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Transcript of salivary diseases
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Dr. Saleh Al Salamah
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1. Introduction
2. Evaluation of Salivary Disease
3. Inflammatory Diseases
4. Salivary Gland Stones (Sialolithiasis)
5. Salivary Retentions Cysts and Mucous
Cysts
6. Salivary Fistulas and Sialoceles
7. Salivary Gland Tumors
8. Rare Autoimmune Diseases
9. Salivary Diseases in Childhood
1. Introduction
2. Evaluation of Salivary Disease
3. Inflammatory Diseases
4. Salivary Gland Stones (Sialolithiasis)
5. Salivary Retentions Cysts and Mucous
Cysts
6. Salivary Fistulas and Sialoceles
7. Salivary Gland Tumors
8. Rare Autoimmune Diseases
9. Salivary Diseases in Childhood
Diseases of theDiseases of the
SALIVARY GLAND:SALIVARY GLAND:
Diseases of theDiseases of the
SALIVARY GLAND:SALIVARY GLAND:
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INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION
a) Major groups of salivary glands which
are consists three major glands, theparotid, submandular and sublingual
glands. The parotid produces
mucous secretions. The parotid and
sub- mandular glands each drain intothe mouth in a single long duct.
Where as the sublingual glands drain
via many small ducts.
a) Major groups of salivary glands which
are consists three major glands, theparotid, submandular and sublingual
glands. The parotid produces
mucous secretions. The parotid and
sub- mandular glands each drain intothe mouth in a single long duct.
Where as the sublingual glands drain
via many small ducts.
There are Major and Minor groups ofSalivary Glands:
There are Major and Minor groups ofSalivary Glands:
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b) Minor groups of salivary glandsmay be found in the lips, cheeks,
tongue, floor of the mouth, palate,larynx, trachea and tonsils andlacrymal gland. And all are liableto undergo the same pathologicalchange as the major groups.
b) Minor groups of salivary glandsmay be found in the lips, cheeks,
tongue, floor of the mouth, palate,larynx, trachea and tonsils andlacrymal gland. And all are liableto undergo the same pathologicalchange as the major groups.
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The Salivary glands secrets saliva
which contains the enzyme amylase
(protein of molecular wt. 50,000.
Containing calcium which splitsstarch and glycogen into maltose) all
the secretory activity is regulated
mainly by parasympathetic nerves.
The Salivary glands secrets saliva
which contains the enzyme amylase
(protein of molecular wt. 50,000.
Containing calcium which splitsstarch and glycogen into maltose) all
the secretory activity is regulated
mainly by parasympathetic nerves.
FUNCTIONS:FUNCTIONS:FUNCTIONS:FUNCTIONS:
The total salivary secretion is between
1,000 ml 1,500 ml daily and is almost
all the result of stimulation.
The total salivary secretion is between
1,000 ml 1,500 ml daily and is almost
all the result of stimulation.
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DeficiencyDeficiency oof the saliva cause dry
mouth (xerostormia)
eg: Dehydration, Sjogrens syndrome,
atropine which blocks the action of
parasympathetic nerves on theglands.
DeficiencyDeficiency oof the saliva cause dry
mouth (xerostormia)
eg
: Dehydration, Sjogrens syndrome,
atropine which blocks the action of
parasympathetic nerves on theglands.
DeficiencyDeficiencyDeficiency
Deficiency
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Evaluation of theEvaluation of the
SALIVARY GLANDSSALIVARY GLANDS Diseases:Diseases:
Evaluation of theEvaluation of the
SALIVARY GLANDSSALIVARY GLANDS Diseases:Diseases:
a. History: Age, pain, swelling, duration etc..
b. Clinical Examination: (Position (site), colour,temperature, tenderness, shape, surface. Edge,
composition, relation, lymphatic drainage.c. Investigations:
I. Blood (CBC), Hb, Urea and Electrolytes, BloodSugar etc..
II. Constituents of saliva in inflammatory diseases.The sodium increased while the phosphate
level is decreased. The albumin usually very lowbut increased in Sjogrens diseases, also
antibodies can be demonstrated.
a. History: Age, pain, swelling, duration etc..
b. Clinical Examination: (Position (site), colour,temperature, tenderness, shape, surface. Edge,
composition, relation, lymphatic drainage.c. Investigations:
I. Blood (CBC), Hb, Urea and Electrolytes, BloodSugar etc..
II. Constituents of saliva in inflammatory diseases.The sodium increased while the phosphate
level is decreased. The albumin usually very lowbut increased in Sjogrens diseases, also
antibodies can be demonstrated. Contd.
