Parotid duct

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Parotid duct
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Right parotid gland. Deep and anterior aspects. (Parotid duct labeled at center left.)
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Dissection, showing salivary glands of right side. (Parotid duct visible at center.)
Details
Identifiers
Latin ductus parotideus
TA98 A05.1.02.007
TA2 2805
FMA 10420
Anatomical terminology

The parotid duct or Stensen duct is a salivary duct. It is the route that saliva takes from the major salivary gland, the parotid gland, into the mouth. [1] It opens into the mouth opposite the second upper molar tooth.

Contents

Structure

The parotid duct is formed when several interlobular ducts, the largest ducts inside the parotid gland, join. It emerges from the parotid gland. It runs forward along the lateral side of the masseter muscle for around 7 cm. [2] In this course, the duct is surrounded by the buccal fat pad. [2] [3] It takes a steep turn at the border of the masseter and passes through the buccinator muscle, opening into the vestibule of the mouth, the region of the mouth between the cheek and the gums, at the parotid papilla, which lies across the second maxillary (upper) molar tooth. [4] The exit of the parotid ducts can be felt as small bumps (papillae) on both sides of the mouth that usually positioned next to the maxillary second molar.[ citation needed ]

The buccinator acts as a valve that prevents air forcing into the duct, which would cause pneumoparotitis. [5]

Relations

The parotid duct lies close to the buccal branch of the facial nerve (VII). [2] It is also close to the transverse facial artery. [2]

Running along with the duct superiorly is the transverse facial artery, and the upper buccal nerve. The lower buccal nerve runs inferiorly along the duct.[ citation needed ]

Clinical significance

Blockage, whether caused by salivary duct stones or external compression, may cause pain and swelling of the parotid gland (parotitis).

Koplik's spots which are pathognomonic of measles are found near the opening of the parotid duct.

The parotid duct may be cannulated by inserting a tube through the internal orifice in the mouth. [2] Dye may be injected to allow for imaging of the parotid duct. [2]

History

The parotid duct is named after Nicolas Steno (1638–1686), also known as Niels Stensen, a Danish anatomist (albeit best known as a geologist) credited with its detailed description in 1660. [6] This is where the alternative name "Stensen duct" originates from. [2] [6]

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Salivary gland</span> Exocrine glands that produce saliva through a system of ducts

The salivary glands in many vertebrates including mammals are exocrine glands that produce saliva through a system of ducts. Humans have three paired major salivary glands, as well as hundreds of minor salivary glands. Salivary glands can be classified as serous, mucous, or seromucous (mixed).

Articles related to anatomy include:

<span class="mw-page-title-main">Parotid gland</span> Major salivary gland in many animals

The parotid gland is a major salivary gland in many animals. In humans, the two parotid glands are present on either side of the mouth and in front of both ears. They are the largest of the salivary glands. Each parotid is wrapped around the mandibular ramus, and secretes serous saliva through the parotid duct into the mouth, to facilitate mastication and swallowing and to begin the digestion of starches. There are also two other types of salivary glands; they are submandibular and sublingual glands. Sometimes accessory parotid glands are found close to the main parotid glands.

<span class="mw-page-title-main">Submandibular gland</span> Human salivary gland

The paired submandibular 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%. The average length of the normal adult human submandibular salivary gland is approximately 27 mm, while the average width is approximately 14.3 mm.

<span class="mw-page-title-main">Sublingual gland</span>

The sublingual gland is a seromucous polystomatic exocrine gland. Located underneath the oral diaphragm, 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.

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

The buccinator is a thin quadrilateral muscle occupying the interval between the maxilla and the mandible at the side of the face. It forms the anterior part of the cheek or the lateral wall of the oral cavity.

<span class="mw-page-title-main">Parotitis</span> Medical condition

Parotitis is an inflammation of one or both parotid glands, the major salivary glands located on either side of the face, in humans. The parotid gland is the salivary gland most commonly affected by inflammation.

<span class="mw-page-title-main">Facial artery</span>

The facial artery is a branch of the external carotid artery that supplies structures of the superficial face.

<span class="mw-page-title-main">Buccal nerve</span> Nerve in the human face

The buccal nerve is a sensory nerve of the face arising from the mandibular nerve. It conveys sensory information from the skin of the cheek, and parts of the oral mucosa, periodontium, and gingiva.

