Salivary Glands

Question 1

What are the 3 salivary glands?

Answer 1

Parotid (serous)- most tumours
Submandibular (mixed)- most stones
Sublingual (mucous)

Question 2

What are signs of salivary gland malignancy

Answer 2

Short history
Painful
Hot skin
Hard
Fixed
CNVII involvement

Question 3

What is the prevalence of salivary gland malignancy?

Answer 3

Most tumours occur in parotid gland

80% of them are benign pleomorphic adenomas

Question 4

What are signs of a pleomorphic adenoma?

Answer 4

Middle aged
Slow growing
Painless lump

Question 5

What are signs of Warthin’s tumour?

Answer 5

Male 
Middle aged
Soft
More mobile
Fluctuant

Question 6

What are signs of salivary gland stones?

Answer 6

Pain/swelling made worse by eating

Can become infected leading to Ludwigs Angina

Question 7

What is Ludwigs Angina?

Answer 7

Progressive cellulitis that invades the floor of the mouth and soft tissues of the neck
Neck swelling/dysphagia/fever
Emergency as airway obstruction can occur very quickly after

Management
-airway support and IV abx