Anatomy of the Submandibular Region
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Questions and Answers

Which of the following structures are NOT located within the deep structures of the submandibular region?

  • Extrinsic muscles of the tongue
  • Sublingual gland
  • Parotid gland (correct)
  • Suprahyoid muscles
  • The submandibular gland has three distinct parts: a superficial part, a deep part, and an intermediate part.

    False (B)

    What muscle separates the two parts of the submandibular gland?

    mylohyoid

    The posterior end of the superficial part of the submandibular gland extends up to the ________ ligament.

    <p>stylomandibular</p> Signup and view all the answers

    Which of these structures is located on the medial surface of the submandibular gland?

    <p>Hyoglossus muscle (D)</p> Signup and view all the answers

    The facial artery loops downward and forward between the mandible and the submandibular gland.

    <p>True (A)</p> Signup and view all the answers

    Match the muscular planes with the muscles included in each:

    <p>Plane I = Digastric and Stylohyoid Plane II = Mylohyoid Plane III = Geniohyoid, Hyoglossus and Styloglossus Plane IV = Genioglossus and a part of superior constrictor of pharynx</p> Signup and view all the answers

    Name the key muscle of the submandibular region.

    <p>hyoglossus</p> Signup and view all the answers

    Which nerve is NOT directly related to the deep part of the submandibular gland?

    <p>Facial nerve (D)</p> Signup and view all the answers

    The submandibular duct (Wharton's duct) is approximately 10 cm long.

    <p>False (B)</p> Signup and view all the answers

    Name the two reasons why calculi are more common in the submandibular gland and its duct.

    <p>Viscous secretion and a tortuous upward duct course</p> Signup and view all the answers

    The sublingual gland is mostly ______ in nature.

    <p>mucous</p> Signup and view all the answers

    Match the following ducts with their respective glands:

    <p>Wharton's duct = Submandibular gland Ducts of Rivinus = Sublingual gland Duct of Bartholin = Sublingual gland</p> Signup and view all the answers

    Which of the following arteries supply the sublingual gland?

    <p>Both A and B (C)</p> Signup and view all the answers

    The submandibular ganglion is a parasympathetic ganglion.

    <p>True (A)</p> Signup and view all the answers

    What nerve is the submandibular ganglion topographically related to?

    <p>Lingual nerve</p> Signup and view all the answers

    Preganglionic parasympathetic fibers to the submandibular ganglion originate from the ______ in the pons.

    <p>superior salivatory nucleus</p> Signup and view all the answers

    Match the nerve roots of the submandibular ganglion with their type of fibers:

    <p>Parasympathetic root = Preganglionic fibers from superior salivatory nucleus Sympathetic root = Postganglionic fibers from superior cervical ganglion Sensory root = Fibers from the lingual nerve</p> Signup and view all the answers

    Flashcards

    What is the submandibular region?

    The region located under the body of the mandible, extending from the mylohyoid lines above to the hyoid bone below.

    What is the key muscle of the submandibular region?

    The key muscle in the submandibular region, responsible for depressing the tongue and elevating the hyoid bone.

    Describe the submandibular gland.

    The submandibular gland is approximately the size of a walnut and is divided into two parts: a larger superficial part and a smaller deep part.

    Where do the ends of the superficial part of the submandibular gland extend?

    The anterior end of the superficial part of the submandibular gland extends towards the anterior belly of the digastric muscle, while the posterior end reaches the stylomandibular ligament.

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    What structures lie on the inferior surface of the superficial part of the submandibular gland?

    The inferior surface of the superficial part of the submandibular gland is covered by skin, superficial fascia, and deep cervical fascia. It's also crossed by the facial vein and cervical branch of the facial nerve.

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    What structures are related to the lateral surface of the superficial part of the submandibular gland?

    The lateral surface of the superficial part of the submandibular gland is related to the submandibular fossa of the mandible, the medial pterygoid muscle, and the facial artery which loops around the lower border of the mandible to reach the face.

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    What structures lie on the medial surface of the superficial part of the submandibular gland?

    The medial surface of the superficial part of the submandibular gland is divided into three parts: anterior, middle, and posterior. The anterior part rests on mylohyoid muscle, the middle part rests on hyoglossus muscle, lingual nerve, submandibular ganglion, and hypoglossal nerve, and the posterior part is related to stylohyoid muscle, stylohyoid ligament, glossopharyngeal nerve, and the wall of the pharynx.

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    Describe the location of the deep part of the submandibular gland.

    The deep part of the submandibular gland extends forward between the mylohyoid and hyoglossus muscles, reaching the posterior end of the sublingual salivary gland.

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    Location of the Deep Submandibular Gland

    The deep part of the submandibular gland is located near several important structures. Medially, it lies next to the Hyoglossus muscle. Laterally, it's close to the Mylohyoid muscle. Above, you'll find the Lingual nerve and the Submandibular ganglion. Finally, below, the Hypoglossal nerve, accompanied by veins, and the Submandibular duct run alongside it.

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    What is the Submandibular Duct?

    The Submandibular duct, also known as Wharton's duct, is a tube that carries saliva from the submandibular gland to the mouth. This duct is about 5 cm long and emerges from the front of the deep part of the gland.

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    Path of the Submandibular Duct

    The Submandibular duct travels forward, passing between the Hyoglossus and Genioglossus muscles. Along its journey, it is crossed by the Lingual nerve near the front edge of the Hyoglossus muscle.

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    Where does the Submandibular Duct Open?

    The Submandibular duct finally opens into the oral cavity on the Sublingual papilla, which is located next to the frenulum of the tongue. This is the point where saliva from the submandibular gland enters the mouth.

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    Characteristics of the Sublingual Gland

    The sublingual gland is the smallest of the three major salivary glands. It primarily produces mucus, which helps lubricate food in the mouth.

