Laryngeal Cancer and Salivary glands ENT

Question 1

which location= MC for laryngeal cancer

Answer 1

GLOTTIC

Question 2

GLOTTIC Laryngeal cancer

Answer 2

MC
SLOW growing
LATE mets
EARLY PC dysphasia

Question 3

SUPRAglottic Laryngeal cancer

Answer 3

less common
LATE PC
METS – since more lymphatics

Question 4

TEP=

Answer 4

tracheo
esophageal
puncture

Question 5

general trend in laryngeal cancer

Answer 5

decrease surgery
increase Ctx/Rtx
decrease survival
increase co-morbidities
MORAL OF THE STORY= DO MORE SURGERY

Question 6

superficial temporal vein+

Answer 6

internal max vein= retromandibular vein

Question 7

retromandibular vein +

Answer 7

postauricular vein= EJV

Question 8

deep arteries of parotid gland

Answer 8

ECA
internal max
superficial temporal

Question 9

pleimorphic adenoma=

Answer 9

MOST COMMON BENIGN parotid tumor

Question 10

papillary cystadenoma lymphomatosum=

Answer 10

warthin’s tumor–#2

Question 11

epithelial tumors

Answer 11

mucoepidermoid= MC
adenoid cystic
acinic

Question 12

risk factors for salivary gland tumors

Answer 12

• Radiation- acne, post-tx

- Smoking

Question 13

smoking= risk factor for…

Answer 13

PCL= WATHINS

NOT for malignant

Question 14

MC location parotid tumors

Answer 14

tail of parotid

Question 15

MC location submandibular tumors

Answer 15

diffuse enlargement

Question 16

MC location sublingual tumors

Answer 16

floor of mouth

Question 17

medical treatment for both acute sialadenitis and sialolithiasis

Answer 17

• hydration
• compression and massage
• antibiotics (clindamycin)

+ sialologues– acute sialadenitis
+ STOP smoking– acute sialadenitis

Question 18

surgery for acute sialadenitis

Answer 18

incise and drain
OR excision (recurrent or refractory)

Question 19

surgery for sialolithiasis

Answer 19

• endoscopic: duct cannulation with stone removal

- excision (Recurrent)