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III. Radiology:
a)a) PlainPlain XX--rayray ( (2020%% ofof salivarysalivary
calculicalculi areare nonnon--opaqueopaque toto XX--
rays)rays)
b)b) SialogramSialogram
Radiology is helpful in the diagnosis of;
CalculiCalculi
DegreeDegree ofof glandularglandular damagedamage ininobstructionobstruction
DuctDuct stricturesstrictures
DuctDuct fistulasfistulas andand sialocelessialoceles
III. Radiology:
a)a) PlainPlain XX--rayray ( (2020%% ofof salivarysalivary
calculicalculi areare nonnon--opaqueopaque toto XX--
rays)rays)
b)b) SialogramSialogram
Radiology is helpful in the diagnosis of;
CalculiCalculi
DegreeDegree ofof glandularglandular damagedamage ininobstructionobstruction
DuctDuct stricturesstrictures
DuctDuct fistulasfistulas andand sialocelessialoceles Contd.
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IV. Ultrasound distinguishes solid tumourfrom the rare cyst and sialocales.
VV.. Radio Isotopes: Tc 99 warthins tumours
may take up more of the isotopes andappear as (hot) lesion. Carcinoma take
up very little and appear cold.
VI. C AT scanning has definite place in theassessment of deep parotid tumours.
IV. Ultrasound distinguishes solid tumourfrom the rare cyst and sialocales.
VV.. Radio Isotopes: Tc 99 warthins tumours
may take up more of the isotopes andappear as (hot) lesion. Carcinoma take
up very little and appear cold.
VI. C AT scanning has definite place in theassessment of deep parotid tumours.
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Acute bacterial sialadenitis
Chronic sialadenitis
Recurrent sialadenitis
Mumps
Post operative usually parotid
Autoimmune diseases
Acute bacterial sialadenitis
Chronic sialadenitis
Recurrent sialadenitis
Mumps
Post operative usually parotid
Autoimmune diseases
Inflammatory diseases of theInflammatory diseases of thesalivary glands:salivary glands:Inflammatory diseases of theInflammatory diseases of thesalivary glands:salivary glands:
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Acute Bacterial Sialadenitis:Acute Bacterial Sialadenitis:Acute Bacterial Sialadenitis:Acute Bacterial Sialadenitis:
This condition is now uncommonalmost always occurring in elderly
or debilitated patients with poor oral
hygiene.
Dehydrations and reduced salivary
flow encourage ascending infection.
The parotid gland is usuallyinvolved the result is painful,
unilateral swelling accompanied by
trismus, pyrexia and tachycardia.
This condition is now uncommonalmost always occurring in elderly
or debilitated patients with poor oral
hygiene.
Dehydrations and reduced salivary
flow encourage ascending infection.
The parotid gland is usuallyinvolved the result is painful,
unilateral swelling accompanied by
trismus, pyrexia and tachycardia.
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On Examination:On Examination:On Examination:On Examination:
The parotid gland is tender and diffuselyenlarged and purulent discharge can beseen oozing (or can be milked) from theparotid duct orifice (Stensen duct).
The parotid gland is tender and diffuselyenlarged and purulent discharge can beseen oozing (or can be milked) from theparotid duct orifice (Stensen duct).
TREATMENT:TREATMENT:TREATMENT:TREATMENT:
a. Parenteral antibiotics.
b. If parotid abscess has alreadyformed surgical drainage should be
performed.
a. Parenteral antibiotics.
b. If parotid abscess has alreadyformed surgical drainage should be
performed.
