Sublingual gland

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Sublingual gland
Blausen 0780 SalivaryGlands.png
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Salivary glands: #1 is parotid gland, #2 is submandibular gland, #3 is sublingual gland
Details
Part of Salivary glands
System Digestive system
Location Mouth
Artery Sublingual artery (branch of lingual artery of external carotid artery)
Nerve Submandibular ganglion
Lymph Submandibular lymph nodes
Identifiers
Latin glandula sublingualis
MeSH D013361
TA98 A05.1.02.008
TA2 2807
FMA 59791
Anatomical terminology

The sublingual gland (glandula sublingualis) is a seromucous polystomatic exocrine gland. Located underneath the oral diaphragm (diaphragma oris), the sublingual gland is the smallest and most diffuse of the three major salivary glands of the oral cavity, with the other two being the submandibular and parotid. The sublingual gland provides approximately 3-5% of the total salivary volume. [1] [2]

Contents

Structure

They lie anterior and superior to the submandibular gland and inferior and lateral to the tongue, as well as beneath the mucous membrane of the floor of the mouth. They are bound laterally by the bone of the mandible and inferolaterally by the mylohyoid muscle. The glands can be felt behind each mandibular canine. Placing one index finger within the mouth and the fingertips of the opposite hand outside it, the compressed gland is manually palpated between the inner and outer fingers.[ clarification needed ] [3]

The sublingual gland is constituted by 1 major duct and approximately 20 small excretory ducts, with the latter often being referred to as ducts of Rivinus. [4] The largest of all, the sublingual duct (of Bartholin) joins the submandibular duct to drain through the sublingual caruncle. The sublingual caruncle is a small papilla near the midline of the floor of the mouth on each side of the lingual frenum. [3] Most of the remaining small sublingual ducts (of Rivinus) open separate into the mouth on an elevated crest of mucous membrane, the plica sublingualis (aka sublingual fold), formed by the gland and located on either side of the frenulum linguae.

Drawing of an open mouth showing the frenulum linguae and surrounding structures Sobo 1906 350.png
Drawing of an open mouth showing the frenulum linguae and surrounding structures

Microanatomy

The sublingual gland consists mostly of mucous acini capped with serous demilunes and is therefore categorized as a mixed mucous gland with a mucous product predominating. Striated and intercalated ducts are also present. [1]

Blood supply

The gland receives its blood supply from the sublingual and submental arteries. [4] Lymph from the sublingual salivary gland drains into the submandibular lymph nodes. [3]

Nerve supply

The chorda tympani nerve (from the facial nerve via the submandibular ganglion) is secretomotor and provides parasympathetic supply to the sublingual glands. The path of the nerve is as follows: junction between pons and medulla, through internal acoustic meatus and facial canal to chorda tympani, through middle ear cavity, out petrotympanic fissure to join the lingual nerve, travels with lingual nerve to synapse at the submandibular ganglion, then postganglionic fibers travels to the sublingual gland.

Development

The sublingual salivary glands appear in the eighth week of prenatal development, two weeks later than the other two major salivary glands. They develop from epithelial buds in the sulcus surrounding the sublingual folds on the floor of the mouth, lateral to the developing submandibular gland. These buds branch and form into cords that canalize to form the sublingual ducts associated with the gland. The rounded terminal ends of the cords form acini. [1]

Clinical significance

Ranulas are the most common pathologic lesion associated with the sublingual glands. [5]

Additional images

Related Research Articles

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<span class="mw-page-title-main">Hyoglossus</span> Muscle

The hyoglossus is a thin and quadrilateral extrinsic muscle of the tongue. It originates from the hyoid bone; it inserts onto the side of the tongue. It is innervated by the hypoglossal nerve. It acts to depress and retract the tongue.

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The excretory ducts of the sublingual gland are from eight to twenty in number. Of the smaller sublingual ducts, some join the submandibular duct; others open separately into the mouth, on the elevated crest of mucous membrane, caused by the projection of the gland, on either side of the frenulum linguae. One or more join to form the major sublingual duct, which opens into the submandibular duct.

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<span class="mw-page-title-main">Lingual papillae</span> Structure giving the tongue its characteristic rough texture

Lingual papillae are small structures on the upper surface of the tongue that give it its characteristic rough texture. The four types of papillae on the human tongue have different structures and are accordingly classified as circumvallate, fungiform, filiform, and foliate. All except the filiform papillae are associated with taste buds.

<span class="mw-page-title-main">Salivary gland disease</span> Medical condition

Salivary gland diseases (SGDs) are multiple and varied in cause. There are three paired major salivary glands in humans: the parotid glands, the submandibular glands, and the sublingual glands. There are also about 800–1,000 minor salivary glands in the mucosa of the mouth. The parotid glands are in front of the ears, one on side, and secrete mostly serous saliva, via the parotid ducts, into the mouth, usually opening roughly opposite the second upper molars. 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 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 via about 8–20 ducts, which open along the plica sublingualis, a fold of tissue under the tongue.

References

  1. 1 2 3 Illustrated Dental Embryology, Histology, and Anatomy, Bath-Balogh and Fehrenbach, Elsevier, 2011, page 136-137
  2. "Submandibular Gland: Location, Function and Complications".
  3. 1 2 3 Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, p. 156
  4. 1 2 Ten Cate's Oral Histology, Nanci, Elsevier, 2013, page 255
  5. Hupp JR, Ellis E, Tucker MR (2008). Contemporary oral and maxillofacial surgery (5th ed.). St. Louis, Mo.: Mosby Elsevier. pp.  410–411. ISBN   9780323049030.