ENT - Salivary Glands Flashcards
What nerve creates an artificial separation of superficial and deep in the parotid gland?
Facial nerve
What do you biopsy to definitely diagnose Sjogrens?
Minor salivary glands of lower lip
What is the difference between ptyalism and sialorrhea?
Ptyalism - drooling
Sialorrhea - excessive production
Is Xerostomia central or gland related? What is the most common cause?
Gland - meds are huge
What is the thing that FNA are not great at diagnosing?
Lymphoma
Where are acute sialolithiasis are most commonly found?
Submandibular gland
Which gland of then has radioluscent stones?
Parotid
What are symptom differences between acute sialadentis and sialolithiasis?
Sialadentis - redness, pain, constant
Sialolithisis - intermittent discomfort
If radiation in a patient is >40-50 gy, is radiation sialedintis permanent? 2gy day for 5-7 weeks
Yes
What population is Sjogren common in? ASsociated with what?
Middle age women
Associated with non-hodgkin’s lymphoma
Are necrotizing sialometaplasia lesions malignant? What two things are it often mistaken for
No
SCC or mucoepidermoid cancer
What are the most common salivary gland tumors in children? Most common SG malignancy in children?
Hemangioma and pleomorphic adenoma - most common
Mucoepidermoid tumors - most common SG malignancy
If you see a hemangioma on the skin, where else should you look for one?
Parotid gland
Which salivary gland tumor is known for insidious growth, perineural spread, and reoccurence/distal metastisis even >5 years after?
Adenoid Cystic Carcinoma
What is the most common submandibular and minor salivary gland malignancy?
Adenoid Cystic carcinoma
