Ann Nguyen -- NYUCD 2008

D1 Anatomy Notes -- Spring '05

Nodes of the Head Unilateral # Location Area of Drainage Goes to

occipital ridge,
Occipital 1 to 3 occipital scalp superior deep cervical nodes
near margin of Trapezius

behind the ears, temporal scalp

Retroauricular 2 superior deep cervical nodes
on top of Mastoid Process upper ear, posterior Ex. Meatus

outer parotid gland

Superficial Parotid frontotemporal scalp
3+ in front of the ears superior deep cervical nodes
AKA = Pre-auricular lateral ear, anterior Ex. Meatus
eyelids, root of the nose
Deep Parotid most of the parotid gland
Group-1 embedded within the Parotid nasal cavity, nasopharynx
superior deep cervical nodes
Group-2: beneath the Parotid, posterior palate
on lateral surface of pharynx middle ear
Superficial Facial
Maxillary Group several small infraorbital region
local regional areas submandibular nodes
Buccal Group 1+ on top of Buccinator
Mandibular Group several small outer Md, in front of Masseter

Deep Facial inner surface of Md, TMJ

superior deep cervical nodes
AKA = Internal Maxillary on top of Lateral Pterygoid temporal fossa
infratemporal fossa

Lingual 2 to 3 on top of Hyoglossus a substation for lingual vessels Jugulo-Omohyoid Node

Buccopharyngeal Fascia, nasal cavity

Retropharyngeal 1 to 3 superior deep cervical nodes
beind the upper pharynx nasopharynx
Eustachian Tube
Nodes of the Neck Unilateral # Location Area of Drainage Goes to

underneath the chin, anterior portion of Md 1. submandibular nodes

Submental 3 to 4
b/t 2 Anterior Digastrics including Md anterior teeth 2. superior deep cervical nodes
3. Jugulo-Omohyoid Node
integument & mucosa of lower jaw
in the Submandibular Triangle, all Mx teeth, Md posterior teeth 1. superficial cervical nodes
Submandibular 3 to 6
on top of Submandibular Gland Superficial Facial Nodes 2. superior deep cervical nodes
largest sits on top of Facial Artery Submental Nodes 3. Jugulo-Omohyoid Node
Anterior Cervical
Superficial Group skin of the anterior neck
below Hyoid Bone,
Jugulo-Omohyoid Node
Deep Group in front of larynx, trachea, thyroid
Pre-laryngeal lower larynx, trachea, thyroid
Pre-tracheal

along the External Jugular Vein, lower ear

Superficial Cervical superior deep cervical nodes
on top of Sternocledimastoid skin over parotid

Deep Cervical above Omohyoid Muscle, receives drainage from ALL nodes
inferior deep cervical nodes
Superior Group along the base of the neck EXCEPT Inferior Deep Cervical
large chain of
Jugulo-digastric largest, most superior of this group
20-30 nodes
posterior scalp & neck
on each side
Deep Cervical below Omohyoid Muscle, tongue, tonsils, trachea, esophagus
R&L Lymphatic Trunks
Inferior Group along the level of clavicles superior pectorals, superior liver
Jugulo-omohyoid largest, most inferior of this group Superior Deep & Lingual Nodes

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