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Prolonged obstruction of major
salivary gland by ductal calculus
causes chronic inflammation of the
gland.
The glandular secretory element,
progressively atrophy and are
replaced by fibrous and adiposetissues.
Prolonged obstruction of major
salivary gland by ductal calculus
causes chronic inflammation of the
gland.
The glandular secretory element,
progressively atrophy and are
replaced by fibrous and adiposetissues.
CHRONIC SIALADENITISCHRONIC SIALADENITISCHRONIC SIALADENITISCHRONIC SIALADENITIS
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The ducts system becomes dilated,fibrotic and infiltrated by chronicinflammatory cells.
Chronic Sialadenitis and salivary calculiusually involved the submandibular gland.The submandibular gland swollen and theremay be purulent discharge from the duct.T
he swelling is made worse by takingfood.
TREATMENT: by removing the ductobstruction. Antibiotics may be necessary.
The ducts system becomes dilated,fibrotic and infiltrated by chronicinflammatory cells.
Chronic Sialadenitis and salivary calculiusually involved the submandibular gland.The submandibular gland swollen and theremay be purulent discharge from the duct.T
he swelling is made worse by takingfood.
TREATMENT: by removing the ductobstruction. Antibiotics may be necessary.
ChronicChronic SialadenitisSialadenitis (contd)(contd)ChronicChronic SialadenitisSialadenitis (contd)(contd)
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Uncommon condition which
may occur at any age.
UsuallyUsually affectsaffects thethe parotidparotid glandsglands areare
subject toto recurrentrecurrent attacksattacks ofof painpain andand
swellingswelling causedcaused byby combinationcombination ofof
obstructionobstruction andand infectioninfection ofof thethe glandsglands..
Uncommon condition which
may occur at any age.
UsuallyUsually affectsaffects thethe parotidparotid glandsglands areare
subject toto recurrentrecurrent attacksattacks ofof painpain andand
swellingswelling causedcaused byby combinationcombination ofof
obstructionobstruction andand infectioninfection ofof thethe glandsglands..
RECURRENT SIALADENITISRECURRENT SIALADENITISRECURRENT SIALADENITISRECURRENT SIALADENITIS
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There may be an associated dilatation
of the duct system and alveoli of theglands with terminal sacculation
(Sialectasis) associated with
strictures of the duct or stones.
These changes best demonstrated byperforming Sialogram.
There may be an associated dilatation
of the duct system and alveoli of theglands with terminal sacculation
(Sialectasis) associated with
strictures of the duct or stones.
These changes best demonstrated byperforming Sialogram.
RECURRENT SIALADENITISRECURRENT SIALADENITIS
(contd)(contd)
RECURRENT SIALADENITISRECURRENT SIALADENITIS
(contd)(contd)
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TreatmentTreatment::
aa.. Antibiotics with careful attention to oral
hygiene..bb.. Associated strictures is treated with
dilatation.
cc.. If stones present these must be removed.
bb.. Intractable causes may required surgical
removal of the gland.
TreatmentTreatment::
aa.. Antibiotics with careful attention to oral
hygiene..bb.. Associated strictures is treated with
dilatation.
cc.. If stones present these must be removed.
bb.. Intractable causes may required surgical
removal of the gland.
RECURRENT SIALADENITISRECURRENT SIALADENITISRECURRENT SIALADENITISRECURRENT SIALADENITIS
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Viral infectious disease attackthe parotid gland mainlyincubation period (17-21days)which is usually bilateral usuallyoccur in children. Fever, painfulswelling and difficulty in
mastication.
Viral infectious disease attackthe parotid gland mainlyincubation period (17-21days)which is usually bilateral usuallyoccur in children. Fever, painfulswelling and difficulty in
mastication.
MUMPSMUMPSMUMPSMUMPS
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* Mumps is interest to the Surgeon for
the following reasons:
* Occasional cause of acute orchitisespecially when mumps occurs inadolescent or young adults pain andswelling in the testicle occur 7-10 daysafter the onset of parotid and may leadto testicular atrophy.
