dr Omnia Sameer

Submandibular region

By Omnia Sameer
Assistant prof of Anatomy & Embryology

dr Omnia Sameer
 Contents
• Muscles
Digastric ms
Mylohyiod ms
Hyoglossus ms
Geniohyiod ms
• Submandibular salivary gland
• Subligual salivary gland
• Submandibular ganglion
dr Omnia Sameer
 Digastric muscle
• Origin ant. Belly from
digastric fossa
• Posterior belly from
digastric notch
• Insertion intermediate
tendon to hyiod bone
• N supply ant. Belly n. to
mylohyiod
• Post. facial n
• Action open mouth,
retract hyiod bone
upward & backwards
dr Omnia Sameer
dr Omnia Sameer
dr Omnia Sameer
 Mylohyiod ms
• Origin mylohyoid line
• Insertion
Ant. ¾ join in median
raphe
Post. ¼ to body of hyoid
• N. supply n. to
mylohyoid
• Action
Support & elevate floor
of mouth , depress
mandible
dr Omnia Sameer
dr Omnia Sameer
 Ant belly of
digastric

stylohyoid
mylohyoid

Post belly

dr Omnia Sameer
 Mylohyoid relations
Superficial
• ant,. Belly of digastric
• Superficial part of
submandibular
• Mylohyoid n. vessels

dr Omnia Sameer
Deep
• Geniohyoid,
hyoglossus,
styloglossus
• Deep part of
submandibular
• Lingual & hypoglossal
n & vena comitants
• Submandibular duct,
ganglion
dr Omnia Sameer
 Geniohyoid
• Origin inf. Genial
tubercle
• Insertion upper surface
of body of hyoid
• N. supply
C1 via hypoglossal
• Action elevate hyoid ,
depress mandible

dr Omnia Sameer
dr Omnia Sameer
 hyoglossus
• Origin greater horn of
hyoid bone
• Insertion to post. ½ of
side of tongue
• N. supply hypoglossal n
• Action pull post. Part of
tongue backward

dr Omnia Sameer
 Relations
Deep
• Genioglossus, middle
constrictor of pharynx
• 2 nd Lingual a. & v.
• Glossopharyngeal n
• Stylohyoid lig.

dr Omnia Sameer
 Submandibular salivary gland
• Lies in digastric triangle
• Extents
Ant. Mental foramen
Post. Angle of mandible
Above mylohyoid line
Below intermediate
tendon of digastric
• Shape wedge shape

dr Omnia Sameer
 Structure
• large superficial part &
small deep part
connected at post.
Border of mylohyoid

dr Omnia Sameer
 surfaces
• 3 surfaces
• Inferolateral related to
skin Deep
part
• Lateral related to
mandible
mylohyiod
• Medial related to
Lateral
mylohyoid
inferolateral

medial

dr Omnia Sameer
 Surfaces & relation
Inferolateral surface
• Skin
• Superficial fascia &
platysma
• Submandibular LN hyoglossus mandible

• Facial v deep
L
M
MH
I

dr Omnia Sameer
 Lateral surface
• To submandibular fossa
of mandible
• Medial pterygoid
• Facial a.

dr Omnia Sameer
Facial a relation
• In med &
• Lat surfaces

dr Omnia Sameer
 Medial surface
• Mylohyoid
• Hyoglossus
• Lingual n
• Hypoglossal n
• Facial artery
• Deep part
• Duct, mylohyoid
• Hyoglossus

dr Omnia Sameer
 L

XII

dr Omnia Sameer
SL
Deep of
SM
SM superficial
part
dr Omnia Sameer
 Deep part

• tongue like projection

between mylohyoid &
hyoglossus
• It is continuous with
superficial part at post.
Border of mylohyoid

dr Omnia Sameer
 The duct
• 5cm long
• arise from medial
surface of superficial
part then it run through
deep part
• Then it pass between
genioglossus &
sublingual gland to end
by opening to floor of
mouth close to
frenulum of tongue
dr Omnia Sameer
 Nerve supply
• Sensory from lingual n
• Sympathetic from plexus
around facial a.
• Parasympathetic
Arise from SSN pass in
facial nerve & chorda
tympani will join lingual
nerve then it relay in sm
ganglion & post
ganglionic pass directly to
gland

dr Omnia Sameer
 Lingual nerve
• Joined by chorda
tympani
• Emerge at lower border
of lat pterygoid
• Pass () mandible & med
pterygoid
• Dangerous position
pass behind last molar
covered by mm
• Pass to SM region
dr Omnia Sameer
▪ Pass on hyoglossus
▪ Deep to SM gland
▪ Deep to mylohyoid
▪ Then on genioglossus
▪ Triple relation with SM
duct
▪ End in tongue
▪ Branches
➢ General & taste from
ant 2/3 of tongue
➢ General from floor of
mouth
➢ Parasympathetic to
SM, SL dr Omnia Sameer
dr Omnia Sameer
dr Omnia Sameer
 Sublingual salivary gland
Relations
• Superior mucus
membrane of mouth
• Inferior mylohyoid
• lateral sublingual fossa
of mandible
• Medial genioglossus,
lingual n,
submandibular duct.

dr Omnia Sameer
 Submandibular ganglion
• Site lies on hyoglossus
suspended from lingual
n
• Roots
• Parasympathetic
• Sympathetic
• Sensory
• branches

dr Omnia Sameer
dr Omnia Sameer
dr Omnia Sameer
dr Omnia Sameer