Deep cervical nodes
Local vessels and regional nodes · Levels I-VI
The chain along the internal jugular vein inside the carotid sheath receives every other node group of the head and neck, and its efferents form the jugular lymph trunk.
Traced from the start
- Head and neck
- Deep cervical nodes
Detail
- Position
- Along the internal jugular vein within the carotid sheath
- Jugulodigastric
- Tonsillar node, drains tonsil and tongue
- Jugulo-omohyoid
- Lingual node, drains the tongue
- Surgical levels
- I submental/submandibular to VI central compartment
- Efferents
- Jugular lymph trunk
When it goes wrong
Squamous cell carcinoma of the oropharynx or larynx
Level II-III nodal mass, often the presenting complaint
Papillary thyroid carcinoma
Early central (level VI) then lateral cervical nodal spread
Practise this structure
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