Salivary Gland Lesions 1 Flashcards
What is a mucocele? Clinical features? Treatment?
Ruptured salivary gland duct causes buildup of mucous.
- Often due to trauma, history of recurrent swelling that may rupture, Dome-shaped swelling, bluish-translucent
- Some heal on their own, if chronic, will need surgical excision of that gland.
What is a ranula?
Same as mucocele, but occurs specifically on floor of the mouth.
What is a sialolithiasis? Clinical Features?
Calcified structure within the salivary ductal system.
-Pain and swelling during eating, or increased salivation.
What is bacterial sialadenitis? Clinical features?
Blocked salivary gland can allow retrograde spread of bacteria.
-usually in parotid, acute pain, swelling, lymphadenopathy.
What is viral sialadenitis? (Mumps) Clinical features?
Paramyxovirual infection with swelling of salivary glands.
-Parotid most frequent with most being bilateral.
What is Necrotizing sialometaplasia? Clinical features?
Locally destructive inflammatory condition most likely due to ischemia.
-Mimics malignant process, most occur on posterior palate, biopsy to rule out cancer, resolves on its own.
What is Sarcoidosis? Features?
Multisystem, granulomatous disorder of unknown cause.
-Formation of noncaseating granulomatous inflammation, More common in African Americans, Oral leison, ocular involvement, skin lesions, slaivary gland enlargement.
What is Sjogren syndrome? PRimary and secondary? Clinical features?
Auto0immune destruction of salivary glands.
- P= Xerostomia + xerophthalmia
- S= sicca syndrome + autoimmune (arthritis, lupus).
- Femiales predominate, bilateral swelling, dry mouth,dry eyes.
What is sialadenosis? Associated with?
Catch all phrase for disorder characterized by salivary gland enlargement.
-Associated with diabetes, malnutrition, alcoholism, bulimia.
What is sialorrhea?
Excess salivary flow.
