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Atypically located submandibular gland diagnosed by Doppler ultrasound

Published online by Cambridge University Press:  29 June 2007

A. S. Carney ,
J. F. Sharp  and
N. J. A. Cozens
A. S. Carney
Affiliation:
Departments of OtolaryngologyDerbyshire Royal Infirmary, Derby, UK.
J. F. Sharp*
Affiliation:
Departments of OtolaryngologyDerbyshire Royal Infirmary, Derby, UK.
N. J. A. Cozens
Affiliation:
Departments of Radiology, Derbyshire Royal Infirmary, Derby, UK.
*
Address for correspondence: Department of Otolaryngology, Queen's Medical Centre. Nottingham NG7 2UH.
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Abstract

The anatomical location and relationships of the submandibular gland are well-known to most otolaryngologists and gross variations from the norm are rare. We report a case of an atypical submandibular gland located 2 cm below the mandible which presented as a painful neck swelling with non-diagnostic fine needle aspiration cytology. Using Doppler ultrasound the mass was noted to be closely located to the facial artery and vein and following the administration of oral lemon juice, the peak systolic velocity of a small artery within the mass rose from 8.5 cm/s to 16.4 cm/s, confirming the tissue's salivary nature. We review the literature on using Doppler ultrasound in this area of the neck and discuss realistic practical applications of the technique.

Keywords

Submandibular glandUltrasonicsSialadenitisEmbryology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 12 , December 1996 , pp. 1171 - 1172
Copyright
Copyright © JLO (1984) Limited 1996

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References

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