TREATMENT: by rest and sedation.
* Mumps is interest to the Surgeon for
the following reasons:
* Occasional cause of acute orchitisespecially when mumps occurs inadolescent or young adults pain andswelling in the testicle occur 7-10 daysafter the onset of parotid and may leadto testicular atrophy.
TREATMENT: by rest and sedation.
MUMPSMUMPS(contd)(contd)
MUMPSMUMPS(contd)(contd)
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** Ascending infection of the parotid glandvia its duct may occur after major surgicalprocedures.
AetiologicalAetiological factorsfactors includeinclude dentaldental sepsis,sepsis,dehydrationdehydration..
TheThe presencepresence ofof nasogastricnasogastric tubetube forforprolongedprolonged periodperiod andand poorpoor oraloral hygienehygiene..
ClinicallyClinically therethere isis swellingswelling andand painpain inin oneone ororbothboth parotidparotid glandgland andand therethere maymay bebe dischargedischargefromfrom thethe ductduct..
** Ascending infection of the parotid glandvia its duct may occur after major surgicalprocedures.
AetiologicalAetiological factorsfactors includeinclude dentaldental sepsis,sepsis,dehydrationdehydration..
TheThe presencepresence ofof nasogastricnasogastric tubetube forforprolongedprolonged periodperiod andand poorpoor oraloral hygienehygiene..
ClinicallyClinically therethere isis swellingswelling andand painpain inin oneone ororbothboth parotidparotid glandgland andand therethere maymay bebe dischargedischargefromfrom thethe ductduct..
POST OPERATIVE PAROTITISPOST OPERATIVE PAROTITISPOST OPERATIVE PAROTITISPOST OPERATIVE PAROTITIS
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TREATMENT: (Rare nowadays) However :
a. Prophylaxis important and elimination of
the above etiological factors.
b. Patient must be kept fully hydrated the
flow encourage suckling, sweets or
chewing gums.
c. Antibiotic therapy.
d. Occasionally surgical drainage required.
TREATMENT: (Rare nowadays) However :
a. Prophylaxis important and elimination of
the above etiological factors.
b. Patient must be kept fully hydrated the
flow encourage suckling, sweets or
chewing gums.
c. Antibiotic therapy.
d. Occasionally surgical drainage required.
POST OPERATIVE PAROTITISPOST OPERATIVE PAROTITISPOST OPERATIVE PAROTITISPOST OPERATIVE PAROTITIS
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I. Parotid calculus is rare and difficult to
diagnose since the stone is so small
that it cannot be demonstrated by
radiography and sialography is usually
necessary.
II. Submandibular calculus: verycommon being more than 50 times
than parotid this is due to:
I. Parotid calculus is rare and difficult to
diagnose since the stone is so small
that it cannot be demonstrated by
radiography and sialography is usually
necessary.
II. Submandibular calculus: verycommon being more than 50 times
than parotid this is due to:
SALIVARY GLAND STONESSALIVARY GLAND STONES
(SIALOLITHIASIS)(SIALOLITHIASIS)
SALIVARY GLAND STONESSALIVARY GLAND STONES
(SIALOLITHIASIS)(SIALOLITHIASIS)
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a. The secretion of the gland is thick andviscid as compared to watery secretionof the parotid.
b. The upward course of thesubmandibular duct does not provideadequate drainage.
c. The duct orifice lies in the floor of themouth where foreign bodies may lodgeinto it and provide nucleus for stoneformation.
a. The secretion of the gland is thick andviscid as compared to watery secretionof the parotid.
b. The upward course of thesubmandibular duct does not provideadequate drainage.
c. The duct orifice lies in the floor of themouth where foreign bodies may lodgeinto it and provide nucleus for stoneformation.
SALIVARY GLAND STONESSALIVARY GLAND STONES
(SIALOLITHIASIS)(SIALOLITHIASIS)
SALIVARY GLAND STONESSALIVARY GLAND STONES
(SIALOLITHIASIS)(SIALOLITHIASIS)
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ClinicalClinical FeaturesFeatures::
Patient complaint recurrent attacks of pain andswelling in the region of the gland during meals.
