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Helmuth Goepfert, MD
Houston, Tex

Arch Otolaryngol Head Neck Surg. 1996;122(11):1276-1277.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

I congratulate Toriumi et al¹ for their nice study on the vascular anatomy of the nose. However, I find fault with the nomenclature used under the description of the lymphatic and nodal drainage as depicted in Figures 11 through 13. Previous studies date back to the classical treatise on the anatomy of the human lymphatic system by Henri Rouvierre.² Figure 5 in this volume clearly describes the lymphatics of the nose distributed as external and internal lymphatics.^2(p66) The external lymphatics arise from 2 papillary networks: (1) a superficial, cutaneous and (2) a deep, originating in the muscles, periosteum, and perichondrium of the region. The superficial, cutaneous network follows a superficial path or a deep path. Whichever path is followed, the collecting trunks accompany the external maxillary blood vessels (facial blood vessels) at the inferior part of the face and terminate in prevascular and retrovascular submaxillary lymph nodes. . . . [Full Text PDF of this Article]

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