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Abstract
Research evaluation in 125 dogs and twenty-five human subjects through visualization
of lymphatics with sky blue dye has led to newer concepts in the lymph flow of the
tongue, as well as the cervical lymphatics. Cannulation of the lymphatics of the tongue
and injection with radiopaque material followed by cineradiography gives an insight
into normal and abnormal flow patterns of the lymph drainage. The importance of the
valves in the cervical lymphatics, cross over of lymphatics, and obstruction of the
lymphatics has a definite bearing on the course of metastatic disease.
The cervical lymphangiograms correspond well to the anatomy book descriptions except
in two areas: first, the lymph drainage from the tip of the tongue did not go to the
submental nodes; second, lymphatics originating near the midline of the tongue did
not cross over to the opposite side except those near the tip of the tongue or if
chronic obstruction was present. The application of lymphangiography to the study
of the tongue, floor of the mouth, and neck lymphatics has brought us closer to specific
anatomic and physiologic knowledge, which will give a better understanding of means
to combat neoplasia in these areas.
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© 1965 Published by Elsevier Inc.
