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From Digestive System
Submandibular Glands
Salivary glands beneath the mandible.
Overview
The submandibular glands are paired major salivary glands responsible for producing a significant portion of the saliva in the oral cavity. These glands are second in size only to the parotid glands and secrete a mixture of serous and mucous saliva. Their strategic location and ductal architecture make them essential in maintaining oral lubrication, initiating digestion, and protecting oral tissues.
Location
The submandibular glands are located in the submandibular (digastric) triangle of the neck. Specifically, they are:
Situated beneath the floor of the mouth and inferior to the mandible
Wrapped partially around the posterior edge of the mylohyoid muscle, dividing each gland into superficial and deep parts
Anterior to the angle of the mandible and close to the facial artery and vein
Structure
The submandibular glands are:
Mixed glands: Composed of both serous acini (dominant) and mucous acini
Approximately 10–15 grams in weight
Drained by the submandibular (Wharton’s) duct, which opens at the sublingual caruncle near the base of the tongue
Innervated by: Parasympathetic fibers of the facial nerve (CN VII) via the chorda tympani and submandibular ganglion
Supplied by: The facial and lingual arteries and drained via accompanying veins
Function
The submandibular glands serve multiple essential functions:
Saliva production: Contribute approximately 65–70% of resting (unstimulated) salivary output
Seromucous secretion: Their saliva is primarily serous (watery and enzyme-rich) with some mucous (thick and lubricating) components
Facilitate digestion: Secrete salivary amylase (ptyalin) to begin starch digestion in the mouth
Oral hydration: Moistens food, helps with swallowing, and protects mucosal surfaces
Physiological Role(s)
The submandibular glands play a continuous and responsive role in:
Basal and reflexive secretion: Continuously secrete saliva at rest and increase output in response to taste, smell, and mastication
Buffering capacity: Secrete bicarbonate ions to maintain oral pH and neutralize acids
Antimicrobial defense: Saliva contains lysozyme, lactoferrin, IgA, and other agents that inhibit bacterial growth
Taste perception: Saliva acts as a solvent for tastants and maintains taste bud health
Clinical Significance
The submandibular glands are frequently involved in both benign and pathological conditions:
Sialolithiasis (salivary stones): Most common in the submandibular glands due to the upward course and mucous nature of Wharton’s duct; may cause pain and swelling during meals
Sialadenitis: Bacterial or viral infection of the gland, often secondary to obstruction; presents with tenderness, redness, and pus at the duct opening
Ranula: A mucous cyst arising from rupture or blockage of the duct; appears as a bluish swelling in the floor of the mouth
Neoplasms: Tumors can develop, though less common than in the parotid; often benign but may be malignant
Surgical considerations: Submandibular gland excision may be performed for tumors or recurrent stones; care is needed to preserve the lingual nerve and marginal mandibular branch of the facial nerve
Dry mouth (xerostomia): Dysfunction, excision, or radiation damage can reduce saliva and affect oral health and digestion
Diagnostic tools include ultrasound, sialography, CT/MRI, and fine needle aspiration (FNA) for tumor evaluation. Treatment may be conservative or surgical depending on the underlying condition.
Did you know? The digestive system absorbs nutrients from food, which are then used by the body to perform various functions.