LEVEL I

Submental and
submandibular nodes.
1 A Submental nodes, between the medial margins
of the anterior bellies of the digastric muscles.
1 B Submandibular nodes, lateral to level I A nodes
and anterior to the back of the submandibular
salivar gland.
LEVEL II
!""er internal #ugular
nodes, "osterior to the
back of the
submandibular salivar
gland, anterior to the
back of the
sternocleidomastoid
muscle and above the
level of the bottom of
the bod of the hoid
bone.
$ A anterior, lateral, or medial to the vein %&
"osterior to the internal #ugular vein and
inse"arable from it.
$ B "osterior to the internal #ugular vein and have a
fat "lane se"arating the nodes and the vein
LEVEL III 'iddle #ugular nodes, between the level of the
bottom of the bod of the hoid bone and the
level of the bottom of the cricoid arch, anterior
to the back of the sternocleidomastoid muscle.
LEVEL IV Low #ugular nodes, between the level of the
bottom of the cricoid arch and the level of the
clavicle, anterior to a line connecting the back
of the sternocleidomastoid muscle and the
"osterolateral margin of the anterior scalene
muscles( the are lateral to the carotid arteries.
LEVEL V
)osterior triangle nodes,
"osterior to the back of
the sternocleidomastoid
muscle, and "osterior to
the line described in
level IV
V A Above the level of the bottom of the cricoid
arch.
VB Between the level of the bottom of the cricoid
arch and the level of the clavicle.
LEVEL VI !""er visceral nodes, between the carotid
arteries from the level of the bottom of the bod
of the hoid bone to the level of the to" of the
manubrium.
LEVEL VII Su"erior mediastinal nodes, between the carotid
arteries below the level of the to" of the
manubrium and above the innominate vein.
Su"raclavicular nodes *odes at, or caudal to, the level of the clavicle
and lateral to the carotid arter.
&etro"harngeal nodes *odes behind the "harn+, medial to the
internal carotid arter, from the skull base down
to the level of the hoid bone.