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Anatomy and Variations of the Submandibular Fossa

  • Yosuke Harazono
Chapter

Abstract

The submandibular fossa is a concavity in the lingual part of the mandibular body, inferior to the mylohyoid line, in the lower molar region, where part of the submandibular gland is situated. Around the submandibular fossa are many anatomical structures implicated in implant surgery, salivary calculus, and static bone cavity. Therefore, dentists need a thorough understanding of the surgical anatomy in the area of the submandibular fossa to preclude complications including hemorrhages, nerve injuries, ductal strictures, and perforation of the lingual cortical bone. In this chapter, the anatomy and its variations in the area of the submandibular fossa are reviewed and clinical considerations are described.

References

  1. Amano O (2011) The salivary gland: anatomy for surgeons and researchers. Jpn J Oral Maxillofac Surg 57:384–393CrossRefGoogle Scholar
  2. Amano O, Mizobe K, Bando Y et al (2012) Anatomy and histology of rodent and human major salivary glands: overview of the Japan salivary gland society-sponsored workshop. Acta Histochem Cytochem 45:241–250.  https://doi.org/10.1267/ahc.12013CrossRefPubMedPubMedCentralGoogle Scholar
  3. Assaf AT, Solaty M, Zrnc TA et al (2014) Prevalence of Stafne’s bone cavity–retrospective analysis of 14,005 panoramic views. In Vivo 28:1159–1164Google Scholar
  4. Bavitz JB, Harn SD, Homze EJ (1994) Arterial supply to the floor of the mouth and lingual gingiva. Oral Surg Oral Med Oral Pathol 77:232–235CrossRefGoogle Scholar
  5. Bowen MA, Tauzin M, Kluka EA et al (2011) Diagnostic and interventional sialendoscopy: a preliminary experience. Laryngoscope 121:299–303.  https://doi.org/10.1002/lary.21390CrossRefPubMedGoogle Scholar
  6. de Souza LA, Souza Picorelli Assis NM, Ribeiro RA et al (2016) Assessment of mandibular posterior regional landmarks using cone-beam computed tomography in dental implant surgery. Ann Anat 205:53–59.  https://doi.org/10.1016/j.aanat.2016.01.006CrossRefPubMedGoogle Scholar
  7. Harry S, DuBrul EL (1988) Sicher and DuBrul’s oral anatomy, 8th edn. IshiyakuEuroAmerica, St. Louis; TokyoGoogle Scholar
  8. He P, Truong MK, Adeeb N et al (2017) Clinical anatomy and surgical significance of the lingual foramina and their canals. Clin Anat 30:194–204.  https://doi.org/10.1002/ca.22824CrossRefGoogle Scholar
  9. Herranz-Aparicio J, Marques J, Almendros-Marqués N et al (2016) Retrospective study of the bone morphology in the posterior mandibular region. Evaluation of the prevalence and the degree of lingual concavity and their possible complications. Med Oral Patol Oral Cir Bucal 21:e731–e736PubMedPubMedCentralGoogle Scholar
  10. Hofschneider U, Tepper G, Gahleitner A et al (1999) Assessment of the blood supply to the mental region for reduction of bleeding complications during implant surgery in the interforaminal region. Int J Oral Maxillofac Implants 14:379–383PubMedGoogle Scholar
  11. Hölzle FW, Wolff KD (2001) Anatomic position of the lingual nerve in the mandibular third molar region with special consideration of an atrophied mandibular crest: an anatomical study. Int J Oral Maxillofac Surg 30:333–338CrossRefGoogle Scholar
  12. Kalpidis CD, Konstantinidis AB (2005) Critical hemorrhage in the floor of the mouth during implant placement in the first mandibular premolar position: a case report. Implant Dent 14:117–124CrossRefGoogle Scholar
  13. Kalpidis CD, Setayesh RM (2004) Hemorrhaging associated with endosseous implant placement in the anterior mandible: a review of the literature. J Periodontol 75:631–645CrossRefGoogle Scholar
  14. Karube T, Yasui T, Onizawa K et al (2016) A long-term followed-up case of a developing lingual bone defect associated with the sublingual gland. Jpn J Oral Maxillofac Surg 62:299–303CrossRefGoogle Scholar
  15. Kawai T, Sato I, Yosue T et al (2006) Anastomosis between the inferior alveolar artery branches and submental artery in human mandible. Surg Radiol Anat 28:308–310CrossRefGoogle Scholar
  16. Kim DH, Kim MY, Kim CH (2013) Distribution of the lingual foramina in mandibular cortical bone in Koreans. J Korean Assoc Oral Maxillofac Surg 39:263–268.  https://doi.org/10.5125/jkaoms.2013.39.6.263CrossRefPubMedPubMedCentralGoogle Scholar
