salivary glands

  1. what proportion of parotid are benign, submand are malig and subling are malig?
    • parotid 80% B
    • submand 60% M
    • subling 90% M
  2. 2 examples of benign tumours
    pleomorphic adenoma and warthins tumour (adenolymphoma). do superfiicial parotidectomy
  3. features of warthins
    • benign
    • bilateral, only in PAROTID
    • older age group
    • well delineated sometimes cystic
  4. features of pleomorphic adenoma?
    • commonest
    • slowly grow, painless no nerve involvement
    • firm solitary smooth
    • both mesenchymal and epithelial elements
  5. 3 examples of malignant tumours
    • mucoepidermoid carcinoma -low grade, good prog, parotid involvement common
    • adenocarcinoma
    • acinic cell carcinoma
  6. clinical features of parotitis 3 main
    • pus at duct opening
    • tender gland
    • hot gland
  7. different treatment of parotitis depending if viral or bact?
    • bacterial - iv antibiotics
    • viral - conservative
  8. causes of parotitis?
    • bacterial: staph, TB, actinomycoses
    • viral: mumps
  9. give 5 main causes of salivary gland SWELLING and subdivide one of them
    • mucocoele
    • inflammatory: infective (mumps), autoimmune (sjogrens), granulomatous (sarcoid)
    • neoplastic
    • calculi
    • idiopathic
  10. where is parotid gland found?
    in the cheek, behind the mandible
  11. what is the name of the parotid duct and where does it emerge?
    • stenson's duct
    • inner cheek opposite 2nd upper molar
  12. where does parotid gland emerge if swollen
    behind the jaw, between the angle and TMJ
  13. how can u differentiate between cervical lymphadenopathy and swollen parotid?
    • you can feel in front of lymph node
    • but cannot get in front of parotid gland
  14. where is submandibular gland located
    medial to the mandible
  15. what is the submandibular duct called and where is it located and where does it open?
    • wharton's duct
    • around mylohyoid
    • opens either side of frenulum of tongue
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salivary glands
salivary gland path