Tuesday, July 7, 2020

Submandibular Salivary Gland

Features
  • large salivary gland
  • situated in anterior part of digastric triangle
  • size of walnut
  • weighs about 15-20gms 
  • roughly J - shaped 
  • posterior border of mylohyoid divides the gland into 
        1. large superficial part 
        2. small deep part

Coverings
  • partially enclosed b/n two layers of investing layer of deep cervical fascia 
superficial layer 
  • covers the inferior surface of gland 
  • is attached to base of mandible 
deep layer 
  • covers the medial surface of gland 
  • attached to mylohyoid line


Superficial Part
  • fills the digastric triangle 
Extent
  • superiorly - deep to mandible upto mylohyoid line
  • inferiorly - overlaps stylohyoid & posterior belly of digastric 
Surfaces
  • inferior 
  • lateral
  • medial


Relations
Inferior surface
  • skin 
  • platysma 
  • cervical branch of facial N 
  • deep fascia 
  • facial V 
  • submandibular lymph nodes

Lateral surface 
  • submandibular fossa 
  • insertion of medial pterygoid 
  • facial A 
Medial Surface 
  • mylohyoid 
  • hyoglossus 
  • styloglossus

Deep Part
  • small in size 
Location
  • deep to mylohyoid 
  • superficial to hyoglossus 
Extent 
  • posteriorly - continuous with superficial part round the posterior border of mylohyoid 
  • anteriorly - it extents up to posterior end of sublingual gland


Relations
  • laterally - mylohyoid 
  • medially - hyoglossus 
  • above - lingual N with submandibular ganglion 
  • below - hypoglossal N


Submandibular Duct / Wharton’s duct
  • Thin walled 
  • about 5cms long 
  • emerges at the anterior end of deep part 
  • runs forward on hyoglossus 
  • b/n lingual & hypoglossus Ns 
  • At the anterior border of hyoglossus, the duct is crossed by lingual N
  • opens on the floor of mouth on the summit of sublingual papilla, at the side of frenulum of the tongue.
Blood supply & Lymphatic Drainage
  • Arterial Supply - Facial A
  • Venous Drainage - Common facial V or Lingual V 
  • Lymphatic drainage - submandibular Lymph nodes

Nerve Supply
  • Supplied by branches from submandibular ganglion.
Branches convey
  • secretomotor fibres
  • sensory fibres
  • vasomotor sympathetic fibres from the plexus on facial A


Secretomotor Pathway




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