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Submandibular duct

From Wikipedia, the free encyclopedia
Duct in the salivary gland
Submandibular duct
Dissection, showingsalivary glands of right side. (Labeled as "submaxillary duct", but is identified as "submandibular duct" in newer sources.)
Mandibular division oftrifacial nerve, seen from the middle line. The small figure is an enlarged view of theotic ganglion. ("Wharton's duct" labeled in lower left.)
Details
LocationBelowmouth
SourceSubmandibular gland
Drains toMouth
FunctionDrains saliva fromsubmandibular gland tomouth
Identifiers
Latinductus submaxillaris
TA98A05.1.02.012
TA22811
FMA86266
Anatomical terminology

Thesubmandibular duct (alsoWharton's duct or historicallysubmaxillary duct) is one of the salivary excretory ducts. It is about 5 cm long, and its wall is much thinner than that of theparotid duct. It drainssaliva from each bilateralsubmandibular gland andsublingual gland to thesublingual caruncle in thefloor of the mouth.

Structure

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Picture of the mouth showing the sublingual caruncle and related anatomical structures

The submandibular duct arises from deep part ofsubmandibular gland, asalivary gland. It begins by numerous branches from the superficial surface of the gland, and runs forward between themylohyoid,hyoglossus, andgenioglossusmuscles. It then passes between the sublingual gland and the genioglossus and opens by a narrow opening on the summit of a small papilla (the "sublingual caruncle") at the side of thefrenulum of the tongue. It lies superior tolingual andhypoglossal nerves.

Variation

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The submandibular duct may be duplicated on one side or both sides, creating an accessory submandibular duct.[1][2] Rarely, it may not perforate into themouth.[1]

Function

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The submandibular ducts drainsaliva from thesubmandibular andsublingual glands to thesublingual caruncles in the floor of the mouth[3]

Clinical significance

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Sialolithiasis

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The submandibular duct may be affected by stones, known assialolithiasis.[4] These may grow large, requiringsurgery to remove.[4] Simplepalpation may be used to identify the location of any stones before surgery.[4]

Imperforate

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Rarely, the submandibular duct may not perforate into themouth.[1]Surgery may be used to repair thisbirth defect.[1]

Drooling

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The exit of the submandibular gland into the mouth may be realigned in patients whodrool.[5] This redirects the exiting saliva away from thevestibule and thelips.[5] Thissurgery has a fairly high success rate.[5] Rarely, the submandibular gland may need to be removed on one or both sides.[5]

History

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The submandibular duct was initially described by theEnglishanatomistThomas Wharton ( 1614-73) and is sometimes referred to by his name.[6]

References

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Public domainThis article incorporates text in thepublic domain frompage 1135 of the 20th edition ofGray's Anatomy(1918)

  1. ^abcdPownell, Patrick H.; Brown, Orval E.; Pransky, Seth M.; Manning, Scott C. (1 September 1992)."Congenital abnormalities of the submandibular duct".International Journal of Pediatric Otorhinolaryngology.24 (2):161–169.doi:10.1016/0165-5876(92)90142-C.ISSN 0165-5876.PMID 1428595.
  2. ^Gadodia, A.; Seith, A.; Neyaz, Z.; Sharma, R.; Thakkar, A. (September 2007)."Magnetic resonance identification of an accessory submandibular duct and gland: an unusual variant".The Journal of Laryngology & Otology.121 (9): e18.doi:10.1017/S0022215107008602.ISSN 1748-5460.PMID 17517164.S2CID 23010849.
  3. ^Grewal, Jeewanjot S.; Jamal, Zohaib; Ryan, Jesse (2022),"Anatomy, Head and Neck, Submandibular Gland",StatPearls, Treasure Island (FL): StatPearls Publishing,PMID 31194412, retrieved2022-11-20
  4. ^abcRaksin, S Z; Gould, S M; Williams, A C (1975-02-01)."Submandibular duct sialolith of unusual size and shape".Journal of Oral Surgery (American Dental Association.33 (2):142–145.ISSN 0022-3255.PMID 1054388.
  5. ^abcdCrysdale, William S.; White, Ann (1989-07-01)."Submandibular Duct Relocation for Drooling: A 10-Year Experience with 194 Patients".Otolaryngology–Head and Neck Surgery.101 (1):87–92.doi:10.1177/019459988910100114.ISSN 0194-5998.PMID 2502766.S2CID 1777182.
  6. ^Wharton T (1656).Adenographia: sive glandularum totius corporis descriptio. London: Wharton. pp. 128–137.

External links

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Anatomy of themouth
Lip
Cheek
Palate
Gums
Glands
Teeth
Tongue
Back of mouth
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