<span class="mw-page-title-main">Transverse facial artery</span>

The transverse facial artery is an artery that branches from the superficial temporal artery and runs across the face.

<span class="mw-page-title-main">Masseteric fascia</span>

The masseteric fascia and parotideomasseteric fascia are fascias of the head varyingly described depending upon the source consulted. They may or may not be described as one and the same structure.

<span class="mw-page-title-main">Sialadenitis</span> Medical condition

Sialadenitis (sialoadenitis) is inflammation of salivary glands, usually the major ones, the most common being the parotid gland, followed by submandibular and sublingual glands. It should not be confused with sialadenosis (sialosis) which is a non-inflammatory enlargement of the major salivary glands.

<span class="mw-page-title-main">Sialolithiasis</span> Medical condition

Sialolithiasis is a crystallopathy where a calcified mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland. Less commonly the parotid gland or rarely the sublingual gland or a minor salivary gland may develop salivary stones.

<span class="mw-page-title-main">Head and neck anatomy</span>

This article describes the anatomy of the head and neck of the human body, including the brain, bones, muscles, blood vessels, nerves, glands, nose, mouth, teeth, tongue, and throat.

<span class="mw-page-title-main">Buccal space</span>

The buccal space is a fascial space of the head and neck. It is a potential space in the cheek, and is paired on each side. The buccal space is superficial to the buccinator muscle and deep to the platysma muscle and the skin. The buccal space is part of the subcutaneous space, which is continuous from head to toe.

<span class="mw-page-title-main">Duct (anatomy)</span>

In anatomy and physiology, a duct is a circumscribed channel leading from an exocrine gland or organ.

Inferior alveolar nerve block is a nerve block technique which induces anesthesia (numbness) in the areas of the mouth and face innervated by one of the inferior alveolar nerves which are paired on the left and right side. These areas are the skin and mucous membranes of the lower lip, the skin of the chin, the lower teeth and the labial gingiva of the anterior teeth, all unilaterally to the midline of the side on which the block is administered. However, depending on technique, the long buccal nerve may not be anesthetized by an IANB and therefore an area of buccal gingiva adjacent to the lower posterior teeth will retain normal sensation unless that nerve is anesthetized separately, via a (long) buccal nerve block. The inferior alveolar nerve is a branch of the mandibular nerve, the third division of the trigeminal nerve. This procedure attempts to anaesthetise the inferior alveolar nerve prior to it entering the mandibular foramen on the medial surface of the mandibular ramus.

<span class="mw-page-title-main">Pterygomandibular space</span>

The pterygomandibular space is a fascial space of the head and neck. It is a potential space in the head and is paired on each side. It is located between the lateral pterygoid muscle and the medial surface of the ramus of the mandible. The pterygomandibular space is one of the four compartments of the masticator space.

<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.

Pneumoparotitis, is a rare cause of parotid gland swelling which occurs when air is forced through the parotid (Stensen) duct resulting in inflation of the duct.

References

  1. Nanci A (2013). Ten Cate's Oral Histology: Development, Structure, and Function. Elsevier. p. 255. ISBN   978-0-323-07846-7.
  2. 1 2 3 4 5 6 7 Steinberg, Mark J.; Herréra, Andres F. (2005-02-01). "Management of parotid duct injuries". Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 99 (2): 136–141. doi:10.1016/j.tripleo.2004.05.001. ISSN   1079-2104. PMID   15660081.
  3. Latarjet M, Ruiz Liard A (2005). Human Anatomy (Spanish ed.). Editorial Médica Panamericana. ISBN   978-950-06-1368-2.
  4. Bath-Balogh M, Fehrenbach MJ (2011). Illustrated Dental Embryology, Histology, and Anatomy, Bath-Balogh and Fehrenbach. Elsevier. p. 135. ISBN   978-1-4377-1730-3.
  5. Faizal B, Chandran MP (2012). "Pneumoparotitis" (PDF). Amrita Journal of Medicine. 8 (2): 1–44. Archived from the original (PDF) on 2015-12-11.
  6. 1 2 Natale G, Bocci G, Ribatti D (September 2017). "Scholars and scientists in the history of the lymphatic system". Journal of Anatomy. 231 (3): 417–429. doi:10.1111/joa.12644. PMC   5554832 . PMID   28614587.

Further reading