Parotid duct

The parotid duct or Stensen duct is a duct and the route that saliva takes from the major salivary gland, the parotid gland into the mouth.[1]

Parotid duct
Right parotid gland. Deep and anterior aspects. (Parotid duct labeled at center left.)
Dissection, showing salivary glands of right side. (Parotid duct visible at center.)
Details
Identifiers
LatinDuctus parotideus
TAA05.1.02.007
FMA10420
Anatomical terminology

Eponym

It is named after Nicolas Steno (1638–1686), a Danish anatomist (albeit best known as a geologist) credited with its detailed description in 1660.

Structure

The parotid duct is formed when several interlobular ducts—the largest ducts inside the parotid gland—join. It emerges from the gland and runs forward along the lateral side of the masseter muscle. In this course, the duct is surrounded by the buccal fat pad.[2] It takes a steep turn at the border of the masseter and passes through the buccinator muscle, opening into the vestibule of the mouth, the region of the mouth between the cheek and the gums, at the parotid papilla, which lies across the second superior molar tooth.[3]

The buccinator acts as a valve that prevents air forcing into the duct, which would cause pneumoparotitis.[4] Running along with the duct superiorly is the transverse facial artery and upper buccal nerve; running along with the duct inferiorly is the lower buccal nerve.

The exit of the parotid ducts can be felt as small bumps (Papillae) on both sides of the mouth, and are usually positioned next to the maxillary second molars.

Clinical relevance

Blockage, whether caused by salivary duct stones or external compression, may cause pain and swelling of the parotid gland (parotitis).

Koplik's spots which are pathognomonic of measles are found near the opening of the parotid duct.

Additional images

See also

References

  1. Ten Cate's Oral Histology, Nanci, Elsevier, 2013, page 255
  2. Latarjet, Michel; Ruiz Liard, Alfredo (2005). Human Anatomy (Spanish Edition). Editorial Médica Panamericana. ISBN 978-950-06-1368-2.
  3. Illustrated Dental Embryology, Histology, and Anatomy, Bath-Balogh and Fehrenbach, Elsevier, 2011, page 135
  4. Faizal B, Chandran MP (2012). "Pneumoparotitis" (PDF). Amrita Journal of Medicine. 8 (2): 1–44. Archived from the original (PDF) on 2015-12-11.
  • Casseri, Giulio Cesare (1627). Tabulae anatomicae, lxxiix. Venetis.
  • Stensen, Niels (1662). Observationes anatomicae, quibus varia oris, oculorum & narium vas describuntur novique salivae, lacrymarum & muci fontes deteguntur. Lugduni Batavorum: J. Chouët.
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