Submental lymph nodes

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Submental lymph nodes
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Superficial lymph glands and lymphatic vessels of head and neck. (Buccinator glands labeled at center right.)
Details
System Lymphatic system
Identifiers
Latin nodi lymphoidei submentales
Anatomical terminology

The submental lymph nodes (or suprahyoid lymph nodes[ citation needed ]) are 2-3 lymph nodes [1] situated in the submental triangle, [1] between the anterior bellies of the digastric muscle and the hyoid bone. [2]

Contents

Anatomy

The submental lymph nodes are situated in the submental fascial space. They are situated close to the midline. They are immediately superficial to the mylohyoid muscle. [1]

Afferents

They drain the lower lip, floor of the mouth, apex of the tongue, chin, and inferior/mandibular incisor teeth and their associated periodontium and gingiva. [1]

Efferents

They drain either to submandibular lymph nodes (which then drain to deep cervical lymph nodes), or to the deep cervical lymph nodes directly. [1]

Clinical significance

The most common cause of enlargement of the submental lymph nodes are infections (including viral infections (mononucleosis, Epstein-Barr virus infection, and cytomegaloviral infections), toxoplasmosis, and dental infections (e.g. periodontitis)). [1]

The lymph nodes may be affected by metastatic spread from cancers of their drained territories. [1]

See also

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<span class="mw-page-title-main">Submental triangle</span>

The submental triangle is a division of the anterior triangle of the neck.

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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.

<span class="mw-page-title-main">Submental space</span>

The submental space is a fascial space of the head and neck. It is a potential space located between the mylohyoid muscle superiorly, the platysma muscle inferiorly, under the chin in the midline. The space coincides with the anatomic region termed the submental 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

  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.
  2. Smeele, Ludi E. (2017-01-01), Brennan, Peter A.; Schliephake, Henning; Ghali, G. E.; Cascarini, Luke (eds.), "25 - Neck Dissection", Maxillofacial Surgery (Third Edition), Churchill Livingstone, pp. 398–404, doi:10.1016/b978-0-7020-6056-4.00026-5, ISBN   978-0-7020-6056-4 , retrieved 2020-11-14