Occasionally present with acute or chronicbacterial infection (Sialadenitis).
OnOn ExaminationExamination::
** The gland is enlarged and firm and tender .
** If the stone lies in the duct it can be felt oreven seen in the floor of the mouth.
ClinicalClinical FeaturesFeatures::
Patient complaint recurrent attacks of pain andswelling in the region of the gland during meals.
Occasionally present with acute or chronicbacterial infection (Sialadenitis).
OnOn ExaminationExamination::
** The gland is enlarged and firm and tender .
** If the stone lies in the duct it can be felt oreven seen in the floor of the mouth.
SALIVARY GLAND STONESSALIVARY GLAND STONES
(SIALOLITHIASIS)(SIALOLITHIASIS)
SALIVARY GLAND STONESSALIVARY GLAND STONES
(SIALOLITHIASIS)(SIALOLITHIASIS)
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Large retention cysts sometimes develop in the floor of the
mouth. They reach several centimeters in diameter and areknown as Ranulae.
RANULAERANULAE:: Typically appear as blue-grey dome likeswelling beneath the tongue in the floor of the mouth.
They are more common seen in neonates and children.
It may burst spontaneously discharging it content andcollapsing.
They are painless and can recurr.
TREATMENTTREATMENT:: Marsupialisations with de-roofingthe cyst so that it opens into the floor of themouth.
Large retention cysts sometimes develop in the floor of the
mouth. They reach several centimeters in diameter and areknown as Ranulae.
RANULAERANULAE:: Typically appear as blue-grey dome likeswelling beneath the tongue in the floor of the mouth.
They are more common seen in neonates and children.
It may burst spontaneously discharging it content andcollapsing.
They are painless and can recurr.
TREATMENTTREATMENT:: Marsupialisations with de-roofingthe cyst so that it opens into the floor of themouth.
Salivary Retention Cysts:Salivary Retention Cysts:Salivary Retention Cysts:Salivary Retention Cysts:
Note: They are painless and can recuNote: They are painless and can recu
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SALIVARY MUCOUS CYSTS:SALIVARY MUCOUS CYSTS:SALIVARY MUCOUS CYSTS:SALIVARY MUCOUS CYSTS:
They are arising from minor
mucous secreting gland in thelower lip. They sometimes
spontaneously disappear but
excision is the treatment.
They are arising from minor
mucous secreting gland in thelower lip. They sometimes
spontaneously disappear but
excision is the treatment.
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Submandular fistulas uncommon
(rare) and always arises in thegland
Submandular fistulas uncommon
(rare) and always arises in thegland
SALIVARY FISTULAS:SALIVARY FISTULAS:SALIVARY FISTULAS:SALIVARY FISTULAS:
TREATMENTTREATMENT:: byby excisionexcision ofof thethe glandglandTREATMENTTREATMENT:: byby excisionexcision ofof thethe glandgland
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May follow penetrating wound orincision of parotid abscess.
It may arise from the main duct or from the
ductules within the gland
May follow penetrating wound orincision of parotid abscess.
It may arise from the main duct or from the
ductules within the gland
PAROTID FISTULA:PAROTID FISTULA:PAROTID FISTULA:PAROTID FISTULA:
TREATMENTTREATMENT:: Sialography is performed to
establish the exact site or origin of the fistula
aa.. FistulaFistula ofof thethe glandgland maymay bebe XX--rayray therapytherapy toto
thethe glandgland..bb.. FistulaFistula ofof thethe ductduct treatedtreated byby anastomosisanastomosis
(construction)(construction)..
cc.. IfIf failfail superficialsuperficial parotidectomyparotidectomy..
aa.. FistulaFistula ofof thethe glandgland maymay bebe XX--rayray therapytherapy toto
thethe glandgland..bb.. FistulaFistula ofof thethe ductduct treatedtreated byby anastomosisanastomosis
(construction)(construction)..
cc.. IfIf failfail superficialsuperficial parotidectomyparotidectomy..
