Salivary Gland Enlargement Flashcards
What are some general causes for changes in gland size?
- viral infection
- secretion retention
- gland hyperplasia
What are examples of viral infections that can cause changes in gland size?
- mumps
- HIV
What are some examples of causes of secretion retention leading to changes in gland size?
- mucocele
- duct obstruction
What are some causes of gland hyperplasia that leads to changes in gland size?
- Sialosis
- Sjogrens syndrome
What age range typically catches mumps?
18-25 years old
What are some symptoms associated with Mumps?
- headache
- joint pain
- nausea
- dry mouth
- mild abdominal pain
- pyrexia
- loss of appetite
How is mumps treated in a child?
Symptomatic treatment only (no antiviral medication)
- increase fluids
- medication to help with headaches etc
How can you tell if a patient has increased gland size from mumps or HIV?
Mumps will have associated pyrexia/headache/joint pain etc. Whereas HIV will not.
What is a mucocele?
Obstruction of a minor gland that causes a swelling in the mucosa that fills with saliva
Where are common sites for mucocele development?
- junction hard/soft palate
- lower lip
What are mucoceles commonly caused by?
Minor trauma
Do mucoceles require treatment?
NO unless the mucocele becomes fixed in size
What is a common cause of subacute obstruction of salivary gland swelling?
Swelling associated with meals, increases as salivary flow starts & reduces when it stops
What gland is usually involved with a subacute obstruction swelling?
Submandibular (but occasionally the parotid)
Subacute obstruction in the submandibular gland is usually caused by what?
Duct blockage
