Management of salivary gland disease Flashcards
what types of glands are minor salivary glands
mostly mucous
minor salivary glands commonest pathology
mucus extravasation cyst
type of saliva in parotid
mixed seromucous but predominantly serous
type of saliva in submandibular gland
mixed seromucous gland
type of saliva in sublingual gland
mucous gland
what is sialadenitis
inflammation of the salivary glands caused by bacterial or viral infection
viruses causing sialadenitis
paramyxovirus
CMV
HIV
what is sialolithiasis
condition in which stones form in the salivary ducts and block the flow of saliva
obstructive sialadentitis presentation
recurrent episodes of transient prandial salivary gland swelling - back pressure causes swelling of the gland and pain
types of submandibular sialolith
intraductal
intraglandular
treatment for obstructive disorders
surgical removal of stone
removal of gland
eliminate trauma
basket retrieval of stones
mucous retention phenomenon in the sublingual gland
mucocele
ranula
what is sialometaplasia
traumatic inflammation to minor salivary glands of palate causing encores and inflammation
what is pleomorphic adenoma
benign tumour that affects major salivary glands
diagnosis - intermittent swelling
transient obstruction
diagnosis - persistent swelling
complete obstruction
diagnosis - unilateral
obstructive or viral sialadenitis, if localised could be a tumour if diffuse could be sialadenitis
diagnosis bilateral and diffuse
sjogrends
prandial meaning
associated with meal times
investigations
FNA
ultrasound
CT/ MRI
how to investigate sjogrens
labial gland biopsy
indications for surgery
chronic pain
repeated sialadentiis
benign/ malignant tumours
post op for removal of submandibular gland
pain, swelling, bruising
scar
numbness of tongue
weakness of lower lip
weakness of tongue
types of parotid surgery
extra capsular dissection
lobar resection
superficial parotidectomy
total parotidectomy
post op complications of parotid surgery
pain, swelling, bruising
facial nerve injury
gustatory swelling
numbness around ear lobe
salivary fistula
infection
recurrence of tumour
