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Y3R6: Surgery I 👨‍⚕️ > L9: Salivary Gland Benign Diseases > Flashcards

L9: Salivary Gland Benign Diseases Flashcards

1
Q

Def of Sialadenitis

A

Inflammation of salivary glands

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2
Q

Types of Sialadenitis

A
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3
Q
  • A disease that is Endemic is found in a certain geographic region or in a specific race of people. Malaria is endemic to parts of Africa.
  • Epidemic describes a disease that is widespread, affecting a large number of individuals within a population, community, or region at the same time.
A

..

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4
Q

Predisposing factors of Acute Suppurative Sialadenitis

A
  • Bad oral hygiene.
  • Salivary duct obstruction by food particles, F.B. or stone.
  • Dehydration (postoperatively).
  • Debility.
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5
Q

Organism Causing Acute Suppurative Sialadenitis

A
  • Staph. aureus (commonest),
  • Streptococci and Pneumococci.
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6
Q

Roue of entry of Acute Suppurative Sialadenitis

A
  • Direct → along duct from mouth (commonest), or from a nearby focus.
  • Blood borne.
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7
Q

what is the most commonly affected gland by Acute Suppurative Sialadenitis?

A

Parotid Gland

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8
Q

Pathology of Acute Suppurative Sialadenitis

A
  • The parotid is the commonest gland involved.
  • The gland and duct are congested edematous and may suppurate.
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9
Q

CP of Acute Suppurative Sialadenitis

A
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10
Q

Investigations for Acute Suppurative Sialadenitis

A
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11
Q

Complications of Acute Suppurative Sialadenitis

A
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12
Q

TTT of Acute Suppurative Sialadenitis

A
  • Conservative
  • Surgical
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13
Q

Conservative TTT of Acute Suppurative Sialadenitis

A
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14
Q

After 3 days of conservative treatment, patient either:

A
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15
Q

Indications of Surgical TTT of Acute Suppurative Sialadenitis

A

1) Failure of conservative treatment.

2) If there are signs of suppuration (abscess formation).

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16
Q

Procedure for Removal of Parotid abcess

A
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17
Q

Procedure for Removal of Submandibular abcess

A
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18
Q

Etiology of Chronic Sialadenitis

A
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19
Q

Pathology of Chronic non-Calcular Sialadenitis

A
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20
Q

what is the most commonly affected gland by Chronic Sialadenitis?

A

Submandibular

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21
Q

Pathology of Chronic calcular Sialadenitis

A
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22
Q

why is Chronic Sialadenitis more common in submandibular Gland?

A
  • Secretions of submandibular are more viscid.
  • Its duct opens in floor of mouth → obstruction by food.
  • Drainage of submandibular gland is independent.
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23
Q

Composition of salivary stones

A

Ca, Mg phosphate & carbonate.

24
Q

CP of Chronic Sialadenitis

A
25
Q

Chracters of Pain in Chronic Sialadenitis

A
  • Dull aching pain if the stone is in the gland.
  • Colicky pain if it is in duct.
26
Q

Where does Chronic Sialadenitis pain refer to?

A
  • May refer to tip of the tongue or teeth due to irritation of lingual nerve as it hooks around submandibular duct.
27
Q

What Increases Chronic Sialadenitis pain?

A

Increases with meal & mastication.

28
Q

Characters of swelling in Chronic Sialadenitis

A
  • The gland is enlarged & its size is increased after meal.
  • Stone in submandibular duct may be felt in the mouth floor.
29
Q

Signs of Chronic Sialadenitis

A
30
Q

Investigations for Chronic Sialadenitis

A
31
Q

DDx of Sialadenitis

A
32
Q

Compare between Enlarged submandibular salivary gland & Enlarged Submandibular lymph node in terms of:

  • Number
  • Lemon Test
  • Rolling
  • Bidigital Examination
  • CP
A
33
Q

Complications of Chronic Calicular sialadenitis

A
34
Q

Complications of Chronic non-Calicular sialadenitis

A
35
Q

TTT of Parotid Gland Calcular Sialadenitis

  • When the stone is in the duct
A

Can be removed intraorally.

36
Q

TTT of Parotid Gland Calcular Sialadenitis

  • When the stone is in the gland
A
  • Total conservative parotidectomy, because superficial parotidectomy leads to postoperative salivary fistula due to diseased cystic deep lobe.
37
Q

TTT of Submandibular Gland Calcular Sialadenitis

  • When the stone is Peeping from the orifice
A

meatotomy

38
Q

TTT of Submandibular Gland Calcular Sialadenitis

  • When the stone is in the duct
A
39
Q

TTT of Submandibular Gland Calcular Sialadenitis

  • When the stone is recurrent or found in the gland
A
  • Submandibular sialoadenectomy
40
Q

TTT of Submandibular Gland Calcular Sialadenitis

  • When the stone is in the gland
A
41
Q

Complications of Submandibular sialoadenectomy

A
42
Q

Def of Von Mikulicz Disease

A
43
Q

Payhology of Von Mikulicz Disease

A

The salivary glands are the seat of heavy lymphocytic infiltration

44
Q

Comlications of Von Mikulicz Disease

A

It is precursor of lymphoma of salivary gland

45
Q

TTT of Von Mikulicz Disease

A

The disease responds to prednisolone

46
Q

What is Von Mikulicz Disease associated with?

A

The syndrome includes also:

  • Narrowing of the palpebral fissure due to enlargement of lacrimal gland
  • Dry mouth
47
Q

Sjogren syndrome

A

Dry mouth
Dry eyes
Generalized arthritis

48
Q

Sicca syndrome

A

Dry mouth
Dry eyes.

49
Q

Def of Mucocele

A
  • It is a retention cyst which affects either minor salivary glands (in oral cavity especially in the buccal mucosa) or in the major salivary glands.
50
Q

What is a complication of Mucocele?

A

Sialocele due to trauma to the salivary ducts leading to extravasation of the secretion

51
Q

TTT of Mucocele

A

Excision of the cyst (and the minor salivary gland if it is arising from it)

52
Q

Def of Ranula

A
  • A mucocele of the sublingual salivary gland, it presents as large tense bluish swelling in the floor of the mouth which displaces the tongue.
53
Q

Complications of Ranula

A

Ranula may push its way through the mylohyoid raphe & protrude to the neck: plunging ranula.

54
Q

TTT of Ranula

A

Deroofing & excision of the sublingual salivary gland

55
Q

Done

A

…

Y3R6: Surgery I 👨‍⚕️ (36 decks)

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