salivary glands

Question 1

describe the location of a parotid gland swelling

Answer 1

swelling that travels down the face into the anterior triangle

Question 2

describe the location of a submandibular gland swelling

Answer 2

swelling that appears in the superior portion of the anterior triangle, under the angle of the mandible

Question 3

salivary gland stone presentation

Answer 3

• dry mouth
• pain and swelling of gland that is aggravated by eating
• submandibular -> pain under tongue
• parotid -> pain over face
• on examination -> red, swollen and tender submandibular gland (potentially palpable stone)

Question 4

salivary gland stone diagnosis

Answer 4

• mouth x-ray
• sialography (mouth x-ray with dye injected into gland)

Question 5

salivary gland stone management

Answer 5

sialoendoscopy (removal of stone)

Question 6

which is salivary gland is most commonly affected by infection and malignancy

Answer 6

parotid

Question 7

salivary gland infection causes

Answer 7

• staph A, TB, HIV
• bilateral -> mumps
• could be sarcoidosis

Question 8

salivary gland infection presentation

Answer 8

• painful and swollen parotid
• unpleasant taste in mouth

Question 9

salivary gland infection management

Answer 9

flucloxacillin and metronidazole 5 days

Question 10

pleomorphic adenoma presentation

Answer 10

• unilateral
• women > 40
• most common tumours of parotid gland
• slow grow, smooth and mobile
• painful mass
• benign

Question 11

Warthin’s tumour presentation

Answer 11

• bilateral
• men > 50
• painful mass
• benign

Question 12

most common malignant salivary gland tumour in the UK

Answer 12

adenoid cystic carcinoma

Question 13

most common malignant salivary gland tumour worldwide

Answer 13

mucoepidermoid carcinoma

Question 14

malignant salivary gland tumour presentation

Answer 14

painful mass with facial nerve palsy