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Off-the-Wall Guide
Neck Node Stations
BORDERS
Level IA
CRANIAL
CAUDAL
ANTERIOR
POSTERIOR
MEDIAL
LATERAL
Geniohyoid
muscle
Mylohyoid
muscle
Lateral process
of C1 vertebra
Body of hyoid Platysma, symphysis
bone
menti
Hyoid bone
Platysma, symphysis
menti
Hyoid bone
Submandibular gland
(posterior border)
Body of hyoid bone
N/A
Submandibular gland
(posterior border)
Sternocleidomastoid
(posterior border)
Anterior belly of
digastric muscle
Medial edge of ICA,
paraspinal muscles
Level III
Hyoid bone
Cricoid
cartilage
Sternocleidomastoid
(anterior border)
Sternocleidomastoid
(posterior border)
Medial edge of ICA,
paraspinal muscles
Sternocleidomastoid
Level IV
Cricoid cartilage
Clavicle
Sternocleidomastoid
Sternocleidomastoid
(anteromedial border) (posterior border)
Medial edge of ICA,
paraspinal muscles
Sternocleidomastoid
Level V
Hyoid bone
Clavicle
Sternocleidomastoid
(posterior border)
Trapezius muscle
(anterolateral border)
Paraspinal muscles
Platysma / skin
Level VI
Thyroid cartilage
Manubrium
Platysma / skin
Tracheoesophageal jxn
N/A
Sternocleidomastoid
Level IB
Level II
Anterior belly of
digastric muscle
Inner mandible;
platysma / skin
Sternocleidomastoid
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