Retropharyngeal Lymph Nodes
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Retropharyngeal Lymph Nodes
The retropharyngeal lymph nodes, from one to three in number, lie in the buccopharyngeal fascia, behind the upper part of the pharynx and in front of the arch of the atlas, being separated, however, from the latter by the Longus capitis. Their ''afferents'' drain the nasal cavities, the nasal part of the pharynx, and the auditory tubes. Their ''efferents'' pass to the superior deep cervical lymph nodes. They are in the retropharyngeal space. They frequently disappear by age 4-5. (This is why retropharyngeal abscess Retropharyngeal abscess (RPA) is an abscess located in the tissues in the back of the throat behind the posterior pharyngeal wall (the retropharyngeal space). Because RPAs typically occur in deep tissue, they are difficult to diagnose by physical ... is rare in older children.) See also * Rouvière node References External links * https://web.archive.org/web/20080216031919/http://www.med.mun.ca/anatomyts/head/hnl3a.htm * http://www.emedicine.com/ent/topic306. ...
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Submental Lymph Nodes
The submental glands (or suprahyoid) are situated between the anterior bellies of the digastric muscle and the hyoid bone. Their '' afferents'' drain the central portions of the lower lip and floor of the mouth and the apex of the tongue. Their '' efferents'' pass partly to the submandibular lymph nodes and partly to a gland of the deep cervical group situated on the internal jugular vein at the level of the cricoid cartilage. See also * Submental triangle References External links * () Image at umich.edu - must rolloverat Baylor College of Medicine Baylor College of Medicine (BCM) is a medical school and research center in Houston, Texas, within the Texas Medical Center, the world's largest medical center. BCM is composed of four academic components: the School of Medicine, the Graduate Sc ... Non-Hodgkin's Lymphoma , Symptoms and Types Lymphatics of the head and neck {{Portal bar, Anatomy ...
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Pharynx
The pharynx (plural: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the oesophagus and trachea (the tubes going down to the stomach and the lungs). It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food and air to the esophagus and larynx respectively. The flap of cartilage called the epiglottis stops food from entering the larynx. In humans, the pharynx is part of the digestive system and the conducting zone of the respiratory system. (The conducting zone—which also includes the nostrils of the nose, the larynx, trachea, bronchi, and bronchioles—filters, warms and moistens air and conducts it into the lungs). The human pharynx is conventionally divided into three sections: the nasopharynx, oropharynx, and laryngopharynx. It is also important in vocalization. In humans, two sets of pharyngeal muscles form the pharynx and determine the shape of its lumen. They are arranged as an ...
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Retropharyngeal Abscess
Retropharyngeal abscess (RPA) is an abscess located in the tissues in the back of the throat behind the posterior pharyngeal wall (the retropharyngeal space). Because RPAs typically occur in deep tissue, they are difficult to diagnose by physical examination alone. RPA is a relatively uncommon illness, and therefore may not receive early diagnosis in children presenting with stiff neck, malaise, difficulty swallowing, or other symptoms listed below. Early diagnosis is key, while a delay in diagnosis and treatment may lead to death. Parapharyngeal space communicates with retropharyngeal space and an infection of retropharyngeal space can pass down behind the esophagus into the mediastinum. RPAs can also occur in adults of any age. RPA can lead to airway obstruction or sepsis – both life-threatening emergencies. Fatalities normally occur from patients not receiving treatment immediately and suffocating prior to knowing that anything serious was wrong. Signs and symptoms Signs and ...
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Retropharyngeal Space
The retropharyngeal space (abbreviated as "RPS") is a potential space and deep compartment of the head and neck situated posterior to the pharynx. The RPS is bounded anteriorly by the buccopharyngeal fascia, posteriorly by the alar fascia, and laterally by the carotid sheath. It spans from the base of the skull superiorly to the mediastinum inferiorly. It contains the retropharyngeal lymph nodes. Sources consider the retropharyngeal space to be in principle subdivided into the so-called "true retropharyngeal space" or "retropharyngeal space proper" (part of the RSP situated anterior to the alar fascia), and the danger space (part of the RSP situated posterior to the alar fascia). The danger space is sometimes also lumped together with the true RPS and the whole referred to as the RPS because the alar fascia is an ineffective barrier. Infections from the head and neck can spread down through the danger space into the posterior mediastinum. Anatomy Superiorly, the retropharingeal sp ...
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Auditory Tubes
In anatomy, the Eustachian tube, also known as the auditory tube or pharyngotympanic tube, is a tube that links the nasopharynx to the middle ear, of which it is also a part. In adult humans, the Eustachian tube is approximately long and in diameter. It is named after the sixteenth-century Italian anatomist Bartolomeo Eustachi. In humans and other tetrapods, both the middle ear and the ear canal are normally filled with air. Unlike the air of the ear canal, however, the air of the middle ear is not in direct contact with the atmosphere outside the body; thus, a pressure difference can develop between the atmospheric pressure of the ear canal and the middle ear. Normally, the Eustachian tube is collapsed, but it gapes open with swallowing and with positive pressure, allowing the middle ear's pressure to adjust to the atmospheric pressure. When taking off in an aircraft, the ambient air pressure goes from higher (on the ground) to lower (in the sky). The air in the middle ear e ...
