0:00Hello, Dr. Gina here. Today in our video, I'm going to show you how to identify and scan a healthy lymph node
0:088 secondson the face using high frequenc. Lymph nodes are a normal part of the facial anatomy, but they can be sometimes
0:1616 secondsconfused with granulomaas or nodules or other filler related complications and the ultrasound help us differentiate and
0:2525 secondsaccurately identify these structures. So come with me. Now I am placing on my beautiful patient the linear probe
0:3434 secondsultrasound using the aesthetics parameters here for cheek and checking
0:4141 secondsthe peruricular area for the structure that we are looking for in this case the
0:4848 secondslymph node. The lymph node structure will be visualized as a round limited structure.
0:5858 secondsI found one here. Very cute one. Looks a little bit like a bean. It's hypocoic,
1:051 minute, 5 secondsbut its center is a little bit more echoic.
1:101 minute, 10 secondsAnd you can see it looks like a little bean. It has a very obvious contour but no capsular.
1:201 minute, 20 secondsNow I'm going to turn the probe to the longitudinal longitudinal plan.
1:281 minute, 28 secondsSo you can see you have a view of the lymph node a little bit different and the central
1:351 minute, 35 secondspart we call it hilus. It has vessels coming in and out. And to visualize
1:421 minute, 42 secondsthose vessels, I will now turn on the color doppler,
1:511 minute, 51 secondsour little bean structure. As you can see, there is a little bit of vascular
1:581 minute, 58 secondscoloring. As you can see here, it shows in the hilos, the vessels, very tenuy, very is slowly, very small.
2:082 minutes, 8 secondsYou can see the vascular ah here you go. This is a beautiful image. You can see the vascular
2:142 minutes, 14 secondsstructures entering the heels of the lymph node. When you press it, it should change shape. It should get a little bit
2:222 minutes, 22 secondssqueezed but not collapsible. Also I am checking to see if there is any increase of the vascularity around the
2:312 minutes, 31 secondslymph node. That would tell us that would give us some idea if there is any inflammation or not. In the case of our
2:392 minutes, 39 secondsbeautiful patient here, she has no inflammation is a pretty normal lymph node and we should be able to analyze
2:472 minutes, 47 secondslymph nodes all over the space. Normally the areas that we find is the paruricular area on the mandibular
2:552 minutes, 55 secondsaround the nasol labial fold. They can be found and even pulpate.
3:013 minutes, 1 secondThat doesn't mean that they are in a pathological state. You can still palpate a lymph node without it having any inflammation or infection. So this
3:103 minutes, 10 secondsis for our video today. I hope you like it. Hope to see you soon. Bye-bye.