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The Parotid Gland

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The parotid gland is a bilateral salivary gland located in the face. It produces serous saliva , a watery solution rich in enzymes. This is then secreted into the oral cavity, where it lubricates and aids in the breakdown of food.

salivary gland serous saliva

In this article, we shall look at the location, vasculature and innervation of the parotid gland. We shall also consider any clinical correlations.

The parotid gland is a bilateral structure, which displays a lobular and irregular morphology. Anatomically, it can be divided into deep and superficial lobes , which are separated by the facial nerve.

superficial lobes

It lies within a deep hollow, known as the parotid region .The parotid region is bounded as follows:

parotid region Superiorly Inferiorly Anteriorly Posteriorly

The secretions of the parotid gland are transported to the oral cavity by the Stensen duct. It arises from the anterior surface of the gland, traversing the masseter muscle. The duct then pierces the buccinator, moving medially. It opens out into the oral cavity near the second upper molar .

Stensen duct. masseter second upper molar

Fig 1.0 – Position of the parotid gland and borders of the parotid region.

The anatomical relationships of the parotid gland are of great clinical importance – particularly during parotid gland surgery.

Several important neurovascular structures pass through the gland:

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external carotid artery retromandibular vein

Fig 1.1 – The branches of the facial nerve . The parotid gland has been removed to show their anatomical course.

Blood is supplied by the posterior auricular and superficial temporal arteries . They are both branches of the external carotid artery, which arise within the parotid gland itself.

posterior auricular superficial temporal arteries

Venous drainage is achieved via the retromandibular vein . It is formed by unification of the superficial temporal and maxillary veins.

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