Lymphatics of Head and Neck

Question 1

Define Lymphangitis

Answer 1

Inflammation of lymph vessels

Question 2

Define Lymphadenitis

Answer 2

Inflammation of lymph nodes

Question 3

Enlarged, painful, freely movable and tender nodes are indicative of _____

Answer 3

Infectious Process

Question 4

Not painfui, solid, hard, less movable and non-tender nodes are indicative of _____

Answer 4

Carcinoma or Metastatic Cancer

Question 5

Define Lymphogenous Metastasis

Answer 5

Spread of Malignant cancer cells through lymphatic vessels

Question 6

Describe the relationship of the superficial cervical nodes to the external jugular vein

Answer 6

They lie lateral and superficial/external to the external jugular vein within the superficial fascia

Question 7

The general path of lymphatic drainage in the head and neck is from _____ to _____

Answer 7

Superficial to Deep

Question 8

Efferent vesicles of deep cervical nodes give rise to the _____

Answer 8

Jugular Lymphatic Trunks

Question 9

Jugular lymphatic trunks drain into the _____ on the left side and the _____ on the right side.

Answer 9

Thoracic duct on the left side, right lymphatic duct on the right

Question 10

List the seven collar nodes

Answer 10

1) Occipital Nodes
2) Mastoid/Retroauricular Nodes
3) Superficial Parotid Nodes
4) Buccal Nodes
5) Mandibular Nodes
6) Submandibular Nodes
7) Submental Nodes

Question 11

The occipital nodes follow the distribution of the _____

Answer 11

Occipital Artery

Question 12

Occipital nodes receive drainage from the _____

Answer 12

Occipital region of the scalp

Question 13

Occipital nodes drain into the _____

Answer 13

Superior Deep Cervical Nodes

Question 14

Describe the location of the mastoid/retroauricular nodes

Answer 14

Posterior to the external ear over the mastoid process

Question 15

The mastoid/retroauricular nodes receive lymph from the _____

Answer 15

Parietal region of the scalp

Question 16

The mastoid/retroauricular nodes drain into the _____

Answer 16

Superior Deep Cervical Nodes

Question 17

Describe the location of the superficial parotid nodes

Answer 17

In the superficial fascia overlying the lateral aspect of the parotid gland

Question 18

The superficial parotid nodes receive drainage from the _____

Answer 18

Parietal region (forehead), lateral parts of the superior and inferior eyelids, frontal region, and from the lymph plexus of the skin. Sometimes receives drainage from the external/lateral aspect of the nose.

Question 19

The buccal nodes are located superficial to the _____

Answer 19

Buccinator muscle

Question 20

The buccal nodes receive drainage from the _____

Answer 20

Inferior aspect of the orbit and the lateral aspect of the nose (share with mandibular nodes)

Question 21

Mandibular nodes are located very superficially, just lateral to the _____

Answer 21

Inferior border of the mandible

Question 22

Mandibular nodes receive drainage from the _____

Answer 22

Medial corner of the eye, most of external nose, and lower part of the face (along with the buccal nodes)

Question 23

The submandibular nodes drain the _____

Answer 23

Facial nodes and submental nodes.

Question 24

The submandibular nodes are the primary nodes for the _____

Answer 24

Lateral part of the tongue

Question 25

The submental nodes are located _____

Answer 25

inferior to the mental region of the mandible between anterior bellies of the digastric muscles

Question 26

The preauricular nodes are located anterior to the _____ and superficial to the _____

Answer 26

Anterior to the ear and superficial to the parotid gland

Question 27

The preauricular nodes receive drainage from the _____

Answer 27

Lymph Plexus of the Skin

Question 28

The postauricular nodes are located near the _____

Answer 28

Mastoid process (posterior external ear)

Question 29

The postauricular nodes receive drainage from the _____

Answer 29

Skin and scalp

Question 30

The postauricular nodes drain into the _____

Answer 30

Superior deep cervical nodes

Question 31

The buccal nodes are found in the _____

Answer 31

Buccal Region (duh)

Question 32

The buccal nodes drain lymph from the _____

Answer 32

Cheek and area under the orbit

Question 33

The parotid nodes are found within _____, deep to

Answer 33

The parotid gland, deep to the superficial parotid nodes

Question 34

The parotid nodes drain the _____

Answer 34

Parietal region (forehead), lateral parts of the superior and inferior eyelids, frontal region, and from the lymph plexus of the skin (similar drainage as the superficial parotid nodes)

Question 35

The deep cervical nodes are embedded in the _____

Answer 35

Carotid sheath with the internal jugular vein

Question 36

The deep cervical nodes are found medial to the _____

Answer 36

Sternocleidomastoid Muscle

Question 37

List the two superior deep cervical nodes

Answer 37

1) Jugulodigastric Node | 2) Jugulo-omohyoid Noid

Question 38

The jugulodigastric node is located near where _____

Answer 38

The posterior belly of the digastric m. crosses the internal jugular vein and carotid artery

Question 39

The jugulodigastric node drains the _____

Answer 39

Palantine tonsil

Question 40

The jugulo-omohyoid node is located around the area where _____

Answer 40

Where the omohyoid crosses the internal jugular vein and carotid artery. It is more inferior than the jugulodigastric node.

Question 41

List the two inferior deep cervical nodes

Answer 41

1) Supraclavicular Nodes | 2) Mastoid (Retroauricular) Nodes

Question 42

The supraclavicular nodes are located in the _____

Answer 42

Lower portion of the posterior triangle

Question 43

The mastoid (retroauricular) nodes are located inferior to the _____

Answer 43

Omohyoid muscle

Question 44

The mastoid (retroauricular) nodes receive drainage from the _____. It is the last stop before the ____

Answer 44

Superior deep cervical nodes, larynx, trachea and scalp. Last stop before the thoracic duct.

Question 45

The root/base of the tongue drains into the _____

Answer 45

Jugulodigastric Node

Question 46

The midline of the tongue drains _____ into the _____

Answer 46

Bilaterally into the submandibular nodes

Question 47

The lateral parts of the tongue drain _____ into the _____

Answer 47

Ipsilaterally into the submandibular nodes

Question 48

The mediap tip of the tongue drains _____ into the _____

Answer 48

Bilaterally into the submental nodes

Question 49

The upper lip drains _____ into the _____

Answer 49

Ipsilaterally into the submandibular nodes

Question 50

The lateral portions of the lower lip drains _____ into the _____

Answer 50

Ipsilaterally into the submandibular nodes

Question 51

The midline of the lower lip drains _____ into the _____

Answer 51

Bilaterally into the submental nodes