Salivary Glands

Question 1

What causes dry mouth?( xerostomia)

Answer 1

• irradiation of hess. and neck
• Tricyclic antidepressants
• anxiety
• sjögren syndrome

Question 2

How do you treat xerostomea?

Answer 2

• carboxymethylcellulose saliva
  -Glandosane spray
  -saliva Orthana
  These helps
• sugar free chewing gums
• pilocarpine ( increases salivary flow at expense of unwanted effects )

Question 3

What is sialorrhoe?

Answer 3

Drooling due to:
Inflammatory condition 
Neurological disorder 
Mercury poisoning
Rabies 
Problems with swallowing

Question 4

What is dislodenitis?

Answer 4

Inflammation of major salivary gland

Question 5

What is sialosis?

Answer 5

Non- inflammatory , non - neoplastic swelling of major salivary glands.
Usually parotid
Usually bilateral

Question 6

Salivary gland tumours

Answer 6

80% are benign
80% occur in parotid
80% are superficial
Majority are : pleomorphic adenoma

Question 7

Name salivary gland tumours and explain about each one.

Answer 7

Commonest : Pleomorphic adenoma ( parotid ),benign

In children : lymphangioma and haemangioma are the comments in salivary gland of the children

Adenolymphoma: in parotid

Adenoid cystic carcinoma : more commonly in minor than major

Question 8

What are the signs of a salivary gland to show they are malignant?

Answer 8

Tumours of submandibular , sublingual and minor are more likely malignant than those in parotid

Pointers to malignant change in salivary gland tumours are :

1) fixation to surrounding tissue ,
2) nerve involvement , particularly facial nerve involvement in parotid tumours
3) pain
4) rapid growth
5) lymphadenopathy

Question 9

Name few rare salivary tumours ( malignant )

Answer 9

Mucoepidermoid carcinoma
Acidic cell carcinoma
Monomorphic adenoma ( benign )