THE LYMPHATIC DRAINAGE OF THE HEAD AND NECK
Lymph เปน liquid ใสสีเหลืองออนมีปฏิกิริยาเปนดาง พบไดใน lymph vessels
Lymphatic System
Lymph vessels ไมพบที่
Lymph vessels
- CNS
- Lymph capillaries - Bone marrow
- Afferent vessels - Internal ear
- Efferent vessels - Coats of eye ball
- Collecting vessels - Hyalin cartilage
- Thoracic duct - Epidermis
- Cornea
THE LYMPHATIC DRAINAGE OF THE HEAD AND NECK
Lymph nodes of head and neck ประกอบดวย
- Regional groups
- Terminal groups (deep cervical groups)
Efferent of Deep Cervical Lymph Nodes form Jugular Trunk
Jugular trunk
Right jugular trunk สิ้นสุดที่
- Junction of internal jugular vein
กับ subclavian vein
- Join กับ right lymphatic duct
Thoracic duct
Left jugular trunk สิ้นสุดที่
- Thoracic duct
- Internal jugular vein
- Subclavian vein
Deep Cervical Lymph Nodes
1. The superior deep cervical lymph nodes
- Jugulodigastric lymph nodes
Afferent – Tongue, tonsil
Efferent - Lower deep cervical lymph nodes
- Jugular trunk
Deep Cervical Lymph Nodes
2. Inferior deep cervical lymph nodes
- Jugular Omohyoid lymph nodes
Afferent - Tongue
Efferent - Jugular trunk
The Lymphatic Drainage of the Tissue of the Head and Neck
1. The superficial tissues
2. The deeper structures and viscera
1. Lymphatic Drainage of the Superficial Tissues of the Head and Neck
Superficial tissues Regional lymph nodes
Deep cervical nodes
Regional Lymph nodes of Head and Neck ที่เกี่ยวของกับ
drainage of superficial tissues
- Occipital
- Retroauricular
- Parotid
- Buccal (facial)
- Submandibular
- Submental
- Anterior cervical
Occipital lymph nodes
Afferent – Back of scalp
Efferent – Deep cervical lymph nodes
Retroauricular (mastoid) Lymph Nodes
Afferent - Strip of scalp above auricle
- Posterior external auditory
meatus
Efferent - Deep cervical nodes
Parotid Lymph Nodes
- Superficial parotid nodes
- Deep parotid nodes
Afferent of superficial parotid nodes
- Strip of scalp above the parotid salivary gland
- Lateral surface of auricle
- Anterior wall of external auditory meatus
- Lateral part of the eyelid
Afferent of deep parotid nodes
- Middle ear
Efferent
- Deep cervical nodes
Buccal Lymph Nodes
อยูบน buccinator muscle สัมพันธอยูกับ facial vein
Efferent - Submandibular lymph node
Submandibular Lymph Nodes
Afferent - Front of scalp
- Nose and adjacent cheek
- Upper lip
- Lower lip ( ยกเวน center part )
- Frontal, maxillary, ethmoidal air sinus
- Upper and lower teeth ( ยกเวน lower incisor )
- Anterior 2/3 of tongue ( ยกเวน tip)
- Floor of mouth, vestibule, gum
Efferent - Deep cervical lymph nodes
Submental Lymph Nodes
Afferent - Tip of tongue
- Floor of mouth beneath
the tip of tongue
- Incisor teeth and associated gum
- Center part of lower lip
- Skin over chin
Efferent – Submandibular nodes
- Deep cervical lymph nodes
(Jugulo-omohyoid nodes)
Anterior cervical lymph nodes
Afferent - Skin, superficial tissue
of the front of the neck
Efferent - Deep cervical lymph nodes
Anterior cervical node
Superficial Cervical Lymph Nodes
Afferent - Skin over the angle of jaw
- Skin over apex of parotid
salivary gland and lobul of ear
Efferent - Deep cervical lymph nodes
Lymphatic Drainage of the Scalp and Ear
Lymphatic Drainage of Face
Lymphatic Drainage of Neck
2. Lymphatic Drainage of the Deeper Tissues of Head and Neck
Deeper tissues of head and neck
Regional lymph nodes Deep cervical lymph nodes
Regional Lymph Node ที่เกี่ยวของ
- Retropharyngeal
- Paratracheal
- Infrahyoid
Infrahyoid node
- Prelaryngeal
Prelaryngeal node
Pretracheal node
- Pretracheal
- Lingual
Retropharyngeal Lymph Nodes
Afferent - Nasal part of pharynx
- Auditory tube
- Upper part of cervical vertebral column
Efferent - Deep cervical lymph nodes
Paratracheal Lymph Nodes
Afferent - Neighboring structures
- Thyroid gland
Efferent - Deep cervical lymph nodes
Paratracheal node
Infrahyoid, Prelaryngeal, Pretracheal Lymph Nodes
Afferent – Anterior cervical nodes
Infrahyoid node
Efferent – Deep cervical lymph nodes
Prelaryngeal node
Pretracheal node
Lymphatic Drainage of the Nasal Cavity, Nasopharynx and Middle Ear
Lymphatic Drainage of Larynx, Trachea and Thyroid Gland
Lymphatic Drainage of the Mouth, Teeth, Tonsil and Tongue
Mouth
Gum - Submandibular
Hard palate - Upper deep cervical
- Retropharyngeal
Soft palate - Retropharyngeal
- Upper deep cervical
Anterior part of - Submental
floor of mouth
- Upper deep cervical
Posterior part of
- Submandibular
floor of mouth
- Upper deep cervical
Teeth
Upper and lower teeth - Submandibular
- Deep cervical
Lower incisor - Submental
Tonsil
- Jugulodigastric
Tongue
หนา vallate papillae Marginal, Central vessels
หลัง vallate papillae Dorsal vessels
Tip and frenulum of tongue Marginal vessels
Submental
Jugulo – omohyoid
Submandibular
Jugulodigastric
Tongue
Lateral margin of tongue
Marginal vessels
Submandibular
Jugulodigastric
Jugulo-omohyoid
Posterior part of
margin of tongue
Marginal vessels
Jugulodigastric
Tongue
Dorsal surface of tongue Central vessels
Deep cervical nodes
Submandibular nodes
Vallate papillae และสวนของ
Dorsal vessels
tongue หลัง vallate papillae
Join กับ marginal vessels
Jugulodigastric
Jugulo-omohyoid
Lymphatic Drainage of the Pharynx and Cervical Part of Esophagus
Pharynx and cervical part of esophagus
Retropharyngeal Deep cervical
or paratracheal
Epiglotlis Infrahyoid node