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Tumors of the salivary glands are
commonest in the parotid much lesscommon in the submandular gland andvery rare in the sublingual and minorsalivary glands. They are difficult toclassify as benign and malignant since all
of them tend to recur after removal.
Tumors of the salivary glands are
commonest in the parotid much lesscommon in the submandular gland andvery rare in the sublingual and minorsalivary glands. They are difficult toclassify as benign and malignant since all
of them tend to recur after removal.
SALIVARY GLAND TUMORS:SALIVARY GLAND TUMORS:SALIVARY GLAND TUMORS:SALIVARY GLAND TUMORS:
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II.. BenignBenign::a) Mixed salivary tumor or pleomorphic
adenoma
b) Adenolymphoma or warthins tumor
c) Oncocytoma
d) Monomorphic adenoma
IIII.. MalignantMalignant::
a) Primary carcinomab) Secondary carcinoma direct invasion
from skin or from secondarily involved lymph
nodes
Classification:Classification:Classification:Classification:
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The most common benign neoplasms of salivaryglands. Most pleomorphic present in middle age
but may occur at any age and equally in eithersex.
It usually remains benign for many years but unlessadequately removed it tend to recur and to turnmalignant.
Clinically:
a) Slow growing painless lump mostly in parotid andsome in submandular and few in the minorglands.
b) Mobile with well defined edge and smooth orlobulated surface.
Definitive diagnosis can only be made histologicallyafter excision
Treatment surgical removal (superficial parotidectomy)
The most common benign neoplasms of salivaryglands. Most pleomorphic present in middle age
but may occur at any age and equally in eithersex.
It usually remains benign for many years but unlessadequately removed it tend to recur and to turnmalignant.
Clinically:
a) Slow growing painless lump mostly in parotid andsome in submandular and few in the minorglands.
b) Mobile with well defined edge and smooth orlobulated surface.
Definitive diagnosis can only be made histologicallyafter excision
Treatment surgical removal (superficial parotidectomy)
PLEOMORPHIC ADENOMAPLEOMORPHIC ADENOMAPLEOMORPHIC ADENOMAPLEOMORPHIC ADENOMA
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Benign tumor less than 10% ofsalivary tumor. It occur in parotidglands only between the ages 40-60
years male strong predominance.They are sometimes bilateral.
ClinicallyClinically:: The tumor present as painlesscystic swelling
TreatmentTreatment:: Surgical removal (superficialparotidectomy)
Benign tumor less than 10% ofsalivary tumor. It occur in parotidglands only between the ages 40-60
years male strong predominance.They are sometimes bilateral.
ClinicallyClinically:: The tumor present as painlesscystic swelling
TreatmentTreatment:: Surgical removal (superficialparotidectomy)
ADE
NOLYMPHOMAADE
NOLYMPHOMA (WarthinsT
umor)(WarthinsT
umor)ADE
NOLYMPHOMAADE
NOLYMPHOMA (WarthinsT
umor)(WarthinsT
umor)
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The malignat tumors are
1. Mucoepidermoid Carcinoma
2. Adeno Cystic Carcinoma
3. Adeno Carcinoma
4. Squamous Cell Carcinoma
5. Carcinoma in Pleomorphic Adenoma(Malignant Mixed Tumor)
6. Acinic Cell Tumor
7. Malignant Lymphoma8. Anoplastic Carcinoma
The malignat tumors are
1. Mucoepidermoid Carcinoma
2. Adeno Cystic Carcinoma
3. Adeno Carcinoma
4. Squamous Cell Carcinoma
5. Carcinoma in Pleomorphic Adenoma(Malignant Mixed Tumor)
6. Acinic Cell Tumor
7. Malignant Lymphoma8. Anoplastic Carcinoma
Malignant Salivary Tumors:Malignant Salivary Tumors:Malignant Salivary Tumors:Malignant Salivary Tumors:
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Clinical Features:Clinical Features:
Affects elderly people and common inparotid with equal sex distribution.
