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Dr. Ahmed Fathalla Ibrahim
THE PAROTID REGION
• It includes:
1. The parotid salivary gland
2. The structures related to the gland
PAROTID GLAND
THE PAROTID GLAND
• DEFINITION: It is the largest of the salivary glands
• SITE: It lies below the auricle, occupying the
region between ramus of mandible & mastoid
process
• EXTENT:
1. Superiorly: to zygomatic arch
2. Inferiorly: to angle of mandible
3. Anteriorly: to overlap posterior border of masseter
4. Posteriorly: to overlap anterior border of
sternomastoid
• SHAPE: Pyramidal
THE PAROTID GLAND
• SUBDIVISIONS:
1. Main gland
2. Accessory gland: above parotid duct
• CAPSULE:
1. Derived from deep fascia of neck (cervical fascia)
2. Its superficial layer is attached to zygomatic arch &
extends to cover masseter
3. Its deep layer is attached to mandible, styloid &
mastoid processes
4. A thickening of deep fascia extends from styloid
process to angle of mandible (stylomandibular
ligament) & separates the capsule of parotid from
that of submandibular gland
5. It is tense (swellings of parotid gland are painful)
RELATIONS OF PAROTID
GLAND
THE PAROTID GLAND
• RELATIONS:
1. Superficial: skin, superficial fascia, great auricular
nerve, superficial parotid (preauricular) lymph
nodes
2. Anteromedial: posterior border of ramus of
mandible + muscles attached to ramus (masseter,
medial pteygoid)
3. Posteromedial: mastoid process + muscles
attached to it (sternomastoid, posterior belly of
digastric), styloid process + muscles attached to it
(stylohyoid, styloglossus, stylopharyngeus),
carotid sheath & its contents (internal jugular vein,
internal carotid artery, 9th, 10th, 11th & 12th cranial
nerves)
4. Medial: pharyngeal wall
STRUCTURES WITHIN THE
PAROTID GLAND
1. Termination of facial nerve & beginning of
its five terminal motor branches : most
superficial structures
2. Terminations of superficial temporal &
maxillary veins + the whole retromandibular
vein + beginning of its two divisions
(anterior & posterior)
3. Termination of external carotid artery &
beginning of its two terminal branches
(superficial temporal & maxillary): deepest
structures
4. Deep parotid lymph nodes: embedded
within substance of the gland
STRUCTURES WITHIN THE
PAROTID GLAND
STRUCTURES EMERGING FROM
THE PAROTID GLAND
PAROTID DUCT
PAROTID DUCT
• LENGTH: Two inches
• COURSE & RELATIONS:
1. Emerges from anterior border of gland
2. Runs obliquely forwards, superficial to masseter &
below transverse facial artery & accessory parotid
• TERMINATION:
1. Pierces: buccal pad of fat, buccopharyngeal fascia,
buccinator muscle & buccal mucosa
2. Opens: into the vestibule of mouth, opposite the
crown of upper 2nd molar tooth
• APPLIED ANATOMY: The oblique passage of the
duct act as a valve-like mechanism & prevents
inflation of the duct during blowing
• SURFACE ANATOMY: It is represented by the middle
1/3 of a line extending from the tragus of the auricle
to a point midway between the ala of nose & upper
lip
NERVE SUPPLY
• PARASYMPATHETIC (SECRETORY):
1. Origin: inferior salivary nucleus (medulla)
2. Preganglionic fibers: run along the lesser petrosal
nerve (branch of tympanic of glossopharyngeal
(9th cranial)
3. Ganglion: fibers relay in the otic ganglion
(infratemporal fossa)
4. Postganglionic fibers: reach the parotid gland
along auriculotemporal nerve (branch of
mandibular of trigeminal)
• SYMPATHETIC: Postganglionic sympathetic fibers
reach the gland as a plexus around external
carotid artery
BLOOD SUPPLY
• ARTERIES: External carotid
• VEINS: Retromandibular vein
LYMPHATIC DRAINAGE
• Into superficial & deep parotid
lymph nodes
