Abstract
During the neck dissection of a male cadaver, large heterotopic submandibular glands were encountered bilaterally in the upper neck. They were symmetrical, capsulated and lay deep to the superficial lamina of the superficial cervical fascia. Both glands were located in the submandibular and carotid triangles. The somewhat smaller orthotopic submandibular glands and the sublingual glands were in their normal anatomic location. Duct of the heterotopic gland united with the corresponding orthotopic submandibular gland’s duct on each side and ended on the ipsilateral sublingual caruncle. Histopathologic examination of the heterotopic glands revealed seromucous (mainly serous) tissue. A bilaterally situated symmetrical heterotopic submandibular gland of this size has not heretofore been reported in the literature. The embryological and clinical significance of this case is discussed.
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References
Daniel E, McGuirt WF Sr (2005) Neck masses secondary to heterotopic salivary gland tissue: a 25-year experience. Am J Otolaryngol 26:96–100
Ferlito A, Bertino G, Rinaldo A et al (1999) A review of heterotopia and associated salivary gland neoplasms of the head and neck. J Laryngol Otol 113:299–303
Gerhards F, Büttner R, Janicke S (2001) Aberrant salivary gland tissue as a differential diagnosis of branchiogenic cysts: case report. HNO 49:476–478
Haemel A, Gnepp DR, Caristen J et al (2008) Heterotopic salivary gland tissue in the neck. J Am Acad Dermatol 58(2):251–256
Hsu RF, Hsu YC, Huang SC (2006) Hereditary ectopic salivary gland: survey of three generations. Acta Otolaryngol 126:330–333
Johns ME (1977) The salivary glands: anatomy and embryology. Otolaryngol Clin North Am 10:261–271
Rodgers GK, Felder H, Yunis EJ (1990) Pleomorphic adenoma of cervical heterotopic salivary gland tissue: case report and review of neoplasms arising in cervical heterotopic salivary gland tissue. Otolaryngol Head Neck Surg 104:533–536
Simo R, Leslie A (2006) Differential diagnosis and management of neck lumps. Surgery 24(9):312–322. doi:10.1053/j.mpsur.2006.07.006
Singer MI, Applebaum EL, Loy KD (1979) Heterotopic salivary tissue in the neck. Laryngoscope 89:1772–1778
White DK, Davidson HC, Harnsberger HR et al (2001) Accessory salivary tissue in the mylohyoid boutonniere: a clinical and radiologic pseudolesion of the oral cavity. AJNR Am J Neuroradiol 22:406–412
Acknowledgments
The authors thank Carol R. Froman (Centers for Surgical Anatomy and Technique, Emory University School of Medicine, Atlanta, Georgia) for her helpful comments.
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Sanlı, E.Ç., Öztürk, N.C., Polat, A. et al. Bilateral and symmetrical heterotopic submandibular glands in the upper neck: case report. Surg Radiol Anat 32, 979–982 (2010). https://doi.org/10.1007/s00276-010-0641-5
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DOI: https://doi.org/10.1007/s00276-010-0641-5