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    Location of the Sublingual Gland

    The sublingual gland is located in the floor of the mouth, sandwiched between the mucous membrane and the Mylohyoid muscle. It rests in a special space of the mandible called the sublingual fossa.

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    Ducts of the Sublingual Gland

    The sublingual gland has many small ducts (ducts of Rivinus) that open independently into the floor of the mouth. Some ducts from the front of the gland combine to form the sublingual duct (duct of Bartholin).

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    Function of the Submandibular Ganglion

    The Submandibular ganglion is like a relay station for nerves. It is involved in controlling the salivary glands: the submandibular and sublingual glands. It receives signals from the facial nerve (through its chorda tympani branch) and transmits them to the glands.

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    Location and Attachment of the Submandibular Ganglion

    The Submandibular ganglion is located on the outer surface of the Hyoglossus muscle. It's attached to the Lingual nerve by two 'roots': a posterior one and an anterior one.

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    Types of Nerve Fibers in the Submandibular Ganglion

    The Submandibular ganglion receives three types of nerve fibers: Parasympathetic, Sympathetic, and Sensory. Each type plays a role in the function of the ganglion.

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    Study Notes

    Submandibular Region

    • Located below the mandible, between the mylohyoid line and hyoid bone.
    • Contains important structures:
      • Suprahyoid muscles
      • Extrinsic tongue muscles
      • Submandibular and sublingual salivary glands
      • Facial and lingual arteries
      • Lingual, hypoglossal, and glossopharyngeal nerves
      • Submandibular ganglion
      • Hyoglossus muscle
    • Four muscular planes exist in the region:
      • Digastric and stylohyoid
      • Mylohyoid
      • Geniohyoid, hyoglossus, and styloglossus
      • Genioglossus and part of superior pharyngeal constrictor

    Submandibular Gland

    • Walnut-sized gland, consisting of superficial and deep parts.

    • Continuous around the posterior mylohyoid muscle.

    • Presenting Parts/Ends:

      • Anterior: Extends to the anterior belly of the digastric muscle.
      • Posterior: Extends to the stylomandibular ligament, separating it from the parotid gland; a groove houses the facial artery's ascending limb.
    • Surfaces:

      • Inferior (Superficial): Covered by skin, superficial fascia, and deep cervical fascia; crossed by the facial vein and cervical branch of the facial nerve under the platysma; submandibular lymph nodes lie below the deep cervical fascia.
      • Lateral: Related to the submandibular fossa of the mandible, medial pterygoid muscle (near insertion), and facial artery. The facial artery loops between the bone and gland, circling the mandible at the masseter's anteroinferior angle, reaching the face.
      • Medial: Divided into 3 parts involving relations. Anterior part rests on the mylohyoid muscle; separated by mylohyoid vessels/nerves and submental branch of the facial artery. Intermediate part relates to the hyoglossus, lingual nerve, submandibular ganglion, and hypoglossal nerve. Posterior part relates to styloglossus, stylohyoid ligament, glossopharyngeal nerve, and pharyngeal wall.
    • Deep Part: Extends between the mylohyoid and hyoglossus; reaches the posterior sublingual gland.

      • Laterally: Mylohyoid
      • Medially: Hyoglossus
      • Above: Lingual nerve and submandibular ganglion
      • Below: Hypoglossal nerve and accompanying veins

    Submandibular Duct (Wharton's Duct)

    • Approximately 5 cm long.
    • Emerges from the deep part's anterior end.
    • Runs forward on the hyoglossus, between lingual and hypoglossal nerves.
    • Crossed by the lingual nerve near the anterior hyoglossus border.
    • Continues between sublingual gland and genioglossus.
    • Opens into the oral cavity on the sublingual papilla beside the tongue's frenulum.

    Nerve Supply and Clinical Correlations

    • Calculus formation: More common in submandibular gland/duct due to viscid secretion and tortuous duct course.
    • Skin incision for removal: 4 cm below the mandible angle.
    • Bimanual palpation: Possible.

    Sublingual Gland

    • Smallest major salivary gland (almond-shaped, 3-4g).
    • Mostly mucous-secreting.
    • Located in the mouth floor, between mucous membrane and mylohyoid muscle, lodging in the sublingual fossa of the mandible.
    • Ducts: 8-20 (Rivinus ducts) open separately on sublingual fold; anterior gland ducts unite to form the sublingual duct (Bartholin's duct), which opens into the submandibular duct.
    • Arterial supply: Sublingual and submental arteries.
    • Lymphatic drainage: Submental and submandibular nodes.

    Submandibular Ganglion

    • Parasympathetic ganglion.
    • Relay station for secretomotor fibers supplying submandibular/sublingual glands.
    • Topographical connection: With the lingual nerve.
    • Functional connection: With the facial nerve (chorda tympani branch).
    • Located on the hyoglossus' outer surface, suspended from the lingual nerve by posterior and anterior roots.
    • Roots (3 types): Parasympathetic (motor), sympathetic, and sensory
      • Parasympathetic (motor): Derived from the lingual nerve; preganglionic fibers from superior salivatory nucleus (pons); passes through facial, chorda tympani, and lingual nerves to the ganglion, where they synapse and become postganglionic fibers to the glands. Some postganglionic fibers join the lingual nerve to reach the sublingual gland.
      • Sympathetic: From a plexus around the facial artery, these postganglionic fibers arise from the superior cervical ganglion. They pass through the ganglion without synapsing, supplying submandibular/sublingual gland blood vessels.

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    Description

    Explore the anatomy of the submandibular region, including its important structures and muscular planes. This quiz covers the submandibular gland's anatomy, surfaces, and connections with surrounding structures, highlighting key anatomical relationships.

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