The tumor forms rapidly growing hardswelling with ill defined edges and nodularsurface.
Soon becomes fixed with pain-facial palsy,and lymph nodes enlargement but distantmetastasis are rare.
Clinical Features:Clinical Features:
Affects elderly people and common inparotid with equal sex distribution.
The tumor forms rapidly growing hardswelling with ill defined edges and nodularsurface.
Soon becomes fixed with pain-facial palsy,and lymph nodes enlargement but distantmetastasis are rare.
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1. Operable Tumors:
a) Radical parotidectomy combined with blockdissection of the cervical lymph node.
b) Post-operative radiotherapy
c) When the tumor arises in the other site ofsalivary tissues wide local excision isperformed with block dissection of
lymph node.2. Non operative tumor with infiltration
to the skull and pharynx.Radiotherapy can be given.
1. Operable Tumors:
a) Radical parotidectomy combined with blockdissection of the cervical lymph node.
b) Post-operative radiotherapy
c) When the tumor arises in the other site ofsalivary tissues wide local excision isperformed with block dissection of
lymph node.2. Non operative tumor with infiltration
to the skull and pharynx.Radiotherapy can be given.
TREATMENT:TREATMENT:TREATMENT:TREATMENT:
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1) Damage to facial nerve causes
facial palsy or damage to its
branches
2) Salivary fistula
3) Freys syndrome
1) Damage to facial nerve causes
facial palsy or damage to its
branches
2) Salivary fistula
3) Freys syndrome
Complication of Parotidectomy:Complication of Parotidectomy:Complication of Parotidectomy:Complication of Parotidectomy:
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There are two syndromes of slow,
progressive, painless enlargementof salivary glands.
Biopsy reveals the swelling is caused by
replacement of glandular tissues by lymphoidtissue and fibrosis.
There are two syndromes of slow,
progressive, painless enlargementof salivary glands.
Biopsy reveals the swelling is caused by
replacement of glandular tissues by lymphoidtissue and fibrosis.
Autoimmune salivary glandAutoimmune salivary glanddisorder or disease:disorder or disease:Autoimmune salivary glandAutoimmune salivary glanddisorder or disease:disorder or disease:
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1) Symmetrical enlargement of salivary
glands
2) Enlargement of the lachrymal glands
3) Dry mouth
1) Symmetrical enlargement of salivary
glands
2) Enlargement of the lachrymal glands
3) Dry mouth
MICKULICZs SYNDROMEMICKULICZs SYNDROMEMICKULICZs SYNDROMEMICKULICZs SYNDROME
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All the above conditions plus;
Dry eyes
Generalized arthritis
All the above conditions plus;
Dry eyes
Generalized arthritis
SJOGRENs SYNDROMESJOGRENs SYNDROMESJOGRENs SYNDROMESJOGRENs SYNDROME
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1) Mumps: Viral sialaidenitis both parotid
become painful and swollen and accompanied
by general malaise and subsided in few days.
2) Recurrent swellings of the parotid:
Due to obstruction of one or both parotid
ducts. Symptomatic treatment and reassurance
of the parents. There is no place for surgery.
1) Mumps: Viral sialaidenitis both parotid
become painful and swollen and accompanied
by general malaise and subsided in few days.
2) Recurrent swellings of the parotid:
Due to obstruction of one or both parotid
ducts. Symptomatic treatment and reassurance
of the parents. There is no place for surgery.
Salivary diseases in childhood:Salivary diseases in childhood:Salivary diseases in childhood:Salivary diseases in childhood:
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3) Tumors: The commonest tumor in infants
is haemangioma found in 2-3 years old child.
The tumor nearly undergo natural resolution.
4) Lymphangiomas: They have tendency
to enlarged and infection. The treatment
partial resection.
3) Tumors: The commonest tumor in infants
is haemangioma found in 2-3 years old child.
The tumor nearly undergo natural resolution.
4) Lymphangiomas: They have tendency
to enlarged and infection. The treatment
partial resection.
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