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The sublingual gland (glandula sublingualis) is a seromucous polystomatic exocrine gland. Located underneath the oral diaphragm ( diaphragma oris ), the sublingual gland is the smallest and most diffuse of the three major salivary glands of the oral cavity, with the other two being the submandibular and parotid .
Sialadenitis (sialoadenitis) is inflammation of salivary glands, usually the major ones, the most common being the parotid gland, followed by submandibular and sublingual glands. [1] It should not be confused with sialadenosis (sialosis) which is a non-inflammatory enlargement of the major salivary glands.
About 85% of stones occur in the submandibular gland, [3] and 5–10% occur in the parotid gland. [2] In about 0–5% of cases, the sublingual gland or a minor salivary gland is affected. [2] When minor glands are rarely involved, caliculi are more likely in the minor glands of the buccal mucosa and the maxillary labial mucosa. [4]
The sublingual papilla or sublingual fold is a small fold of soft tissue located on each side of the lingual frenulum. [1] The sublingual papilla marks the site of the sublingual gland [ 2 ] with its major sublingual duct [ 3 ] and its minor sublingual ducts [ 4 ] opening upon the papilla.
The salivary glands are classified as major or minor. The major salivary glands consist of the parotid, submandibular, and sublingual glands. The minor salivary glands consist of 800 to 1000 small mucus-secreting glands located throughout the lining of the oral cavity. [2] Patients with these types of tumours may be asymptomatic. [1]
Sialography (also termed radiosialography) is the radiographic examination of the salivary glands. It usually involves the injection of a small amount of contrast medium into the salivary duct of a single gland, followed by routine X-ray projections. [1] The resulting image is called a sialogram.
Minor trauma to the floor of the mouth is thought to damage the delicate ducts that drain saliva from the sublingual gland into the oral cavity. [2] The lesion is a mucous extravasation cyst (mucocele) of the floor of mouth, although a ranula is often larger than other mucoceles (mainly because the overlying mucosa is thicker). [3]
Ludwig's angina is a form of severe, widespread cellulitis of the floor of the mouth, usually with bilateral involvement. Infection is usually primarily within the submandibular space, and the sublingual and submental spaces can also be involved.