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Submandibular Space Accessory Salivary Tissue
Daniel E. Meltzer, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Accessory salivary tissue in mylohyoid boutonnière
              • Definitions

                • Normal salivary tissue in abnormal position in submandibular space (SMS)

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Harrison JD et al: Postmortem investigation of mylohyoid hiatus and hernia: aetiological factors of plunging ranula. Clin Anat. 26(6):693-9, 2013
                                        2. Kiesler K et al: Incidence and clinical relevance of herniation of the mylohyoid muscle with penetration of the sublingual gland. Eur Arch Otorhinolaryngol. 264(9):1071-4, 2007
                                        3. du Toit DF et al: Salivary glands: applied anatomy and clinical correlates. SADJ. 59(2):65-6, 69-71, 73-4, 2004
                                        4. Hopp E et al: Mylohyoid herniation of the sublingual gland diagnosed by magnetic resonance imaging. Dentomaxillofac Radiol. 33(5):351-3, 2004
                                        5. White DK et al: Accessory salivary tissue in the mylohyoid boutonniere: a clinical and radiologic pseudolesion of the oral cavity. AJNR Am J Neuroradiol. 22(2):406-12, 2001
                                        6. Koybasioglu A et al: Submandibular accessory salivary gland causing Warthin's duct obstruction. Head Neck. 22(7):717-21, 2000
                                        7. Engel JD et al: Mylohyoid herniation: gross and histologic evaluation with clinical correlation. Oral Surg Oral Med Oral Pathol. 63(1):55-9, 1987
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Accessory salivary tissue in mylohyoid boutonnière
                                                    • Definitions

                                                      • Normal salivary tissue in abnormal position in submandibular space (SMS)

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Harrison JD et al: Postmortem investigation of mylohyoid hiatus and hernia: aetiological factors of plunging ranula. Clin Anat. 26(6):693-9, 2013
                                                                              2. Kiesler K et al: Incidence and clinical relevance of herniation of the mylohyoid muscle with penetration of the sublingual gland. Eur Arch Otorhinolaryngol. 264(9):1071-4, 2007
                                                                              3. du Toit DF et al: Salivary glands: applied anatomy and clinical correlates. SADJ. 59(2):65-6, 69-71, 73-4, 2004
                                                                              4. Hopp E et al: Mylohyoid herniation of the sublingual gland diagnosed by magnetic resonance imaging. Dentomaxillofac Radiol. 33(5):351-3, 2004
                                                                              5. White DK et al: Accessory salivary tissue in the mylohyoid boutonniere: a clinical and radiologic pseudolesion of the oral cavity. AJNR Am J Neuroradiol. 22(2):406-12, 2001
                                                                              6. Koybasioglu A et al: Submandibular accessory salivary gland causing Warthin's duct obstruction. Head Neck. 22(7):717-21, 2000
                                                                              7. Engel JD et al: Mylohyoid herniation: gross and histologic evaluation with clinical correlation. Oral Surg Oral Med Oral Pathol. 63(1):55-9, 1987