Skip to main content

Unfortunately we don't fully support your browser. If you have the option to, please upgrade to a newer version or use Mozilla Firefox, Microsoft Edge, Google Chrome, or Safari 14 or newer. If you are unable to, and need support, please send us your feedback.

Elsevier
Publish with us
Parotid Gland
Digestive System

Parotid Gland

Glandula parotidea

Read more

Quick Facts

Location: Superficially in the lateral aspect of the face, anterior and inferior to the ear.

Arterial supply: External carotid artery.

Venous Drainage: External jugular vein.

Innervation: Sensory and parasympathetic innervation from the auriculotemporal nerve (CN V3).

Lymphatic drainage: Upper deep cervical lymph nodes.

Complete Anatomy
The world's most advanced 3D anatomy platform
Try it for Free

Structure

The parotid gland is irregular in shape and consists of lobules of glandular tissue weighing approximately 25 g (Standring, 2016). The lobules are interspersed with adipose tissue and are covered in a layer of fascia, which forms the parotid capsule. This fascial layer derived from the deep cervical fascia of the neck.

Anatomical Relations

The parotid gland extends from the posterior border of the ramus of the mandible to the upper portion of the sternocleidomastoid muscle in the neck. It sits anteroinferior to the external acoustic meatus and lies over the master muscle and mastoid process.

The parotid gland contains, from deep to superficial, the external carotid artery, the retromandibular vein, and the facial nerve with its five main branches (temporal, zygomatic, buccal, marginal mandibular, and cervical).

Although the gland is largely superficial, a smaller deep portion sits deep to the mandibular ramus on the lateral aspect of the superior constrictor muscle. Therefore, a deep lobe tumor may not present as a facial swelling, but as a protrusion in the lateral oropharyngeal wall.

Function

The parotid gland secretes serous fluid upon parasympathetic stimulation. The influence of the sympathetic fibers is to reduce the secretions of the parotid gland.

Arterial Supply

Branches arising from the external carotid artery supply the parotid gland. These include parotid branches of the posterior auricular and superficial temporal arteries, and the transverse facial artery.

Venous Drainage

Venous drainage occurs via small unnamed branches draining into the external jugular vein.

Innervation

The lesser petrosal nerve is a visceral motor nerve that supplies parasympathetic innervation to the parotid gland. It carries preganglionic parasympathetic fibers to the otic ganglion. There, the lesser petrosal nerve synapses with the postganglionic parasympathetic fibers that travel with the auriculotemporal nerve to innervate the parotid gland. The auriculotemporal nerve also conveys general sensory information from the parotid gland.

Lymphatic Drainage

The parotid gland contains superficial and deep lymph nodes. Drainage of these nodes occurs through the deep lateral cervical nodes, primarily the internal jugular nodes either directly or via the infraauricular nodes. In 58% of cases, there is collateral drainage along lymph vessels that follow the course of the external jugular vein (Földi et al., 2012).

List of Clinical Correlates

- Parotitis

- Facial paralysis

- Acute sialadenitis

- Parotid duct obstruction

- Xerostomia

References

Földi, M., Földi, E., Strößenreuther, R. & Kubik, S. (2012) Földi's Textbook of Lymphology: for Physicians and Lymphedema TherapistsElsevier Health Sciences.

Standring, S. (2016) Gray's Anatomy: The Anatomical Basis of Clinical Practice. Gray's Anatomy Series 41 edn.: Elsevier Limited.

Learn more about this topic from other Elsevier products

Parotid Gland

ScienceDirect image

Above it lies the parotid gland, insertion at SI 18 (=anterior margin of the masseter muscle), meaningful below the zygomatic bone.

Explore on ScienceDirect(opens in new tab/window)

Complete Anatomy

The world's most advanced 3D anatomy platform

Complete Anatomy