Carney A S, Sharp J F, Cozens N J
Department of Otolaryngology, Derbyshire Royal Infirmary, Derby, UK.
J Laryngol Otol. 1996 Dec;110(12):1171-2. doi: 10.1017/s0022215100136060.
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.
大多数耳鼻喉科医生都熟知下颌下腺的解剖位置及毗邻关系，与正常情况的显著差异很少见。我们报告一例非典型下颌下腺病例，该腺体位于下颌骨下方2厘米处，表现为颈部疼痛性肿胀，细针穿刺抽吸细胞学检查未明确诊断。使用多普勒超声检查发现该肿块紧邻面动脉和面静脉，口服柠檬汁后，肿块内一条小动脉的收缩期峰值流速从8.5厘米/秒升至16.4厘米/秒，证实了该组织的唾液腺性质。我们回顾了关于在颈部这一区域使用多普勒超声的文献，并讨论了该技术切实可行的实际应用。
