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Lymph Node Levels of The Nec1

The document describes the 7 levels of lymph nodes in the neck. Level I nodes are below the hyoid bone. Level II nodes are between the hyoid bone and below the jaw. Level III nodes are between the hyoid bone and cricoid cartilage. Level IV nodes are between the cricoid cartilage and clavicle. Level V nodes are in the posterior triangle. Level VI nodes are prelaryngeal. Level VII nodes are superior mediastinal.

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374 views2 pages

Lymph Node Levels of The Nec1

The document describes the 7 levels of lymph nodes in the neck. Level I nodes are below the hyoid bone. Level II nodes are between the hyoid bone and below the jaw. Level III nodes are between the hyoid bone and cricoid cartilage. Level IV nodes are between the cricoid cartilage and clavicle. Level V nodes are in the posterior triangle. Level VI nodes are prelaryngeal. Level VII nodes are superior mediastinal.

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sitalcoolk
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Lymph node levels of the neck

Dr Yuranga Weerakkody and Dr Frank Gaillard et al.view revision history Lymph nodes in the neck have been divided into 7 levels, generally for the purpose of squamous cell carcinoma staging. This is however not all inclusive as several groups such as the supraclavicular, parotid and retropharyngeal space nodes are not accounted for in this system.

Level I

below myohyoid muscle and above the lower margin of the hyoid bone anterior to the posterior border of the submandibular glands o level Ia : sub mental - between the anterior bellies of the digastric muscle

level Ib : sub mandibular - posterolateral to the anterior belly of digastric

Level II

jugulodigastric base of skull to lower margin of hyoid bone

anterior to the posterior border of sternocleidomastoid (SCM) posterior to the posterior border of the submandibular glands o level IIa : anterior, lateral, or medial to the vein or posterior to the internal jugular vein and

inseparable from it. level IIb : posterior to the internal jugular vein and have a fat plane separating the nodes and the vein

Level III

middle jugular nodes lower margin of hyoid to lower margin of cricoid cartilage anterior to the posterior border of SCM lateral to the medial margin of the CCA / ICA

Level IV

low jugular nodes lower margin of cricoid cartilage to level of the clavicle anterior and medial to an oblique line drawn through the posterior edge of the sternocleidomastoid muscle 4 and the posterolateral edge of the anterior scalene muscle lateral to the medial margin of the CCA

Level V

posterior triangle nodes o level Va : superior half, posterior to levels II and III o level Vb : inferior half, posterior to level IV

Level VI

prelaryngeal / pretracheal / Delphian node from inferior margin of hyoid to manubrium in front of levels III and IV

Level VII

superior mediastinal between CCAs, below top of manubrium

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