Podcast
Questions and Answers
Which of the following structures are NOT located within the deep structures of the submandibular region?
Which of the following structures are NOT located within the deep structures of the submandibular region?
The submandibular gland has three distinct parts: a superficial part, a deep part, and an intermediate part.
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?
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.
The posterior end of the superficial part of the submandibular gland extends up to the ________ ligament.
Signup and view all the answers
Which of these structures is located on the medial surface of the submandibular gland?
Which of these structures is located on the medial surface of the submandibular gland?
Signup and view all the answers
The facial artery loops downward and forward between the mandible and the submandibular gland.
The facial artery loops downward and forward between the mandible and the submandibular gland.
Signup and view all the answers
Match the muscular planes with the muscles included in each:
Match the muscular planes with the muscles included in each:
Signup and view all the answers
Name the key muscle of the submandibular region.
Name the key muscle of the submandibular region.
Signup and view all the answers
Which nerve is NOT directly related to the deep part of the submandibular gland?
Which nerve is NOT directly related to the deep part of the submandibular gland?
Signup and view all the answers
The submandibular duct (Wharton's duct) is approximately 10 cm long.
The submandibular duct (Wharton's duct) is approximately 10 cm long.
Signup and view all the answers
Name the two reasons why calculi are more common in the submandibular gland and its duct.
Name the two reasons why calculi are more common in the submandibular gland and its duct.
Signup and view all the answers
The sublingual gland is mostly ______ in nature.
The sublingual gland is mostly ______ in nature.
Signup and view all the answers
Match the following ducts with their respective glands:
Match the following ducts with their respective glands:
Signup and view all the answers
Which of the following arteries supply the sublingual gland?
Which of the following arteries supply the sublingual gland?
Signup and view all the answers
The submandibular ganglion is a parasympathetic ganglion.
The submandibular ganglion is a parasympathetic ganglion.
Signup and view all the answers
What nerve is the submandibular ganglion topographically related to?
What nerve is the submandibular ganglion topographically related to?
Signup and view all the answers
Preganglionic parasympathetic fibers to the submandibular ganglion originate from the ______ in the pons.
Preganglionic parasympathetic fibers to the submandibular ganglion originate from the ______ in the pons.
Signup and view all the answers
Match the nerve roots of the submandibular ganglion with their type of fibers:
Match the nerve roots of the submandibular ganglion with their type of fibers:
Signup and view all the answers
Flashcards
What is the submandibular region?
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?
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.
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?
Where do the ends of the superficial part of the submandibular gland extend?
Signup and view all the flashcards
What structures lie on the inferior surface of the superficial part of the submandibular gland?
What structures lie on the inferior surface of the superficial part of the submandibular gland?
Signup and view all the flashcards
What structures are related to the lateral surface of the superficial part of the submandibular gland?
What structures are related to the lateral surface of the superficial part of the submandibular gland?
Signup and view all the flashcards
What structures lie on the medial surface of the superficial part of the submandibular gland?
What structures lie on the medial surface of the superficial part of the submandibular gland?
Signup and view all the flashcards
Describe the location of the deep part of the submandibular gland.
Describe the location of the deep part of the submandibular gland.
Signup and view all the flashcards
Location of the Deep Submandibular Gland
Location of the Deep Submandibular Gland
Signup and view all the flashcards
What is the Submandibular Duct?
What is the Submandibular Duct?
Signup and view all the flashcards
Path of the Submandibular Duct
Path of the Submandibular Duct
Signup and view all the flashcards
Where does the Submandibular Duct Open?
Where does the Submandibular Duct Open?
Signup and view all the flashcards
Characteristics of the Sublingual Gland
Characteristics of the Sublingual Gland
Signup and view all the flashcards
Location of the Sublingual Gland
Location of the Sublingual Gland
Signup and view all the flashcards
Ducts of the Sublingual Gland
Ducts of the Sublingual Gland
Signup and view all the flashcards
Function of the Submandibular Ganglion
Function of the Submandibular Ganglion
Signup and view all the flashcards
Location and Attachment of the Submandibular Ganglion
Location and Attachment of the Submandibular Ganglion
Signup and view all the flashcards
Types of Nerve Fibers in the Submandibular Ganglion
Types of Nerve Fibers in the Submandibular Ganglion
Signup and view all the flashcards
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.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
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.