Pimp Questions

Question 1

What are the layers of the eyelid?

Answer 1

Skin
Orbicularis
Septum
(Preaponeurotic fat)
Levator aponeurosis
Tarsus / Muller's muscle
Conjunctiva

Question 2

What is the anatomy of the submandibular gland?

Answer 2

In the submandibular triangle
Between the mylohyoid and the digastrics
Enveloped by superficial layer of deep cervical fascia
Right near the marginal mandibular nerve
The Lingual nerve runs laterally to it under the mylohoid
Facial artery runs through it

Question 3

What is the function of the submandibular gland?

Answer 3

Serous AND mucinous saliva

Question 4

Where does the submandibular gland empty?

Answer 4

Wharton’s duct – lateral to lingual frenulum in anterior floor of mouth behind incisors

Question 5

Innervation to the submandibular gland?

Answer 5

Parasymp: chorda tympani (via lingual nerve)
Symp: superior thoracic nerves

Question 6

Contents of saliva

Answer 6

Water 99%, Ca++ salts, organic compounds and enzymes (amylase, lysozyme, IgA)

Question 7

Words for excess saliva

Answer 7

Sialorrhea or Ptyalism

Question 8

Word for deficient saliva

Answer 8

Xerostomia

Question 9

Causes of xerostomia

Answer 9

Sjogren's
Stress/anxiety
Mouth-breathing
Dehydrations
Meds
Radiation

Question 10

Blood supply to the SMG

Answer 10

Facial artery

Question 11

Functions of the marginal mandibular nerve

Answer 11

Innervate depressor mm for lower lip and chin

Question 12

Boundaries of the submandibular triangle

Answer 12

Mandible/mastoid (ant)
Anterior belly of digastric (medial)
Posterior belly of digastric (lateral)
Stylohyoid (posterior)

Question 13

Indications for SMG excision

Answer 13

Chronic sialadenitis
Sialolithiasis
Suspected neoplasm?
Sialarrhea

Question 14

How to avoid damaging the marginal mandibular nerve?

Answer 14

Do a subcapsular excision, NOT a subplatysmal flap. That way you will lift the nerve up with the deep cervical fascia over the gland