Submandibular lymph nodes

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Submandibular lymph nodes
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Superficial lymph glands and lymphatic vessels of head and neck. (Submaxillary glands labeled at center right.)
Details
System Lymphatic system
Source Mandibular lymph node
Identifiers
Latin nodi lymphoidei submandibulares
Anatomical terminology

The submandibular lymph nodes (submaxillary glands in older texts), are some 3-6 lymph nodes situated at the inferior border of the ramus of mandible. [1]

Contents

Anatomy

They are situated just superficial to the submandibular salivary gland, and posterolateral to the anterior belly of either digastric muscle. [1]

One gland, the middle gland of Stahr, which lies on the facial artery as it turns over the mandible, is the most constant of the series; small lymph glands are sometimes found on the deep surface of the submandibular gland.[ citation needed ]

Afferents

They drain the upper lip, body of tongue, cheeks, anterior portion of the hard palate, and most teeth with their associated periodontium and gingiva (except for the mandibular incisor teeth and third molar teeth). [1]

The facial and submental lymph nodes may also drain into the submandibular glands. [1]

Efferents

They drain to the superior [ citation needed ] deep cervical lymph nodes. [1]

Clinical significance

The most common causes of enlargement of the submandibular lymph nodes are infections of the head, neck, ears, eyes, nasal sinuses, pharynx, and scalp. [1]

The lymph glands may be affected by metastatic spread of cancers of the oral cavity, anterior portion of the nasal cavity, soft tissues of the mid-face, and submandibular salivary gland. [1]

Additional images

Related Research Articles

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The submandibular space is a fascial space of the head and neck. It is a potential space, and is paired on either side, located on the superficial surface of the mylohyoid muscle between the anterior and posterior bellies of the digastric muscle. The space corresponds to the anatomic region termed the submandibular triangle, part of the anterior triangle of the neck.

Fascial spaces are potential spaces that exist between the fasciae and underlying organs and other tissues. In health, these spaces do not exist; they are only created by pathology, e.g. the spread of pus or cellulitis in an infection. The fascial spaces can also be opened during the dissection of a cadaver. The fascial spaces are different from the fasciae themselves, which are bands of connective tissue that surround structures, e.g. muscles. The opening of fascial spaces may be facilitated by pathogenic bacterial release of enzymes which cause tissue lysis. The spaces filled with loose areolar connective tissue may also be termed clefts. Other contents such as salivary glands, blood vessels, nerves and lymph nodes are dependent upon the location of the space. Those containing neurovascular tissue may also be termed compartments.

References

PD-icon.svgThis article incorporates text in the public domain from page 697 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 5 6 7 Fehrenbach, Margaret J.; Herring, Susan W. (2017). Illustrated Anatomy of the Head and Neck (5th ed.). St. Louis: Elsevier. p. 250. ISBN   978-0-323-39634-9.