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Parotitis, Sialolithiasis, Sjogren's
Terms in this set (26)
Largest Salivary Glands
Parotids- just infront of ear
Nerve that runs through Parotids
Infection of parotid gland
Most common cause of parotitis
How to differentiate between parotitis and mumps?
Parotitis is usually unilateral, Mumps is usually bilateral (and viral)
Predisposing Factors for Parotitis
Old, Chronic Ill, Dry Mouth
Fever/Chills, Unilateral Pain/swelling of parotid, Pain and swelling increase after eating, Firm/Tender to touch, Erythema. Pus from Stensen's Duct
Where does Parotid Duct (Stenson's Duct) come out?
Buccal Mucosa- 2nd Maxillary Molar
Where does Sublingual ducts come out?
inferor surface on oral cavity, posterior to submandibular duct. There are many small ones.
Where does submandibular duct (Wharton's Duct) go and come out?
Duct Travels through the sublingual duct and comes out bilatteraly on sides of frenulum.
Clinical...... Can Gram Stain or C&S of drainage... or CT of gland.
If you gram stained drainage from Parotitis pt what would you expect to find?
Gram negative cocci (Staph Aureus)
Tx of Parotitis
PCN, Hydration, Sialoqoques (increase saliva flow (lemon balls etc. )... Massage gland, Sugery
Surgery risk in Parotitis
CN 7 Damage
Stone in salivary gland duct
Most common placefor sialolithiasis
Wharton's Duct-- (Submandibular) .....2nd most common is Stensen's duct
Sx of Sialolithiasis
Pain and swelling of gland after eating.
Dx of Sialolithiasis
Clinical, could do Sialogram ( put dye up duct and take pic)
Tx of Sialolithiasis
Analgesis, Hydration, Massage, may pass spontaneously...... or ---Dilate Duct, Incise to remove stone, Surgery
How to sialoliths form? Risks for formation?
Formation requires salivary stasis, Therefore could form due to dehydration, decreased food intake, anticholinergics.
Complications of Sialolithiasis
autoimmune disorder of exocrine gland
Sx of Sjogren's
Dry Eyes, Dry Mouth, Dysphagia, etc.
Tx of Sjogren's
Symptomatic--- artificial tears, sip water often etc.
Which salivary gland is more likely to have a maliganant tumor?
How to diagnose tumor of salivary gland?
Excision, Fine Needle Aspiration
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Dizziness, Tinnitus, Menieres, Acoustic Neuroma
Caries and Periodontitis
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