Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OBMP Exam 2 > Surgical Considerations for Salivary Pathologies > Flashcards

Surgical Considerations for Salivary Pathologies Flashcards

1
Q

We produce _____ of saliva daily

A

500-1500ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Viscosity of Parotid secretions

A

watery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Viscosity of Submandibular

A

Semiviscous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Viscosity of Sublingual

A

Viscous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Viscosity of Minor glands

A

Viscous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which gland produces the most saliva daily?

A

Submandibular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Surgical concerns by parotid gland

A

Facial nerve, mastoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Surgical concerns in Submandibular gland

A

Marginal mandibular nerve, lingual nerve, hypoglossal nerve, facial artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Surgical concerns in sublingual gland

A

Lingual nerve, submandibular duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Surgical concerns in minor salivary glands

A

Dependent on location, oral cavity, pharyngeal, sinus/skull base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Acute sialadenitis most commonly

A

Parotitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Chronic sialadenitis most commonly occurs in

A

Submandibular gland due to position of gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Risk factors of sialadenitis

A

dehydration, immobility, immunocompromised state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Acute tx of sialadenitis

A

antibiotics and gland massage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Surgical intervention reserved for acute infections with

A

abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Salivary stones most common in

A

Submandibular gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Salivary stones are made up of

A

Calcium phosphate+glycoproteins/mucopolysaccharides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Salivary stone clinically present as

A

recurring episodes of swelling and pain associated with meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Imaging for salivary stones

A

CT, MRI, Ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

_____ stones may be radiolucent on xray

A

Parotid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

MRI sialography used more often than ____

A

digital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Stone tx

A
  • small stones may be expressed by palpation
  • transoral: <2 cm from Wharton’s duct (do not need to close), Parotid stones medial to masseter (stenting often required due to stenosis
  • Larger, proximal stones require gland removal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Useful technique for chronic sialoadenitis and small stones.

A

Sialoendoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Size of stone scopes

A

0.8-1.6mm

25
Q

Techniques for stone scopes

A
  • Irrigation of gland
  • Steroid irrigation
  • Stricture dilation
  • Basket retrieval
  • Drills/Laser
26
Q

Pseudocyst arising from sublingual gland extending into submandibular space via defect in mylohyoid

A

Plunging ranula

27
Q

Plunging ranula tx

A

Transoral resection of sublingual gland (Avoid transcervical approach)

28
Q

Parotid tumors are

A

75% benign

29
Q

Most common parotid salivary gland tumor

A

pleomorphic adenoma

30
Q

T or F: Increasing incidence of malignancy with decreasing gland size

A

T (85% of minor salivary gland tumors are malignant)

31
Q

Salivary tumors are

A

slow-growing and painless

32
Q

_____ suggest malignancy

A

pain, numbness, nerve weakness

33
Q

Fine needle aspiration has a ___ false negative rate

A

5%

34
Q

Incision for parotidectomy

A

Modified Blair or Facelift incision

35
Q

Parotidectomy can cause facial nerve injury and is permanent in ___ of cases

A

4%

36
Q

Parotidectomy may cause

A

greater auricular nerve injury, salivary fistula, Frey’s syndrome and first bite syndrome.

37
Q

Frey’s syndrome happens in 35-60% of cases and is

A

gustatory sweating

38
Q

Encapsulated, 25% with pseudopodia or satellite lesions, 10-12 % isolated deep lobe/parapharyngeal tumors

A

Pleomorphic adenoma

39
Q

Need to take a cuff of parotid tissue. Tissue spillage may lead to recurrence years later.

A

Pleomorphic adenoma

40
Q

1.5% malignant transformation at 5 years (10% if >15 years)

A

Pleomorphic adenoma

41
Q

Bilateral, multifocal with no malignant potential

A

Warthin’s tumors

42
Q

___ are suspected is deep to retromandibular vein on CT

A

Deep lobe tumors

43
Q

Transparotid approach of deep lobe tumors

A

High incidence of neuropraxia, often able to spare superficial lobe for facial contour, higher incidence of first bite syndrome

44
Q

Facial nerve grafts grow about ___ per day

A

1mm

45
Q

Management of eye lip with

A

lateral tarsal strip

46
Q

Painless facial paralysis over 48-72 hours

A

Bell’s palsy

47
Q

Facial paralysis with parotid tumor

A

Malignancy

48
Q

Careful dissection around tumor with cuff of normal parotid without facial nerve identification.

A

Extracapsular dissection

49
Q

Safe submandibular gland removal involves protection of the ____ and _____

A

marginal mandibular nerve, lingual nerve

50
Q

In parotidectomy, every effort should be made to preserve the ____ nerve, even in malignancy

A

facial

51
Q

____ nerve weakness signals malignanct

A

facial

52
Q

In cases of skull base proximity or perineural invasion, ____________consultation is necessary.

A

neurotologic and/or neurosurgical

53
Q

Minor salivary gland malignancy may occur anywhere in the upper aerodigestive tract and is treated with _____

A

complete surgical resection

54
Q

Neck dissection is recommended for

A

high grade histologies, clinically positive nodes, and advanced T stage

55
Q

Multidisciplinary care is often needed for treatment of

A

Salivary cancers

56
Q

small stones may be treated with

A

trans-oral cut-down or sialadenoscopy

57
Q

Larger, intraglandular stones require _____ of the gland

A

removal

58
Q

Plunging ranula is treated by _____ of the sublingual gland transorally, despite the location of the pseudocyst in the submandibular triangle

A

resection

OBMP Exam 2 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions