Salivary Gland Enlargement Flashcards

1
Q

Give some reasons there may be changes in salivary gland size

A

Viral inflammation
- mumps or HIV

Secretion retention
- mucocele
- duct obstruction

Gland hyperplasia
- sialosis or sjogrens

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

Give some symptoms of mumps

A

Headache
Joint pain
Nausea
Dry mouth
Facial and neck swelling
Pyrexia over 38 degrees
Mild abdominal pain

1/3 no symptoms

Symptoms worse with age

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

How can HIV affect salivary glands?

A

HIV can be a cause of salivary swelling

Unexplained salivary swelling

May have no HIV symptoms first

Generally does not improve with treatment

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

What is a mucocele? Where often found?

A

Obstruction of minor salivary gland
- swelling of mucosa
- filled with saliva

Often on lower lip or junction of hard and soft palate

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

What is subacute obstruction?

A

Salivary duct obstruction / swelling associated with meals
- increases as salivary flow starts
- reduces when salivary flow slows

Can be progressive over weeks and eventually becomes fixed

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

What can cause subacute obstruction?

A

Sialolith - salivary stone

‘Mucous’ plugging

Ductility damage due to chronic infection and scarring

Duct stricture
- damage of low grade infection to the duct

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

How investigate subacute obstruction?

A

Low dose plain radiography
- lower true occlusal

Sialography
- when infection free

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

How manage subacute obstruction?

A

Surgical stone removal if practical

Consider gland removal if fixed swelling

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