Nodi lymphatici occipitales, Lymphonodi occipitalesĪt the junction between the head and neck are five groups of lymph nodes which form the pericerivcal lymphatic circle, also called the pericervical collar. Pharyngeal lymphoid ring (pharyngeal, lingual, palatine and tubal tonsils)Īxillary nodes (lateral, anterior, posterior, central, apical) Pericervical lymphatic circle (occipital, mastoid, parotid (superficial and deep), submandibular and submental lymph nodes)ĭeep anterior cervical nodes (prelaryngeal, thyroid, pretracheal and paratracheal nodes)ĭeep lateral cervical nodes (superior and inferior deep lateral cervical nodes) Lymph nodes of the head, neck and upper limb receive, filter and transport lymphatic fluid from surrounding lymph nodes and viscera back into the bloodstreamįacial nodes (buccinator, nasolabial, malar and mandibular nodes) Key points about the lymph nodes of the head, neck and upper limb This article will discuss the anatomy and function of the lymph nodes of the head, neck and arm. Superficial and deep afferent and efferent lymphatic vessels drain lymph to and from these nodes to ultimately reach the subclavian lymphatic trunk. Lymph nodes of the upper limb include the cubital, axillary, infraclavicular and interpectoral lymph nodes. These lymph nodes receive lymphatic drainage from the lymph nodes of the head and drain into either the thoracic duct on the left or the right lymphatic duct. The lymph nodes of the neck are typically organized into superficial and deep nodes which are further classified into anterior and lateral cervical lymph nodes. There are three main groups of lymph nodes within the head: the lingual lymph nodes, facial lymph nodes and a group of lymph nodes which form a ring at the junction between the head and neck known as the pericervical lymphatic circle. Lymph nodes of the head filter lymph from regions of the head, face and scalp and typically drain to the superficial and deep lymph nodes of the neck. Lymph nodes and vessels of the head, neck and upper limb are generally divided into superficial and deep groups. In this case, they are usually painless.Lymph nodes of the head, neck and upper limb function to receive, filter and transport lymphatic fluid from surrounding tissues and viscera back into the bloodstream via the thoracic duct, right lymphatic duct and/or subclavian lymphatic trunk. Lymph nodes can also become enlarged if cancer cells lodge in them. Another time when they can be felt is when you have an infection, (for example, a sore throat or an ear infection which can make the neck lymph nodes enlarged, painful and tender as these are the nearest lymph nodes to the site of infection). However, sometimes they can be felt in slim people as smooth pea-sized lumps, usually in the groin. Lymph nodes are usually too small to feel. Lymph nodes can only be felt in certain areas of the body (see Figure 1): The lymph nodes filter out harmful organisms and abnormal cells before the lymph reaches the blood stream. They are found at intervals along the lymphatic vessels like ‘beads on a string’. Lymph nodes (‘glands’) are small ‘bean-shaped’ nodules that contain millions of infection fighting lymphocyte cells. It drains into lymphatic vessels then larger lymphatic vessels called ducts in the neck before joining the blood stream near the heart (see Figure 1). Lymph fluid bathes the cells of the skin and internal organs.
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