEPTION OF THE
CAVITY SUBMENTAL NODES, THEY
&SALIVARY (OCCIPITA ARE IN THE IN THE HEAD,
GLANDS L NODES ARRANGED IN A HORIZONTAL
CIRCLE, LIVE A SHIPPED,
DRAIN TO inion) OVER-BIG CROWN.
DEEP NODES -POST-AURICULAR
( ) BUT NODES (on mastoid
LIPS TO process)
SUPERFICIAL NODES THERE ARE NO NODES
MIDLINE SUPERFICIAL ABOVE THESE – LUMPS
STRUCTURES DRAIN PATROTU DISCOVERED IN THE UPPER
BILATERALLY (cf) NODES HEAD CANNOT BE ENLARGED
FACIAL (BUCCAL) LYMPH NODES. THE DRAINAGE
SUBMENTAL
NODES NODES ZONES FOR EACH GROUP ARE
INDICATED

II DEEP NODES are DEAEP TO THE INVESTING DEEP FASCIA ( )
THEY CANBE DIVIDED / CONSIDERED IN TWO
SETS, ALL OF WHICH ARE IN THE NECK EXCEPT THOTE ASSOCIATED WITH THE PAROTID GLAND

(A) INTERNAL JUGULAR NODES
COMPRISE THE MAJORITY OF DEEP
NODES. THEY ARE A VERTICAL
LINEAR CHAIN, ARRANGED IN
THREE GROUPS AROUND THE
INTERNAL JUGULAR VEN IN THE
CAROTID SHEATH (
MASTOIS
THE MOST INFERIOR ARE THEREFORE PROCESS
LARGELY COVERED BY STERNO-
CLEIDOMASTOID MUSCLE, THE MOST
SUPERIOR THE MOST RXPOSED AND, LOBULE OF
WHEN ENLARGED THE TROST PINNA (AURICLE)
READILY PALPABLE FROM BEHIND. IF ATUGLEOF
THE JUGULATE NODES ARE INVADED MANDIBLE
BY METASTATIC CELLS Fream A SUPERIOR
CANCER, AND HAVE TO BE REMOVED, CENTRAL GROUP
THE INTERNAL JUGULAR VEINA DIGASTRIC
TENDON
STERNO-CLETDOMASTOISM. NICE
THCEN WITH THEM ("BLOCK
DISSECTION OF THE NETK"). FOR INTERNAL TOGULA MIDDLE
SUPRACLAVICULAR KEN. NODES, SEE VEIN GROUP
SI76. OMOHYDISM

LARYNY
K.E.W INFERIOR
Group

STERNOCLAVICULAR JOINT
CONT’D->