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Nerve Supply to the Submandibular Gland Parasympathetic innervation

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The secretomotor supply to the submandibular gland arises from the submandibular (sublingual) ganglion. This is a small ganglion lying on the upper part of the hyoglossus muscle. There are additional ganglion cells at the hilum of the gland. The submandibular ganglion is suspended from the lingual nerve by anterior and posterior filaments (Figure 1.13).


Figure 1.13. Clinical photograph showing the relationship of the lingual nerve to the submandibular gland.

The parasympathetic secretomotor fibers originate in the superior salivatory nucleus and the preganglionic fibers then travel via the facial nerve, chorda tympani, and lingual nerve to the ganglion via the posterior filaments connecting the ganglion to the lingual nerve. They synapse within the ganglion and the postganglionic fibers innervate the submandibular and sublingual glands (Figure 1.9). Some fibers are thought to reach the lower pole of the parotid gland.

Salivary Gland Pathology

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