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Submandibular gland

Other Terms: Submaxillary gland, Glandula submandibularis, Glande submandibulaire

General information

The submandibular gland is irregular in form and about the size of a walnut. A considerable part of it is situated in the submaxillary triangle, reaching forward to the anterior belly of the digastricus and backward to the stylomandibular ligament, which intervenes between it and the parotid gland.superiorly, it extends under cover of the body of the mandible;inferiorly, it usually overlaps the intermediate tendon of the digastricus and the insertion of the stylohyoid muscle, while from its deep surface a tongue-like deep process extends forward above the mylohyoid muscle. Its superficial surface consists of an upper and a lower part. The upper part is directed outward, and lies partly against the submandibular depression on the inner surface of the body of the mandible, and partly on the internal pterygoid. The lower part is directed downward and outward, and is covered by the skin, superficial fascia, platysma, and deep cervical fascia; it is crossed by the anterior facial vein and by filaments of the facial nerve; in contact with it, near the mandible, are the submandibular lymph glands. The deep surface is in relation with the mylohyoid, hyoglossus, styloglossus, stylohyoid, and posterior belly of the digastrics; in contact with it are the mylohyoid nerve and the mylohyoid and submental vessels.The external maxillary artery is imbedded in a groove in the posterior border of the gland. The deep process of the gland extends forward between the mylohyoid below and externally, and the hyoglossus and styloglossus internally; superior to it is the lingual nerve and submandibular ganglion; inferior to it is the hypoglossal nerve and its accompanying vein. The submandibular duct is about 5 cm long, and its wall is much thinner than that of the parotid duct. It begins by numerous branches from the deep surface of the gland, and runs forward between the mylohyoid and the hyoglossus and genioglossus, then between the sublingual gland and the genioglossus, and opens by a narrow orifice on the summit of a small papilla, at the side of the frenulum. On the hyoglossus it lies between the lingual and hypoglossal nerves, but at the anterior border of the muscle it is crossed laterally by the lingual nerve; the terminal branches of the lingual nerve ascend on its medial side.

Vessels and nerves

Blood supply

The arteries supplying the submandibular gland are branches of the external maxillary and lingual. Its veins follow the course of the arteries.

Innervation

The nerves are derived from the submandibular ganglion, through which it receives filaments from the chorda tympani of the facial nerve and the lingual branch of the mandibular, sometimes from the mylohyoid branch of the inferior alveolar, and from the sympathetic.

Latin

Glandula submandibularis

French

Glande submandibulaire

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