24.03.2013 Views

LYMPHATIC SYSTEM consists of: 1. lymph capillaries 2. collecting ...

LYMPHATIC SYSTEM consists of: 1. lymph capillaries 2. collecting ...

LYMPHATIC SYSTEM consists of: 1. lymph capillaries 2. collecting ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

THE LYMPH VESSELS AND LYMPH NODES OF THE HEAD, NECK AND TRUNK<br />

THE <strong>LYMPHATIC</strong> DRAINAGE OF THE HEAD AND NECK<br />

Lymph drainage <strong>of</strong> the superficial tissues <strong>of</strong> the head and neck<br />

Most <strong>lymph</strong> vessels accompany branches <strong>of</strong> external carotid artery<br />

Terminate in small groups <strong>of</strong> <strong>lymph</strong> nodes<br />

•Occipital nodes (occipital vessels)<br />

• Retroauricular (posterior auricular vessels)<br />

• Parotid ( temporal superficial vessels)<br />

• Buccal (facial vessels)<br />

• Submandibular (facial vessels in digastric triangle)<br />

Receives afferents from parotid and buccal nodes<br />

and <strong>lymph</strong> from the oral cavity, tonsils, tongue, teeth)<br />

• Anterior cervical (along the anterior jugular vein)<br />

• Superficial cervical (along the external jugular vein)<br />

nodes represent outlying nodes <strong>of</strong> deep cervical <strong>lymph</strong> nodes<br />

the <strong>lymph</strong> is drained into the deep cervical <strong>lymph</strong> nodes<br />

Lymph drainage <strong>of</strong> deep tissues <strong>of</strong> the head and neck<br />

Directs to the deep cervical <strong>lymph</strong> nodes<br />

Outlying grops <strong>of</strong> nodes:<br />

Retropharyngeal – receive <strong>lymph</strong> from nasopharynx, nasal cavity, auditory tube<br />

Paratracheal nodes – (around trachea and oesophagus) receive the <strong>lymph</strong> from the larynx,<br />

trachea, oesophagus<br />

the deep cervical <strong>lymph</strong> nodes<br />

are regional <strong>lymph</strong> nodes <strong>of</strong> the head and neck<br />

receive <strong>lymph</strong> from the superficial and deep structures <strong>of</strong> the head and neck<br />

lie along the carotid sheath (internal jugular vein, carotid arteries)<br />

subdivided into the superior and inferior group<br />

■ Superior deep cervical <strong>lymph</strong> nodes<br />

Lie close to the upper part <strong>of</strong> the internal jugular vein<br />

this group contains jugulodigastric node - near the tendon <strong>of</strong> digastricus m.- associated<br />

with <strong>lymph</strong> drainage <strong>of</strong> the tongue<br />

efferents terminate into the inferior deep cervical <strong>lymph</strong> nodes<br />

■ inferior deep cervical <strong>lymph</strong> nodes<br />

around lower part <strong>of</strong> the internal jugular vein<br />

contain juguloomohyoid node (near the tendon <strong>of</strong> omohyoid m.)<br />

efferents unite to form<br />

jugular trunk<br />

88

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!