Management of salivary gland disease Flashcards

1
Q

what types of glands are minor salivary glands

A

mostly mucous

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2
Q

minor salivary glands commonest pathology

A

mucus extravasation cyst

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3
Q

type of saliva in parotid

A

mixed seromucous but predominantly serous

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4
Q

type of saliva in submandibular gland

A

mixed seromucous gland

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5
Q

type of saliva in sublingual gland

A

mucous gland

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6
Q

what is sialadenitis

A

inflammation of the salivary glands caused by bacterial or viral infection

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7
Q

viruses causing sialadenitis

A

paramyxovirus
CMV
HIV

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8
Q

what is sialolithiasis

A

condition in which stones form in the salivary ducts and block the flow of saliva

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9
Q

obstructive sialadentitis presentation

A

recurrent episodes of transient prandial salivary gland swelling - back pressure causes swelling of the gland and pain

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10
Q

types of submandibular sialolith

A

intraductal
intraglandular

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11
Q

treatment for obstructive disorders

A

surgical removal of stone
removal of gland
eliminate trauma
basket retrieval of stones

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12
Q

mucous retention phenomenon in the sublingual gland

A

mucocele
ranula

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13
Q

what is sialometaplasia

A

traumatic inflammation to minor salivary glands of palate causing encores and inflammation

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14
Q

what is pleomorphic adenoma

A

benign tumour that affects major salivary glands

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15
Q

diagnosis - intermittent swelling

A

transient obstruction

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16
Q

diagnosis - persistent swelling

A

complete obstruction

17
Q

diagnosis - unilateral

A

obstructive or viral sialadenitis, if localised could be a tumour if diffuse could be sialadenitis

18
Q

diagnosis bilateral and diffuse

A

sjogrends

19
Q

prandial meaning

A

associated with meal times

20
Q

investigations

A

FNA
ultrasound
CT/ MRI

21
Q

how to investigate sjogrens

A

labial gland biopsy

22
Q

indications for surgery

A

chronic pain
repeated sialadentiis
benign/ malignant tumours

23
Q

post op for removal of submandibular gland

A

pain, swelling, bruising
scar
numbness of tongue
weakness of lower lip
weakness of tongue

24
Q

types of parotid surgery

A

extra capsular dissection
lobar resection
superficial parotidectomy
total parotidectomy

25
Q

post op complications of parotid surgery

A

pain, swelling, bruising
facial nerve injury
gustatory swelling
numbness around ear lobe
salivary fistula
infection
recurrence of tumour