Below the cricoid. Abnormal spinal accessory nodes may indicate the presence of an early nasal pharyngeal cancer. Transverse cervical chain receives drainage from deep cervical, supraclavicular, subclavicular, upper chest, anterior lateral neck. The drainage is the same as for the internal jugular chain. Submandibular nodes are extra glandular and receive drainage from anterior face, flow of the mouth, anterior oral cavity, and submental nodal group.
Drainage is to the high internal jugular chain.
Parotid Nodal Group Intra or extra glandular nodes. Receives drainage from external artery canal, eustachian tube, adjacent skin, buccal mucosa. Drainage is to high internal jugular chain. Medial retropharyngeal receives drainage from nasal pharynx and oral pharynx and drains to high internal jugular chain. Drainage is the same as for the medial retropharyngeal nodes.