Parotid -

Gland

Introduction -

Parotid
glands the
largest of three
pairs main
salivary glands
°
are
g
.

°
Lobue at ed a
yellowish brown in colour
• Int t =
25 30
gm
-
.

Boundaries :

mandible (
Anteriorly Ramus of halfway
° =

across masseter muscle )

Mastoid
Posteriorly process ( cover
anterior
°
=

part y stern ocleido mastoid )

External meatus
Superiorly auditory
• =

Medially =

styloid process
•

laterally =
parotid fascia .

Capsule of Parotid gland :

°
Parotid capsule we
formed by investing layer of deep
cervical

fascia -

Superficial lamina is thick .

strong & adherent to
gland
while deep lamina in thin .

superficial lamina is attached to

Zygomatic arch .

°
Thin deep lamina is attached to
tympanic plate styloid process of temporal & bone .
 External features :
downward I
An
open (
-

1-
•

shape =
Inverted pyramid L base
A ( superior surface )
°
③ surfaces ←

Superficial surface
(b) Antero medial

H Posten medial

o
③ Borders = Anterior ,
Posterior
Medial .

Structures present within

gland :

. There are three main structures

passing through gland

:

in facial Nerve (most superficial)

(2) Retro mandibular Vein

Carotid
131 Ext .

Artery ( Deepest )

Facial ene

°
The
facial N Cvn ) exists the skull through the sty lo mastoid
foramen and then
passes
into parotid gland where it usually
.

divides into &

tower trunk
upper
.

Five terminal branches

.

groups of of facial N :

( as
Temporal
( bi
Zygomatic
(c) Buccal

cdi mandibular
Marginal
(e) Cervical branches
 Retro mandibular vein :

o Gt vis
formed when the
superficial temporal &
maxillary
veins

join together .

divides
o
gt
usually into anterior a
posterior branches
just below
the border
inferior of gland .

division
•
Ant .

joins facial vein

to
form Common
facial vein .

°
Posterior division joins the
to
posterior auricular vein

akin

TExtd
Ext
form .

Jugular .

Artery
• It
pierces the
lower
part og postern medial surface to enter
the
gland where it
occupies the deep zone
of gland .

9T divides into superficial Temporal Arteries and

Maxillary Arteries
.
.

Maxillary Artery passes horizontally deep .

to mandible .

The
superficial temporal artery continues in
superior
•
a

direction and
emerges from the
upper
border
of
the
gland
transverse
after giving off facial
Artery .

Nerve Supply
Secreto motor stimulation
in
Parasympathetic supply : The

produces the secretion watery .

(2) Sympathetic supply ( Vasoconstrictor ) = The stimulation

produces thick sticky secretion .

(3)
Sensory supply a
la , Auricula temporal Nerve ( temporal Region )
b, Great Auricular Nerve ( Parotid
(
fascia)
 Parotid Duct Estenson 's Duct )

About 5cm in
length
°
.

• It
opens
into the vestibule
of
mouth
opposite the crown

2nd tooth
of upper
molar .

Cos After emerging from the

gland it forward
°
: runs over
,

the masseter btw branches

y facial N .

St turns inwards at ant border masseter and

of
- .

pierces fat , fascia & buccinator muscle .

( 1st bend )

- The
parotid duct runs
forwards ( 2nd bend ) for Tom and
duct ( 3rd bend ) and
finally the turns
medially opens
into vestibule y mouth .
 Blood Ext Caroled
Parotid la ) A
supply of
.
.
°

lb , superficial Temporal Arteries

-

tenoning Retro mandibular Vein

°

e : ca ,

Ext Vein
( bi
Jugular
.

lymphak.cc#ye : ca , superficial Parotid

lymph nodes
(bi Deep Parotid
lymph nodes }H .

Deep
cervical
Lymph Nodes
② Media ( med notes .
in )