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Anatomy of
Salivary
Glands
Dr. Ahmad Fathy El Hussainy
Lecturer of General Surgery
Ain Shams University
Parotid Gland
- It is the largest salivary gland
- Secretes serous fluids
Site
Angle of Mandible
Sternomastoid
Auricle
Relations
Relations
Upper Part
1.Superficial Temporal
vessels.
2.Auriculotemporal nerve.
3.Cartilaginous part of
External Auditory Meatus.
4.Temporal branch of Facial
Relations
Lower Part
1.Cervical branch of Facial
n.
2.Retromandibular vein.
3.Posterior belly of
digastric.
4.External Carotid artery.
Relations
• Zygomatic branch of Facial n.
• Transverse Facial artery.
• Buccal branch of Facial n.
• Accessory Parotid gland.
• Parotid duct.
• Mandibular branch of Facial n.
Anterior Border
Relations
Lateral Surface
1.Great Auricular nerve.
2.Parotid lymph nodes.
3.Skin and Fascia
Relations
Antero-Medial Surface
1.Ramus of the mandible.
2.Masseter muscle.
3.Medial pterygoid muscle
Relations
Postero-Medial Surface
1.Mastoid process
2.Sternomastoid muscle
3.Posterior belly of Digastric
4.Styloid process and the
muscle & ligaments attached
to it.
5.Internal carotid artery &
Internal jugular vein
(carotid sheath).
Relations
Structures within the Gland
1.External carotid artery
2.Retromandibular vein
3.Facial nerve
Capsule
1.False Capsule
Capsule
1.False Capsule
2.True Capsule
Accesory Part
Semidetached part of the gland,
which lies just above the parotid
duct
Parotid Duct
5 cm long &
emerges from
the anterior
border & runs
superficial to
masseter m.
Parotid Duct
Then pierces the buccinator to
open in the vestibule of
mouth, opposite the upper
2nd molar tooth
Arterial Supply
External Carotid Artery
Venous Drainage
Retromandibular Vein
Nerve Supply
1. Sensory:
Auriculotemporal nerve
a. Capsule:
a. Gland:
Great Auricular nerve
Nerve Supply
2. Sympathetic:
From the sympathetic plexus around
the external carotid.
Nerve Supply
3. Parasympathetic:
The secretomotor fibers arise from the inferior salivary nucleus in the medulla
oblongata.
Joins the glossopharyngeal nerve (9th cranial)
Leaves the 9th nerve through its tympanic branch which enters the middle ear where
it joins the tympanic plexus.
Lesser Petrosal nerve arises from the tympanic plexus as a continuation of the
tympanic branch
Enters the foramen ovale to relay in
the otic ganglion
Joins auriculotemporal nerve
through which they reach the gland
Medulla
Oblangata
Inferior
Salivary
Nucleus
Glossopharyngeal n.
Tympanic
Plexus
Lesser
Petrosal n.
Otic
Ganglion
Auriculotemporal n.
Surface Anatomy of Parotid Gland
Head of
Mandible
Middle of
Masseter m.
2 cm below
Angle of
Mandible
Mastoid
Process
Surface Anatomy of Parotid Duct
Tragus of
the ear
Midway between
the ala of the nose
and the angle of the
mouth
Middle ⅓ of the
horizontal line
Submandibular
Gland
Site
Digastric triangle,
partly below & partly
deep to the mandible
Parts
1. Superficial part
2. Deep part
3. Submandibular duct
Superficial part
Deep part
Submandibular duct
Superficial Part
Wedge shaped, extending:
Posteriorly: to the angle of mandible.
Superiorly: to mylohyoid line of mandible.
Inferiorly: it overlaps the 2 bellies of digastric m
Relations
1. Inferolateral surface: related to skin, superficial fascia (containing
platysma, cervical branch of facial n., ant. facial v., LNs) & deep
fascia.
2. Lateral surface: related
to body of mandible,
facial a., mylohyoid n. &
a.
3. Medial surface: related
to 2 muscles (mylohyoid
& hyoglossus) & 2 nerves
(lingual & hypoglossal).
Triple Relations of Facial Artery to the Gland
Facial a.
Triple Relations of Lingual Nerve to the Duct
Lingual n.
Hypoglossal n.
Deep Part
Small part lying deep to mylohyoid
Superficial to hyoglossus
Between lingual n. above & hypoglossal n. below
Mylohyoid
Lingual n.
Submandibular Duct
5cm long
Triple relations with the lingual nerve
Lingual n.
Submandibular Duct
5cm long
Triple relations with the lingual nerve
Opening into the floor of mouth close to frenulum of
the tongue
Frenulum
Nerve Supply
1.Sensory:
Lingual nerve
2.Sympathetic:
Plexus around the facial artery
3.Parasympathetic:
Chorda tympani from Facial nerve
Thank
You

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