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Salivary Glands and Saliva

Salivary Glands and Saliva

The salivary glands, of which there are three pairs known as the parotid, submandibular, and sublingual glands, play a crucial role in maintaining oral health and initiating the digestive process. Positioned near the ears, beneath the masseter muscle, the parotid glands secrete saliva into the oral cavity through the parotid duct of Stensen. Meanwhile, the submandibular glands, located on the floor of the mouth, secrete saliva through channels named submandibular ducts. The sublingual glands,...

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Author Spotlight: A Focus on Standardized Salivary Gland Ultrasound Protocol in Connective Tissue Disease Research

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Submandibular Gland Hemangioma.

Ryo Sasaki¹, Toshihiro Okamoto¹, Satoshi Kudo¹

¹Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.

Plastic and Reconstructive Surgery. Global Open

|January 17, 2020

Summary

Submandibular gland hemangioma is rare, often presenting as painless swelling. Surgical excision is effective, with imaging like MRI crucial for diagnosis, distinguishing it from sialolithiasis.

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Area of Science:

Head and Neck Surgery
Vascular Anomalies
Diagnostic Imaging

Background:

Submandibular gland hemangioma is an uncommon condition, posing diagnostic challenges.
This case highlights a rare instance of venous hemangioma within the submandibular gland.

Observation:

A 31-year-old woman presented with a painless, soft swelling in the right submandibular gland.
Imaging revealed a well-circumscribed mass with high signal intensity and phlebolith formation on CT.
Pathology confirmed a venous hemangioma with vascular proliferation and calcification.

Findings:

Surgical excision via a submandibular approach was performed without complications.
Postoperative follow-up showed no recurrence after one year.
Literature review indicates most cases present with painful swelling and phleboliths may mimic sialolithiasis.

Implications:

Accurate diagnosis relies on advanced imaging, particularly MRI, to differentiate hemangioma from other submandibular masses.
Early and correct diagnosis prevents misdiagnosis, such as sialolithiasis, and guides appropriate surgical management.
This case contributes to the limited literature on submandibular hemangiomas, emphasizing diagnostic imaging's role.