口 腔 病 理 科口 腔 病 理 科 salivary gland-embryology 唾液腺 - 胚胎學...
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口 腔 病 理 科
Salivary gland-embryology唾液腺 - 胚胎學
陳玉昆副教授 : 高雄醫學大學 口腔病理科 07-3121101~2755 [email protected]
學 習 目 標1. Origins of salivary gland2. Stages of development 3. Differentiation of terminal tubule cells4. Cleft formation during salivary gland branching5. Factors affecting branching of salivary gland cell cords6. Classification of salivary gland cell cords7. Classification, innervation, anatomy of major salivary gland8. Classification, anatomy of minor salivary gland9. Ductal system - components, comparison, histology10. Saliva – composition, function
參考資料參考資料References
1. Avery JK. Oral development and histology. 2nd edition, Chapter 21, p. 352-812. Avery JK. Oral histology-a clinical approach. 1st edition, Chapter 15, p. 184-953. Berkovitz BK, Holland GR, Moxham BH. 2nd edition, p.215, 2204. de Almeida PDV, et al.. Saliva Composition and Functions: A Comprehensive Review. J Contemp Dent Pract 2008 3:72-805. Kaohsiung Medical University, Oral Pathology Department
Origins of salivary gland
8th prenatalweek
6th prenatalweek
Minor gland: 12 prenatal weeks
Frontal sectionthrough
developing face
Epithelial outgrowth of buccal epitheliuminvading the underlyingmesenchyme
Epithelial outgrowth of buccal epitheliuminvading the underlyingmesenchyme
Nasalseptum
TongueParotid bud
Sublingualbud
Submandularbud
7th prenatal week Ref: 1
Stages of development
Bud formation
Stage I
Ref: 1
Stages of development
Stage II
Cord growth
Ref: 1
Stages of development
Stage III
Branching of cord
Ref: 1
Stages of development
Stage IV
Lobule formation
Ref: 1
Stages of developmentStage V
Canalization of cordsto form ducts
Ref: 1
Stages of development
Lobule of gland
Connectivetissuesepta
Ref: 2
Stages of development
Stage VI
CytodifferentiationRef: 1
Differentiation of terminaltubule cells
Terminaltubule cell
Proacinar cell
Intercalatedduct cell
(Stem cell)
Acinar cells
Factors affecting branchingof salivary gland cell cords
Hyaluronidase
Collagen
Generalized cellproliferation
No branching
Basal lamina
Branching
Digest the collagen
Ref: 1
Cleft formation during salivary gland branching
A B C
M
BMEM = messenchymeBM = basement membraneE = epithelium
Type IV
Type III
Type I
Collagen Type
Ref: 1
Classification of salivary gland cell cords
Tubuloacinartype
Exocrine -duct systemfor secretion transportation
Tubular
Tubulo-acinar
Branchingduct
Main duct
Grape-likeacinar
Ref: 1
Classification of salivary gland cell cords
Method of secretoryproduction
Discharge
Membrane
Secretory granule
Golgi
Merocrinetype secretoryprocess
Ref: 1
Classification- major salivary gland
Size Location Capsule
(14-28g)
(7-8g)
(3g)
Parotid gland
Parotid gland
Subman-dibulargland
Subman-dibulargland
Sublingualgland
Sublingualgland
Ref: 1
Anatomy - major salivary gland
Stensen’s duct(7 cm long)
Warthin’s duct(5 cm long)
Bartholin’s duct(Rivinus’s ducts)
Ref: 2
Classification- major salivary glandType ofsecretion
Contribution of saliva
Striated duct
intercalated duct
Paro-tidgland
Paro-tidgland
Subman-dibulargland
Subman-dibulargland
Sublin-gualgland
Sublin-gualgland
%
%
%
Refs: 1, 4
Classification - major salivary gland
Parotid glandParotid gland
SublingualglandSublingualgland
SubmandinularglandSubmandinulargland
Sympatheticinnervation
Parasympathetic innervationPreganglionic Postganglionic
Ref: 1
Innervation of salivary gland
Parotidgland
Sublingualgland
Submandibular gland
Auriculotemporal n
Chordatympani
Oticganglion
Submandibularganglion
Superiorcervicalganglion
Superiorsalivary nucleus
Inferiorsalivary nucleus
VII
IX
Sympathetic
Ref: 1
Parasympathetic
Anatomy- major salivary gland
Facial nerve vs fetal parotid glandFacial nerve vs fetal parotid gland
Ref: 1
Classification- major salivary gland
Parotid glandParotid gland
Submandinulargland
Submandinulargland
Sublingualgland
Sublingualgland
Blood supplyArterial Venous
Ref: 1
Anatomy - minor salivary glandUncapsulated;named by location
Ref: 2
Classification- minor salivary glandName Location Type of secretion
Contribution of saliva: 5-10%
Ref: 1
Classification- minor salivary gland
Ref: 3
A: Small serous glands of von Ebner empty into the base of trench
Taste buds
Circumvallate papillae in longitudinal
AA
Taste budsTaste buds
Ductal system
Ref: 3
Acinus
Capsule
Septa
Lobe
Secretory Units
Intercalated
StriatedExcretory
Ducts
Ductal system
Ref: 3
Intra-Lobular
Striatedduct
Excretoryduct
Serous cell
Serousdemilune
Mucousacinus
Mucouscell
Intercalcatedduct
Myoepithelial cellInter-Lobular
Ductal systemOral cavity Major salivary gland duct orifice
Oral epithelium
Interlobularduct system
Intralobularduct system
Excretory duct
Mucousacinus
Mixedacinus
Serousacinus
Ref: 2
Comparison of ductal systemRelative ductal length
Parotid glandParotid gland
Submandinular glandSubmandinular gland
Sublingual glandSublingual gland
Key
Excretory
Striated
Intercalated
Intercalated duct:P > M > L
Striated duct:M > P > L
Ref: 1
Histology of ductal system
Intercalated duct
Excretory duct
Myoepithelial cells
Mucous acini
Serous demilune
Mixed acini
Striated duct
12
Ref: 1
Histology of ductal systemMixed alveolus
Mucous alveolus
Serous alveolus
Serouisdemilune
Ref: 2
Histology of ductal system
Ref: 2
Histology of ductal system
Ref: 2
Histology of ductal system
Myoepithelialcell
Myoepithelialcell
Mucouscell
Ref: 2
Histology of ductal system
Ref: 5
Intercalated duct
Myoepithelialcell
Serousacini
Excretory duct
Adipose tissue
Histology of ductal system
Ref: 5
Myoepithelialcell
Serousacini
Striated duct
Mixedacini
Mucousacini
Histology of ductal system
Intralobularduct
Bloodvessel
Ref: 2
Histology of ductal system
Scanningelectronmicroscope
Myoepithelialcell processes
Ref: 2
Histology of ductal system
Serous cell Mucous cell
Ref: 2
Composition of saliva
Ref: 1
ml
Composition of saliva
Ref: 2
Composition of saliva
Ref: 2
Function of saliva
1
2
3
4 5
6
Ref: 2
3 pints = ? liter
Function of saliva
Ref: 2
Function of saliva
Refs: 2, 4
Function of saliva
Ref: 2
Summaries
Knowing: 1. Origins of salivary glands2. Stages of development 3. Differentiation of terminal tubule cells4. Cleft formation during salivary gland branching5. Factors affecting branching of salivary gland cell cords6. Classification of salivary gland cell cords7. Classification, innervation, anatomy of major salivary gland8. Classification, anatomy of minor salivary gland9. Ductal system - components, comparison, histology
10. Saliva – composition, function