Salivary Gland Ds

Question 1

The largest of the salivary glands and is predominantly serous with few
scattered mucous acini.

• Produces most stimulated saliva

Answer 1

Parotid gland

Question 2

What is the stetson’s duct?

Answer 2

Parotid gland opening into oral cavity

Question 3

 Below/anterior EAC (External
Acoustic Meatus)

 Posterior to mandibular ramus
and anterior to mastoid process
or temporal bone

Answer 3

Parotid gland

Question 4

_____ Nerve is embedded within the superficial and deep lobes of
the parotid gland.

Answer 4

Facial nerve

Question 5

It is a large salivary gland composed of a mixture of serous and mucous
acini.

Located in Submandibular triangle

Answer 5

Submandibular gland

Question 6

What is the wharthin’s duct?

Answer 6

Submandibular gland opening around lingual frenum

Question 7

Submandibular gland divided
into superficial and deep
lobes separated by
______

Answer 7

mylohyoid muscle.

Question 8

The superficial lobe of
the submandibular gland is in
the submandibular space, and
the deep lobe is situated in
the sublingual space where it
can be palpated intraorally.

Answer 8

Submandibular gland

Question 9

It is the smallest of the major salivary glands.

It is almond-shaped and lies beneath the mucous membrane of the floor
of the mouth close to the midline.

It is a mucous-secreting gland.

Answer 9

Sublingual gland

Question 10

Located on superior surface of mylohyoid muscle and separated from
oral cavity by thin later of mucosa

Answer 10

Sublingual gland

Question 11

_______ ducts (sublingual) consist of 8-20 smaller ducts called as Ducts of Rivinus
empties into floor or mouth near the punctum of Whartons ducts or on a crest
of sublingual mucosa called plica sublingualis or directly into Wharton’s
duct.

Answer 11

Bartholin’s ducts

Question 12

(Increase in saliva flow)
- Psychosis
- Mental retardation
- Certain neurological diseases
- Rabies
- Mercury poisoning

Answer 12

Sialorrhea

Question 13

(Decrease in saliva flow)
- Mumps
- Sarcoidosis
- Sjoegrens syndrome
- Lupus
- Post-irradiation treatment.

Answer 13

Xerostomia

Question 14

(Most Common and often recurrent benign salivary gland tumor

Answer 14

Pleomorphic adenoma

Question 15

Most common salivary gland malignancy

Answer 15

Mucoepidermoid tumor

Question 16

Which salivary gland tumor has perineural spread?

Answer 16

Adenoid cystic carcinoma

Question 17

Mechanical usually unilateral
diffuse glandular swelling

Answer 17

Sialolithiasis

Question 18

Mechanical obstruction usually causes unilateral diffuse glandular swelling

Answer 18

Salivary Calculi/ Stones (Sialolithiasis)

Question 19

Which gland are salivary stones most commonly found?

Answer 19

Submandibular

Question 20

_______ is the radiographic examination of the salivary glands.

It usually involves the injection of a small amount of contrast medium into
the salivary duct of a single gland, followed by routine X-ray projections.

Answer 20

Sialography

Question 21

Performed with stone is palpable within distal segment or anterior region of
whartons duct in submandibular gland.

Stone can be removed transorally if in the duct and easily palpable

-Don’t close the duct: leave open to avoid stenosis

Answer 21

Transoral Sialolithotomy with Sialodochoplasty

Question 22

___________ is an image-guided technique
for the evaluation and treatment of patients with obstructive disease of the
salivary glands.

Answer 22

Sialoendoscopy (salivary gland endoscopy)

Question 23

Where do mucoceles mostly occur?

Answer 23

Lower lip

Question 24

How do you avoid recurrence of mucoceles?

Answer 24

Excise the lesion and removal of adjacent minor salivary glands

Question 25

 A _______ usually presents as a translucent blue, dome
shaped, fluctuant swelling in the tissues of the floor of the mouth.

 Obstruction disorder usually involves the Sublingual gland

 Consist of mucin from rupture salivary gland

 Etiology: usually trauma to duct or gland

 Common in children

 Usually asymptomatic with exception to elevation in floor of mouth

Answer 25

ranula

Question 26

What two glands are usually affected in ranula?

Answer 26

Sublingual (mostly) and Sub mand

Question 27

How do you treat renula?

Answer 27

Removal of affected gland; can marsupialize too

Question 28

_____ ranulas dissect thru mylohyoid to produce swelling in the neck

Answer 28

Plunging/cervical

Question 29

How do you treat plunging/cervical ranula?

Answer 29

Remove glands: subling or submand or both

Question 30

________ is an inflammation of gland or duct. Inflammation of the
salivary glands can arise from various infectious and non-infectious causes.
– Obstruction,
– Bacterial infection (acute vs chronic),
– Viral (HIV, Mumps)
– Sarcoidosis,
– Sjogrens syndrome,
– Tumor,
– Irradiation,
– Malnutrition
Most bacterial infections arise as a result of ductal obstruction or
decreased salivary flow

One of the more common causes is recent surgery

Answer 30

Sialadenitis

Question 31

Is bacterial or viral Sialadenitis more common?

Answer 31

Bacterial