Couly G
Rev Stomatol Chir Maxillofac. 1978;79(3):231-8.
All of the principal salivary glands are in contact with the membranous mandible, in the form of contiguous relationships which develop and disappear respectively at the time of phylogenesis and ontogenesis of the first branchial arch. A contrast must also be drawn concerning the static relations between the submaxillary and sublingual glands and the inner aspect of the horizontal branch and the dynamic relations between the posterior edge of the ramus and the parotid gland ensured by the inter-mandibulo-parotid sliding space. In this perspective, the physiological slope of the posterior border of the ramus is certainly of parotid origin. This slope may be exaggerated in the presence of a parotid tumour, forming the indirect radiological sign of sagittal lordosis of the ramus, sometimes associated with a certain degree of frontal scoliosis in the case of a tumour with pharyngeal prolongation. Once again in this perspective, the inter-mandibulo-parotid sliding space makes for easy separation of the anterior parotid aponeurosis of the mandible and of its muscular sling.
所有主要唾液腺均与膜性下颌骨接触，呈连续关系，分别在第一鳃弓的系统发生和个体发生时形成和消失。还必须提及下颌下腺和舌下腺与水平支内侧面的静态关系，以及由下颌-腮腺滑动间隙确保的下颌支后缘与腮腺之间的动态关系。从这个角度来看，下颌支后缘的生理倾斜度肯定源于腮腺。在存在腮腺肿瘤时，这种倾斜度可能会加大，形成下颌支矢状前凸的间接放射学征象，在肿瘤伴有咽部延伸的情况下，有时还会伴有一定程度的额状脊柱侧凸。再从这个角度来看，下颌-腮腺滑动间隙便于分离下颌骨的腮腺前腱膜及其肌肉吊带。
