Level of Cervical Lymphnode & Triangle of Neck

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  • Опубліковано 20 кві 2020
  • Level I: submental and submandibular
    superiorly: mylohyoid muscle and mandible
    inferiorly: inferior border of the hyoid bone
    anteriorly: platysma muscle
    posteriorly: posterior border of the submandibular gland
    ​There are two sublevels:
    level Ia (submental nodes): anteromedial between the anterior bellies of both digastric muscles
    level Ib (submandibular nodes): posterolateral to the anterior belly of the digastric muscles
    Level II: upper internal jugular (deep cervical) chain
    superiorly: base of the skull at the jugular fossa
    inferiorly: inferior border of the hyoid bone
    anteriorly: posterior border of the submandibular gland
    posterolaterally: posterior border of the sternocleidomastoid muscle
    medially: medial border of the internal carotid artery
    ​There are two sublevels:
    level IIa: inseparable from or anterior to the posterior edge of the internal jugular vein; includes jugulodigastric nodal group
    level IIb: posterior to and separable by a fat plane from the internal jugular vein
    Level III: middle internal jugular (deep cervical) chain
    superiorly: inferior border of the hyoid bone
    inferiorly: inferior border of the cricoid cartilage
    anteriorly: anterior border of the sternocleidomastoid muscle
    posterolaterally: posterior border of the sternocleidomastoid muscle
    medially: medial border of the common carotid artery
    Level IV: lower internal jugular (deep cervical) chain
    superiorly: inferior border of the cricoid cartilage
    inferiorly: level of the clavicle
    anteriorly: anterior border of the sternocleidomastoid muscle
    posterolaterally: oblique line drawn through the posterolateral edge of the sternocleidomastoid muscle and the lateral edge of the anterior scalene muscle 2
    medially: medial border of the common carotid artery
    includes medial supraclavicular nodes including Virchow node 1
    Level V: posterior triangle
    superiorly: skull base at the apex of the convergence of sternocleidomastoid and trapezius muscles
    inferiorly: level of the clavicle
    anteromedially: posterior border of the sternocleidomastoid muscle
    posterolaterally: anterior border of the trapezius muscle
    ​There are two sublevels:
    level Va: superior half, superior to inferior border of the cricoid cartilage (posterior to levels II and III); includes spinal accessory nodes
    level Vb: inferior half, inferior to inferior border of the cricoid cartilage (posterior to level IV); includes lateral supraclavicular nodes 1
    Level VI: central (anterior) compartment
    superiorly: inferior border of hyoid bone
    inferiorly: superior border of manubrium (suprasternal notch)
    anteriorly: platysma muscle 8
    posteriorly: trachea (medially) and prevertebral space (laterally) 8
    laterally: medial borders of both common carotid arteries (medial to levels III and IV)
    includes anterior jugular, pretracheal, paratracheal, prelaryngeal/precricoid (Delphian), and perithyroidal nodes

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