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Nasal Part Of The Pharynx
The pharynx (plural: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the oesophagus and trachea (the tubes going down to the stomach and the lungs). It is found in vertebrates and invertebrates, though its structure varies across species. The pharynx carries food and air to the esophagus and larynx respectively. The flap of cartilage called the epiglottis stops food from entering the larynx. In humans, the pharynx is part of the digestive system and the conducting zone of the respiratory system. (The conducting zone—which also includes the nostrils of the nose, the larynx, trachea, bronchi, and bronchioles—filters, warms and moistens air and conducts it into the lungs). The human pharynx is conventionally divided into three sections: the nasopharynx, oropharynx, and laryngopharynx. It is also important in vocalization. In humans, two sets of pharyngeal muscles form the pharynx and determine the shape of its lumen. They are arranged as an i ...
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Nasal Cavities
The nasal cavity is a large, air-filled space above and behind the nose in the middle of the face. The nasal septum divides the cavity into two cavities, also known as fossae. Each cavity is the continuation of one of the two nostrils. The nasal cavity is the uppermost part of the respiratory system and provides the nasal passage for inhaled air from the nostrils to the nasopharynx and rest of the respiratory tract. The paranasal sinuses surround and drain into the nasal cavity. Structure The term "nasal cavity" can refer to each of the two cavities of the nose, or to the two sides combined. The lateral wall of each nasal cavity mainly consists of the maxilla. However, there is a deficiency that is compensated for by the perpendicular plate of the palatine bone, the medial pterygoid plate, the labyrinth of ethmoid and the inferior concha. The paranasal sinuses are connected to the nasal cavity through small orifices called ostia. Most of these ostia communicate with the nos ...
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Longus Capitis
The longus capitis muscle (Latin for ''long muscle of the head'', alternatively rectus capitis anticus major), is broad and thick above, narrow below, and arises by four tendinous slips, from the anterior tubercles of the transverse processes of the third, fourth, fifth, and sixth cervical vertebræ, and ascends, converging toward its fellow of the opposite side, to be inserted into the inferior surface of the basilar part of the occipital bone The occipital bone () is a neurocranium, cranial dermal bone and the main bone of the occiput (back and lower part of the skull). It is trapezoidal in shape and curved on itself like a shallow dish. The occipital bone overlies the occipital lobe .... It is innervated by a branch of cervical plexus. Longus capitis has several actions: acting unilaterally, to: *flex the head and neck laterally *rotate the head ipsilaterally acting bilaterally: *flex the head and neck Additional images File:Gray129.png, Occipital bone. Outer surface. ...
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Anterior Arch Of The Atlas
In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck. It is named for Atlas of Greek mythology because, just as Atlas supported the globe, it supports the entire head. The atlas is the topmost vertebra and, with the axis (the vertebra below it), forms the joint connecting the skull and spine. The atlas and axis are specialized to allow a greater range of motion than normal vertebrae. They are responsible for the nodding and rotation movements of the head. The atlanto-occipital joint allows the head to nod up and down on the vertebral column. The dens acts as a pivot that allows the atlas and attached head to rotate on the axis, side to side. The atlas's chief peculiarity is that it has no body. It is ring-like and consists of an anterior and a posterior arch and two lateral masses. The atlas and axis are important neurologically because the brainstem extends down to the axis. Structure Anterior arch The anteri ...
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Buccopharyngeal Fascia
The buccopharyngeal fascia is a fascia in the head and neck. Structure The buccopharyngeal runs parallel to the medial aspect of the carotid sheath. It is a thin lamina given off from the pretracheal fascia. It is attached to the prevertebral fascia by loose connective tissue, with the retropharyngeal space found between them. It may also be attached to the alar fascia posteriorly at C3 and C6 levels. The thyroid gland wraps around the trachea and oesophagus anterior to the buccopharyngeal fascia, so that the lateral parts of the thyroid gland border it. Function The buccopharyngeal fascia envelops the superior pharyngeal constrictor muscles. It closely invests the constrictor muscles of the pharynx. It is continued forward from the constrictor pharyngis superior onto the buccinator The buccinator () is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral ...
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Submandibular Lymph Nodes
The submandibular lymph nodes (submaxillary glands in older texts), three to six in number, are lymph nodes beneath the body of the mandible in the submandibular triangle, and rest on the superficial surface of the submandibular gland. 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. The ''afferents'' of the submandibular glands drain the medial canthus, the cheek, the side of the nose, the upper lip, the lateral part of the lower lip, the gums, and the anterior part of the margin of the tongue. Efferent lymph vessels from the facial and submental lymph nodes also enter the submandibular glands. Their efferent vessels pass to the superior deep cervical lymph nodes. Additional images File:illu_lymph_chain02.jpg, Deep Lymph Nodes References External links Archived Diagram via umich.edu - ro ...
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Superior Deep Cervical Lymph Nodes
The superior deep cervical lymph nodes are the deep cervical lymph nodes that are situated adjacent to the superior portion of the internal jugular vein. They drain either to the inferior deep cervical lymph nodes or into the jugular trunk. Most of these lymph nodes are situated deep to the sternocleidomastoid muscle The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the access ..., though some are not. Some are situated anterior and some posterior to the internal jugular vein. They are also situated adjacent to the accessory nerve (CN XI). Jugulodigastric group Superior deep cervical lymph nodes situated in a triangular region bounded by the posterior belly of the digastric muscle, the facial vein, and the internal jugular vein form a subgroup - the jugulodigastric group. The group consists o ...
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