Head And Neck

Question 1

What’s the difference between Sialadenitis and Sialadenosis?

Answer 1

Sialadenitis: painful swelling/inflammation in the Salivary gland

Sialadenosis: nonpainful bilateral enlargement of mandibular (usually) gland

Question 2

What is the most commonly affected gland in the dog with salivary mucoceles?

Answer 2

Sublingual

(monostomatic portion)

Question 3

What type of incision should we use when performing a parotid gland adenectomy vs mandibular/sublingual one?

Answer 3

Parotid: vertical incision

Mandibular/sublingual: more horizontal/following jawline

Question 4

What the hell is a salivary mucocoele anyhow?

Answer 4

accumulation of saliva within a nonepithelial, nonsecretory lining
(soft, nonpainful swelling)

so the bag of saliva that forms around it is not a cyst, it’s granulation tissue lining, trying to wall off.

Question 5

What is a ranula?

Answer 5

an accumulation of saliva in the intermandibular space

(sublingual/submucosal swelling)

Question 6

What is the definitive treatment for salivary mucocoeles?

Answer 6

surgical removal of the involved gland
​*EXCEPT: parotid sialocele d/t duct rupture*

Question 7

Failure to identify and ligate which vessels (on dorsomedial aspect) can result in significant bleeding if cut during dissection in accessing a salivary mucocele with large ranula?

Answer 7

greater auricular artery and vein

(enter capsule on its dorsomedial aspect)