ENT - 2 Flashcards
What 3 structures does the parotid gland have close proximity to?
Facial nerve
External carotid artery
Greater auricular nerve
Where does the parotid duct exit into the mouth?
Through Stenson’s duct - Opposite the 2nd molar
What kind of fluid does the parotid secrete
Watery serous saliva
What supplies the parasympathetic innervation the parotid gland?
The Glossopharyngeal nerve - parasympathetic innervation - increase saliva production
Where does the submandibular duct enter the mouth?
Wharton’s duct - floor of the mouth
What kind of fluid does the submandibular secrete
Thick, mucoid saliva
What supplies the parasympathetic innervation to the submandibular gland?
Chorda tympani (branch of facial nerve) and the lingual nerve (branch of the mandibular nerve - division of the trigeminal nerve)
Presentation of Acute Silolithiasis ( Salivary Stasis)
Pain, firm swelling, pus discharge
Treatment of AS
Fluids, Abx if infection, warm compress
Where is the most common gland for AS
Submandibular gland
What is Sjorgen’s syndrome
Autoimmune destruction of acinar and ductal cells in the moisture producing glands of the body
2 main symptoms of Sjorgens syndrome
Dry eyes and mouth
2 disease Sjorgens syndrome is associated with
Non-hodgkin lymphoma and RA/SLE
Treatment of SS
Oral hygiene and salivary substitutes
Most common site and type of salivary gland tumour?
80% Parotid
80% of those are benign
80% of those are pleomorphic adenoma
Red flags of Laryngeal Cancer
Hoarse voice, stridor, dysphagia, lump in neck, unilateral otalgia
