Disease of the Salivary Glands

Question 1

What is this a presentation of?

Elderly/debilitated patient dehydrated with poor oral hygiene, painful diffuse swelling of gland, fever.

Answer 1

Sialadenitis

Question 2

What is the management of sialadenitis?

Answer 2

Antibiotics and good oral hygiene

Question 3

What is this a presentation of?

Pain and tense swelling during/after meals, palpable stone at the floor of the mouth.

Answer 3

Sialolithiasis

Question 4

What is the management of sialolithiasis?

Answer 4

Plain x-ray, small stone pass on their own, large stones need surgical excision.

Question 5

What is sialolithiasis?

Answer 5

Salivary gland calculus (majority in submandibular gland)

Question 6

What is the most common location and type for salivary gland tumours?

Answer 6

1. Parotid gland
2. Benign pleomorphic adenomas
   (50% of submandibular gland tumours are malignant)

Question 7

What is this a presentation of?

Hard, fixed pass +/- pain, lymph node ulceration, no change in size of lump when eating, associated CN VII palsy.

Answer 7

1. Malignant parotid gland tumour (mucoepidermoid tumour)

2. Benign parotid gland tumour (pleomorphic adenoma/Warthin’s tumour)