The facial lymph nodes, consisting of the infraorbital, buccinator, and supramandibular subgroups, are present in no more than 30% and probably less than 20% of all individuals. When they do exist, however, they play an important role in the spread and diagnosis of facial malignancies. These nodal groups drain the anterior superficial facial structures and empty into the submaxillary lymph bed. The buccinator node is the most frequently present and most often involved node of this group. We have collected ten cases of malignancies involving these nodes and present an illustrative case of the metastatic spread of an epidermoid carcinoma to the buccinator node.
Robbins JP, Fitz-Hugh GS, Constable WC. Involvement of the Buccinator Node in Facial Malignancy. Arch Otolaryngol. 1971;94(4):356–358. doi:10.1001/archotol.1971.00770070548012
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