Parotid Gland
Parotid Gland
Parotid Gland
PAROTID GLAND
PAROTID GLANDS
Largest of the
three major
salivary glands
Situated below
the external
acoustic meatus
between the
ramus of the
mandible and
sternocleidomastoi
d muscle
overlapping
DEVELOPMENT
5th week of IU
Just lateral to the angle of primary oral
fissure as an ectodermal furrow.
Branches repeatedly to form duct
system and acini.
Opens into angle of primitive mouth.
With the growth of maxillary and
mandibular processes the duct opening
is shifted to the vestibule opposite the
max 2nd molar.
Mesoderm forms the intervening
connective tissue.
Gross anatomy.
Size 15g
Shape
Three sided inverted pyramid
base above
apex down
Surface
superior(base)
superficial
Site Parotid region bounded
Anteriorly posterior border of ramus of
mandible
Posteriorly mastoid process above and
sternocleidomastoid muscle below
Superiorly external acoustic meatus and
posterior part of the capsule of TMJ
Inferiorly posterior belly of digastric
and stylohyoid muscles
Medially Styloid process
Coverings
Inner true capsule formed by
condensation of fibrous stroma of the
gland. Outer false capsule[Parotid
Sheath] formed by splitting of
investing layer of deep cervical fascia.
Relations
Apex
Overlaps posterior
belly of digastric and
adjoining part of carotid
triangle.
Emerge :
cervical branch of
facial nerve.
ant & post division of
retro-mandibular vein.
Relations
Base
Small and concave
Related to
Cartilagenous part of EOM
Posterior surface of TMJ.
Superficial temporal vessels.
Auriculotemporal nerve.
Relations
Superficial surface
Covered by
Skin
Superficial fascia containing
anterior branches of the great auricular nerve
preauricular parotid lymph nodes
posterior fibres of platysma and risorius
Parotid fascia
Deep parotid lymph nodes
Relations
Anteromedial surface
Related to
Masseter
Lateral aspect of TM joint.
Medial pterygoid.
Branches of facial nerve.
Maxillary artery.
Relations
Posteromedial surface
Relations
Mastoid process with SCM and post
belly of digastric attached to it
Styloid process with structures attached
Emerge:
Parotid duct
Terminal branches of
facial nerve
Transverse facial
vessels
Relations
Posterior border
Relation
Lateral wall of
pharynx
PAROTID CAPSULE
Investing layer of deep cervical fascia forms a
capsule for the gland
Fascia splits to enclose the gland.
Superficial lamina thick and adherent to the
gland is attached above to the zygomatic arch.
Deep lamina is thin and is attached to the styloid
process the mandible and tympanic plate.
Portion of deep lamina extending between
styloid process & the mandible ,thickened to
form stylomandibular ligament .
Structures within the gland
Parotid duct
Thick walled
5cm long
Course
Emerges from middle of ant
border of the gland , run forwards
and slightly downwards on the
masseter
Runs obliquely
Tympanic branch
Tympanic plexus
Otic ganglion
Parotid gland
Applied anatomy
Infections
Mumps viral parotitis
orchitis , oophoritis, pancreatitis,
meningo encephalitis
Parotid abscess
Frey syndrome
Parotid neoplasm
Pleomorphic adenoma Malignant pleomorphic adenoma
Warthins tumour Squamous cell carcinoma
Adenoid cystic carcinoma
Thank
you