Aliran KGB di leher

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,
Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,
 Level I
This level refers to the submental and
submandibular nodes and drains the lip,
oral cavity and tongue.
Subzone Ia refers to the submental nodes
and subzone Ib to the submandibular
nodes.
Subzone Ia drains anterior floor of mouth,
lower lip and ventral tongue, whereas
subzone Ib drains other subsites in the oral
cavity.

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,

 Level II
This forms the upper jugular group of nodes and drains
the oropharynx, larynx, hypopharynx and parotid.
The course of the spinal accessory nerve divides this
level into two subzones.
Level IIa lies anteroinferior to the spinal accessory nerve
and IIb posterosuperior.
The IIb subzone is also known as the submuscular recess.
It is a clinically useful anatomical differentiation because
positive level IIa disease mandates IIb dissection,
however elective dissection for laryngeal and
hypopharyngeal malignancy can exclude level IIb.

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,

 Level III
This refers to the middle jugular
nodes and drains the larynx and
pharynx.
Level III is not further subdivided by
the new nomenclature because,
despite being the largest of the
jugular levels, there is little variation
in its draining area.

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,

 Level IV
Level IV refers to the lower jugular
group of nodes.
This is a small area, which again
drains the larynx and hypopharynx.
Attempts have been made to
subdivide this area but have not
been successful owing to its small
size.

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,

 Level V
This is the posterior triangle group of nodes and
drains the other lymphatic regions in the neck.
It has been divided into subzones. The Va lies
superior to the inferior belly of the omohyoid
muscle and the Vb level is inferior to the
omohyoid muscle.
The Va area contains the chain of nodes along the
accessory nerve, which drain the nasopharynx.
The Vb level contains nodes related to the
thyrocervical trunk which drains the thyroid gland.

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,

 Level VI and VII
Level VI : This is the anterior or
central group of nodes. This includes
the paratracheal, perithyroidal and
Delphian nodes.
Level VII : This corresponds to the
superior mediastinal tissues. It is not
recognized by most American texts.

Sumber : Scott-Browns Otorhinolaryngology, Head and Neck Surgery, 7 th ed,