Surgery Of Salivary Glands Flashcards
What is Siadenitis?
Acute parotid inflammation, usually caused by virus. Results in Mumps Parotitis
What is Sialectasis?
Chronic parotid inflammation
What is Mikulicz’ syndrome
Enlargement of all the salivary glands
Sjorgen’s syndrome
Similar to mikulicz’s plus dryness of the mouth
Stones of the salivary glands are 30x more common in the submandibular than parotid, why?
The secretions of the sub-mandibular are more viscid.
What is the clinical picture of the stones
Pain and swelling of the gland when eating
Treatment of Meatal stone
Meatotomy and extraction
Treatment of Intraductal stone?
Open the duct in floor of mouth under nerve block
Treatment of Juxtaglandular stone
Gland excision only, as not to damage the ingual nerve
Intraglandular stone treatment?
Submandibular Sialadenectomy
We generally mention the rule of 80 when it comes to Benign tumors, explain it
80% in parotid, 80% pleomorphic adenoma, 80% in superficial lobe
We generally mention the rule of 80 when it comes to Benign tumors, explain it
80% in parotid, 80% pleomorphic adenoma, 80% in superficial lobe
Treatment of Pleomorphic Adenoma?
Superficial Parotidectomy
Explain Warthin’s tumor incidence and location
60+ years, male dominant 4:1, and in the tail of the parotid. Same treatment as any parotid tumor
Explain Warthin’s tumor incidence and location
60+ years, male dominant 4:1, and in the tail of the parotid. Same treatment as any parotid tumor
Most common Carcinoma?
Mucoepidermoid carcinoma
Most aggressive carcinoma that spreads perineurally and even intraracnially?
Adenoid cystic carcinoma
Clinical picture of carcinomas
Pain, rapid growth, facial nerve dysfunction leading to some face paralysis
Clinical picture of carcinomas
Pain, rapid growth, facial nerve dysfunction leading to some face paralysis
Clinical picture of carcinomas
Pain, rapid growth, facial nerve dysfunction leading to some face paralysis
Best imaging for a salivary tumor?
CT
What’s a Rannula
Blue cyst under the tongue
Rannula treatment
Deroofing
Rannula treatment
Deroofing