• Finally into deep cervical lymph
nodes

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04-The parotid region.pptx

  • 2. THE PAROTID REGION • It includes: 1. The parotid salivary gland 2. The structures related to the gland
  • 4. THE PAROTID GLAND • DEFINITION: It is the largest of the salivary glands • SITE: It lies below the auricle, occupying the region between ramus of mandible & mastoid process • EXTENT: 1. Superiorly: to zygomatic arch 2. Inferiorly: to angle of mandible 3. Anteriorly: to overlap posterior border of masseter 4. Posteriorly: to overlap anterior border of sternomastoid • SHAPE: Pyramidal
  • 5. THE PAROTID GLAND • SUBDIVISIONS: 1. Main gland 2. Accessory gland: above parotid duct • CAPSULE: 1. Derived from deep fascia of neck (cervical fascia) 2. Its superficial layer is attached to zygomatic arch & extends to cover masseter 3. Its deep layer is attached to mandible, styloid & mastoid processes 4. A thickening of deep fascia extends from styloid process to angle of mandible (stylomandibular ligament) & separates the capsule of parotid from that of submandibular gland 5. It is tense (swellings of parotid gland are painful)
  • 7. THE PAROTID GLAND • RELATIONS: 1. Superficial: skin, superficial fascia, great auricular nerve, superficial parotid (preauricular) lymph nodes 2. Anteromedial: posterior border of ramus of mandible + muscles attached to ramus (masseter, medial pteygoid) 3. Posteromedial: mastoid process + muscles attached to it (sternomastoid, posterior belly of digastric), styloid process + muscles attached to it (stylohyoid, styloglossus, stylopharyngeus), carotid sheath & its contents (internal jugular vein, internal carotid artery, 9th, 10th, 11th & 12th cranial nerves) 4. Medial: pharyngeal wall
  • 8. STRUCTURES WITHIN THE PAROTID GLAND 1. Termination of facial nerve & beginning of its five terminal motor branches : most superficial structures 2. Terminations of superficial temporal & maxillary veins + the whole retromandibular vein + beginning of its two divisions (anterior & posterior) 3. Termination of external carotid artery & beginning of its two terminal branches (superficial temporal & maxillary): deepest structures 4. Deep parotid lymph nodes: embedded within substance of the gland
  • 12. PAROTID DUCT • LENGTH: Two inches • COURSE & RELATIONS: 1. Emerges from anterior border of gland 2. Runs obliquely forwards, superficial to masseter & below transverse facial artery & accessory parotid • TERMINATION: 1. Pierces: buccal pad of fat, buccopharyngeal fascia, buccinator muscle & buccal mucosa 2. Opens: into the vestibule of mouth, opposite the crown of upper 2nd molar tooth • APPLIED ANATOMY: The oblique passage of the duct act as a valve-like mechanism & prevents inflation of the duct during blowing • SURFACE ANATOMY: It is represented by the middle 1/3 of a line extending from the tragus of the auricle to a point midway between the ala of nose & upper lip
  • 13. NERVE SUPPLY • PARASYMPATHETIC (SECRETORY): 1. Origin: inferior salivary nucleus (medulla) 2. Preganglionic fibers: run along the lesser petrosal nerve (branch of tympanic of glossopharyngeal (9th cranial) 3. Ganglion: fibers relay in the otic ganglion (infratemporal fossa) 4. Postganglionic fibers: reach the parotid gland along auriculotemporal nerve (branch of mandibular of trigeminal) • SYMPATHETIC: Postganglionic sympathetic fibers reach the gland as a plexus around external carotid artery
  • 14. BLOOD SUPPLY • ARTERIES: External carotid • VEINS: Retromandibular vein
  • 15. LYMPHATIC DRAINAGE • Into superficial & deep parotid lymph nodes • Finally into deep cervical lymph nodes