1 Superficial group. ` 2 - Deep group. ` Each group contains transverse & vertical (mid line.

& 2 laterales)

All the superficial system drains into the deep system.

Efferents of deep cervical lymph nodes ` drianed into the which drain into: A- on the right side right lymphatic ` duct. B- on the left side into the thoracic ` duct Both the right lymphatic duct and thoracic duct drain into junction of subclavian and internal jugular veins on their own side. .`
`

- Vertical group lies along the internal jugular vein. - Transverse group. `

The vertical group is formed of: ` 1-Superior deep cervical lymph nodes:: 2 Inferior deep cervical lymph nodes

The vertical group is formed of: ` 1 Superior deep cervical lymph nodes: ` In the upper part of internal jugular most of them ` deep to sternomastoid and few extended beyond it. Ex: jugulo digastric lymph nodes. ` 2 Inferior deep cervical lymph nodes: ` Are partly deep to the lower part of sternomastoid. ` Related to brachial plexus and subclavian vessels. ` Ex: jugulo omohyoid lymph nodes. `

It forms a ring called Waldeyer's ring. This ring is formed of: 1-Pharyngeal tonsil (adenoid). 2-Tubal tonsil (around the pharyngeal opening of the auditory tube in the nasopharynx). 3-Palatine tonsil. 4-Lingual tonsil in the posterior third of the tongue.

The transverse group ` 1.Occipital lymph nodes : ` 2. postauricular lymph nodes ( mastoid nodes ). 3- Parotid lymph nodes (periauricular) ` 4- The submandibular lymph nodes ` 5- Submental lymph nodes: `

The vertical group of superficial lymph nodes ` is in the form of two vertical columns: ` 1. A mid line vertical column lies along the ` anterior jugular vein. ` 2. A vertical lateral column along the external ` jugular vein in the posterior triangle & superficial to the sternomastoid muscle.

1. Submental.

2. Submandibular (Submaxillary) Anterior Cervical Lymph Nodes (Deep) 3. Prelaryngeal. 4. Thyroid. 5. Pretracheal. 6. Paratracheal.

Lymphatic drainage of the deeper tissue of head and neck:

`

The deeper tissue of the head and neck drain to the deep cervical lymph nodes either directly or indirectly by: 1- The para tracheal lymph nodes: ` 2-- The retero pharyngeal lymph nodes:

1 Above the vocal cord drained into the ` upper deep deep cervical lymph nodes. 2- Below the vocal cord drained into the ` lower deep cervical lymph nodes. 3 -few lymphatic pass to pretracheal and ` prelaryngeal then to deep cervical lymph nodes

Vessels of the gums end in the sub mandibuler lymph nodes.

* Hard palate end in the upper deep cervical

nodes and retro pharyngeal lymph node.

* The soft palate partly in upper cervical lymph ` node and retro pharyngeal lymph node. * The anterior part of the floor of mouth go to inferior ` nodes of upper deep cervical group * The rest of floor to sub manbidular and upper deep ` cervical nodes.
`

The teeth: to sub mandible and deep cervical lymph need. `

The tonsile: most of them end in the jugulo digastric nodes

1-Anterior 2/3 of tongue ` Tip sub mental nodes. ` Sides sub mandible nodes. ` Central part deep cervical lymph ` node. 2- posterior 1 /3 of tongue ` It drains into: Deep cervical lymph nodes `

The anterior part of nasal cavity drain to ` submandibluer nodes. *The remainder of nasal cavity para nasal ` sinuses, nasopharynx and pharyngeal end of on auditory tube drain to upper deep cervical nodes directly or through reteropharyngeal. *The posterior part of floor of nasal cavity is ` drain to parotid group of nodes