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The paired submandibular glands (historically known as submaxillary glands) are major salivary glands located beneath the floor of the mouth.In adult humans, they each weigh about 15 grams and contribute some 60–67% of unstimulated saliva secretion; on stimulation their contribution decreases in proportion as parotid gland secretion rises to 50%. [1]
They are situated just superficial to the submandibular salivary gland, and posterolateral to the anterior belly of either digastric muscle. [1]One gland, the middle gland of Stahr, which lies on the facial artery as it turns over the mandible, is the most constant of the series; small lymph glands are sometimes found on the deep surface of the submandibular gland.
The most common cause of enlargement of the submental lymph nodes are infections (including viral infections (mononucleosis, Epstein-Barr virus infection, and cytomegaloviral infections), toxoplasmosis, and dental infections (e.g. periodontitis)).
Signs and symptoms of a submandibular space infection might include trismus (difficulty opening the mouth), inability to palpate (feel) the inferior border of the mandible and swelling of the face over the submandibular region. If the space contains pus, the usual treatment is by incision and drainage. The site of the incision is extra-oral ...
(a) infraorbital or maxillary, scattered over the infraorbital region from the groove between the nose and cheek to the zygomatic arch; (b) buccinator, one or more placed on the buccinator muscle opposite the angle of the mouth;
The submandibular gland is medial to the angle of the mandible, and it drains its mixture of serous and mucous saliva via the submandibular duct (Wharton duct) into the mouth, usually opening in a punctum in the floor of mouth. The sublingual gland is below the tongue, on the floor of the mouth; it drains its mostly mucous saliva into the mouth ...
Pneumoparotitis is often misdiagnosed and incorrectly managed. [5] The diagnosis is based mainly on the history. [1] Crepitus may be elicited on palpation of the parotid swelling, [1] and massaging the gland may give rise to frothy saliva or air bubbles from the parotid papilla. [1]
About 85% of stones occur in the submandibular gland, [3] and 5–10% occur in the parotid gland. [2] In about 0–5% of cases, the sublingual gland or a minor salivary gland is affected. [ 2 ] When minor glands are rarely involved, caliculi are more likely in the minor glands of the buccal mucosa and the maxillary labial mucosa. [ 4 ]