Supraclavicular Lymph Vessel Ligation in Malignant Tumors of the Paranasal Sinus, Oral Cavity, and Hypopharynx

  • H.-J. Nickol


Lymphatic vessels and nodes of the neck do not exhibit the specific and constant drainage patterns characteristic of the blood vessels and nerves in this area. The pathways of one side cross often making it difficult to identify the appropriate lymph nodes. Rouviere and Taillens established a generally accepted scheme which has been confirmed by Walter, Fisch, and Becker. In a film in 1965, we were able to demonstrate cranially directed lymphatic pathways showing physiologic spontaneous movement of the middle and greater lymphatic vessels. Thus, primary metastasis of the larynx behind the insertion of the sternocleideomastoid muscle in the nuchal area can occur (Nickol). Tumor metastases can be found in all lymph nodes of the neck.


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Copyright information

© Plenum Press, New York 1977

Authors and Affiliations

  • H.-J. Nickol
    • 1
  1. 1.Ear, Nose, and Throat Clinic of the General HospitalHamburg-AltonaWest Germany

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