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Bilateral Nonneoplastic Heterotopic Submandibular Glands Discovered Postmortem: A Case Study
Sydney M McSweeney1, Bryan E Burk1,2, Krista L Denning1,3
1Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, USA, marshall.edu.
Case Reports in Otolaryngology
|June 25, 2026
Summary
This study reports a rare case of bilateral heterotopic submandibular glands found in a cadaver. These anatomical variations, located in the carotid triangle, highlight the importance of cadaveric dissection in medical education.
Area of Science:
- Anatomy
- Histology
- Medical Education
Background:
- Submandibular glands are typically located beneath the mandible.
- Heterotopic submandibular glands are rare anatomical variations, usually unilateral.
- Bilateral occurrences are exceptionally uncommon.
Purpose of the Study:
- To describe a rare case of bilateral heterotopic submandibular glands.
- To detail the anatomical location, vascular supply, innervation, and ductal orientation.
- To emphasize the educational value of encountering such variations in cadaveric dissection.
Main Methods:
- Incidental discovery during routine cadaveric dissection for medical education.
- Detailed anatomical dissection of the heterotopic glands.
- Histological examination of the glands and adjacent lymph nodes.
Main Results:
- Bilateral heterotopic submandibular glands were identified in the carotid triangle near the hyoid bone.
- Glands exhibited typical vascular supply (facial artery), innervation (facial nerve), and venous drainage (facial and jugular veins).
- Dissection revealed ducts oriented towards the oral cavity; histology showed normal salivary gland and lymph node structure without neoplasia.
Conclusions:
- This case represents a rare instance of bilateral heterotopic submandibular glands.
- The findings underscore the significance of anatomical variations in clinical practice and medical training.
- Cadaveric dissection provides invaluable learning experiences for understanding pathologies and enhancing clinical competency.