  17. Mason ME, Triplett RG, Alfonso WF (1990) Life-threatening hemorrhage from placement of a dental implant. J Oral Maxillofac Surg 48:201–204CrossRefGoogle Scholar
  18. Mendes MB, de CarvalhoLeite Leal Nunes CM, de Almeida Lopes MC (2014) Anatomical relationship of lingual nerve to the region of mandibular third molar. J Oral Maxillofac Res 4:e2.  https://doi.org/10.5037/jomr.2013.4402CrossRefPubMedPubMedCentralGoogle Scholar
  19. Mordenfeld A, Andersson L, Bergström B (1997) Hemorrhage in the floor of the mouth during implant placement in the edentulous mandible: a case report. Int J Oral Maxillofac Implants 12:558–561PubMedGoogle Scholar
  20. Nahlieli O, Shacham R, Bar T et al (2003) Endoscopic mechanical retrieval of sialoliths. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:396–402CrossRefGoogle Scholar
  21. Nakajima K, Tagaya A, Otonari-Yamamoto M et al (2014) Composition of the blood supply in the sublingual and submandibular spaces and its relationship to the lateral lingual foramen of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 117:e32–e38.  https://doi.org/10.1016/j.oooo.2012.03.032CrossRefPubMedGoogle Scholar
  22. Paulsen F, Waschke J (2011) Sobotta atlas of human anatomy -head, neck, and neuroanatomy, 15th edn. Urban & Fischer, MunichGoogle Scholar
  23. Peuker ET, Fischer G, Filler TJ (2001) Entrapment of the lingual nerve due to an ossified pterygospinous ligament. Clin Anat 14:282–284CrossRefGoogle Scholar
  24. Salinas-Goodier C, Manchón A, Rojo R et al (2016) Prevalence and location of accessory foramina in the human mandible. Oral Radiol 32:72–78CrossRefGoogle Scholar
  25. Sanomiya Ikuta CR, Paes da Silva Ramos Fernandes LM, Poleti ML et al (2016) Anatomical study of the posterior mandible: lateral lingual foramina in cone beam computed tomography. Implant Dent 25:247–251.  https://doi.org/10.1097/ID.0000000000000387CrossRefPubMedGoogle Scholar
  26. Stafne E (1942) Bone cavities situated near the angle of the mandible. J Am Dent Assoc 29:1969–1972CrossRefGoogle Scholar
  27. Tolman DE, Stafne EC (1967) Developmental bone defects of the mandible. Oral Surg Oral Med Oral Pathol 24:488–490CrossRefGoogle Scholar
  28. Uchida Y, Goto M, Danjo A et al (2012) Anatomic measurement of the depth and location of the sublingual fossa. Int J Oral Maxillofac Surg 41:1571–1576.  https://doi.org/10.1016/j.ijom.2012.03.015CrossRefPubMedGoogle Scholar
  29. Uchida Y, Goto M, Danjo A et al (2015) Anatomical relationship between the sublingual fossa and the lateral lingual foramen. Int J Oral Maxillofac Surg 44:1146–1151.  https://doi.org/10.1016/j.ijom.2015.04.004CrossRefPubMedGoogle Scholar
  30. Walvekar RR, Razfar A, Carrau RL et al (2008) Sialendoscopy and associated complications: a preliminary experience. Laryngoscope 118:776–779.  https://doi.org/10.1097/MLG.0b013e318165e355CrossRefPubMedGoogle Scholar
  31. Wang YM, Ju YR, Pan WL et al (2015) Evaluation of location and dimensions of mandibular lingual canals: a cone beam computed tomography study. Int J Oral Maxillofac Surg 44:1197–1203.  https://doi.org/10.1016/j.ijom.2015.03.014CrossRefPubMedGoogle Scholar
  32. Williams PL, Warwick R, Dyson M et al (1989) Gray’s anatomy, 37th edn. Churchill Livingstone, Edinburgh, pp 1290–1298Google Scholar
  33. Witt RL, Edkins O (2017) Sialolithiasis: traditional & sialendoscopic techniques. The open access atlas of otolaryngology, head & neck operative surgeryGoogle Scholar
  34. Witt RL, Iro H, Koch M et al (2012) Minimally invasive options for salivary calculi. Laryngoscope 122:1306–1311.  https://doi.org/10.1002/lary.23272CrossRefPubMedGoogle Scholar
  35. Yildirim YD, Güncü GN, Galindo-Moreno P et al (2014) Evaluation of mandibular lingual foramina related to dental implant treatment with computerized tomography: a multicenter clinical study. Implant Dent 23:57–63.  https://doi.org/10.1097/ID.0000000000000012CrossRefPubMedGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Yosuke Harazono
    • 1
  1. 1.Department of Dentistry and Oral SurgeryNTT Medical CenterTokyoJapan

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