Salivary Gland Disease

Question 0

Localised an diffuse swellings can be?

Answer 0

Acute and chronic

Question 1

What are the causes of swelling of salivary glands?

Answer 1

Intermittent

Persistent : localise and diffuse

Question 2

What is an example of an intermittent discrete swelling?

Answer 2

Minor salivary gland extravasion cyst

Ranula

Question 3

What is a ranula?

Answer 3

This is a mucocele from the sublingual and SM glands which is 2-3 cm in diameter in the FOM

Soft fluctuant and bluish

Question 4

What are examples of intermittent diffuse swellings?

Answer 4

Meal Time syndrome
Calculus
Stricture

Question 5

How do you manage calculus?

Answer 5

If symptoms 1/2 a year do nothing
Basket restirval: needs to br mobile and small
Surgical removal:when in distal third of duct via intro oral approach
Surgical removal of gland

Question 6

What is recurrent sialedenitis? Where is it most common?

Answer 6

This is actute infection of the major salivary gland

Parotid

Question 7

What predisposes of recurrent sialedenitis?

Answer 7

Calculi
Strictures
Xerostomia (sjorgen, diabetes, dehydrations, radiotherapy)
Recurrent parotitis of childhood

Question 8

What is an actute persistent swelling of salivary gland?

Answer 8

Mumps

Question 9

What causes mumps?

Answer 9

Paramyxovirus

Question 10

T/F mumps may involve other salivary glands?

Answer 10

T

Question 11

What is an example of a chronic diffuse swelling of salivary glands?

Answer 11

Sailosis
Sjorgen 
Immunodef 
Sarcoidosis 
Masseteric hyoertrohy

Question 12

What percentage of people with sjorgen develop lymphoma? And why type is it!

Answer 12

Maltoma

5%

Question 13

What is the cause of salivary swelling in HIV?

Answer 13

Bilateral lymphoepithelual lesions

Lymphoma

Question 14

In sarcoidosis which salivary glands are morse commonly swollen?

Answer 14

SM more than parotid

Question 15

When would you consider masseteric hyoertrohy?

Answer 15

When the position of the hilum Of more the. 15-18mm lateral to outer cerebral cortex

Question 16

What percentage of salivary gland tumours are in parotid?

Answer 16

80%

85% benign
75% pleiomorphoc adenoma
15% malignant

Question 17

What percentage of tumours are in minor salivary gland? And what percentage are malignant?

Answer 17

10%

45% malignant

Question 18

What percentage of tumours occur in sublingual and what percentage are malignant?

Answer 18

0.3%

86%malognant

Question 19

What percentage of tumours occur in submandibular glands and what percentage are malignant?

Answer 19

12%

30% malignant

Question 21

What are the feature of a malignant salivary gland neoplasm?

Answer 21

Sometimes Fast growing
Sometimes Harder consistentcy
Usually minor glands and SL
Maybe fixed
May ulcerate
May cause cranial nerve palsy

Question 22

What age group and gender are most salivary neosplasms seen in?

Answer 22

Older

Female

Question 23

What are the predisposing factors to salivary gland neoplasm?

Answer 23

Breast cancer

Question 24

What are the features of a benign tumour?

Answer 24

Slow growing
Soft rubbery
85% parotid tumours benign
Do not ulcerated
No cranial nerve palsy

Question 25

What are the most common causes of dry mouth?

Answer 25

Systemic disease Drugs Mouth breathing Psychosocial causes

Question 26

What is the management for dry mouth?

Answer 26

``` Artificial saliva Xylitol contains gels eg biotene Topical sialogogic mediation Systemic sialogogic medication eg pilocarpine Fluorides ```

Question 27

Which syemtic disease is associated with hypo salivation?

Answer 27

Diabetes Chronic kidney disease COPD

Question 28

What is the effect of radiotherapy on salivary glands?

Answer 28

Radiation indices inflammation of glandular tissue and fibrosis

Question 29

What are the causes of halitosis?

Answer 29

``` Oral biofilm Dry mouth Starvation Smoking Drugs Diabetes GI Hepatic Renal Resp and nasal ```

Question 30

Which chemical cause halitosis?

Answer 30

VSC Short chain fatty acids Polyamines