Chapter 11 Test #3 Salivary Gland Diseases

Question 1

What are three oral places that you don’t have salivary glands?

Answer 1

• Anterior hard palate
• Dorsal tongue
• Attached gingiva

Question 2

What cells do you find in the parotid gland?

Answer 2

-Serous cells

Question 3

What cells do you find in the sublingual gland?

Answer 3

-Mainly mucous cells

Question 4

What cells do you find in the submandibular gland?

Answer 4

-Serous and mucous cells

Question 5

What is another name for a mucocele?

Answer 5

-Mucus Extravasation Phenomenon

Question 6

What is a mucocele?

Answer 6

-Spillage of mucin into the soft tissues due to rupture of a salivary gland duct usually caused by trauma

Question 7

What does mucoceles most commonly occur in?

Answer 7

-Children and young adults

Question 8

Where is the most common location for a mucocele?

Answer 8

-Lower lip

Question 9

Besides the lower lip where else can a mucocele occur?

Answer 9

• FOM (ranula)
• Anterior ventral tongue
• Buccal mucosa

Question 10

How do you treat a mucocele?

Answer 10

-Surgical excision, remove with the adjacent minor salivary gland

Question 11

Clinical mucoceles of the upper lip are more likely to be what?

Answer 11

-Salivary gland tumor

Question 12

Mucoceles of the retromolar region are distinctly unusual, most of them will prove to be what?

Answer 12

-Mucoepidermoid carcinoma

Question 13

What is marsupialization?

Answer 13

-Removal of the roof of the intraoral lesion

Question 14

What is a ranula?

Answer 14

-Mucoceles in floor of mouth, usually lateral to the midline

Question 15

What is a ranula typically associated with?

Answer 15

-Rupture of the sublingual gland duct

Question 16

What is treatment for a ranula?

Answer 16

-Removal of the feeding sublingual gland and or marsupialization

Question 17

What is another name for a salivary duct cyst?

Answer 17

-Mucus retention cyst

Question 18

If you see a mucocele like mass on the upper lip what should you be thinking?

Answer 18

-A salivary gland tumor

Question 19

If you see a mucocele like mass in the retromolar region what are you thinking?

Answer 19

-Mucoepidermoid carcinoma

Question 20

What is a plunging ranula?

Answer 20

-Where the ranula breaks through the mylohyoid muscle and goes to the cervical region

Question 21

What is a salivary duct cyst?

Answer 21

-Epithelium lined cavity that arises from salivary gland tissue

Question 22

Who do salivary ducts cysts mostly occur in?

Answer 22

-Adults

Question 23

Where do you most often see salivary duct cyst?

Answer 23

• Parotid gland (1st)
• FOM
• Buccal mucosa
• Lips

Question 24

What does a salivary duct cyst appear as?

Answer 24

-Bluish soft fluctuant swelling

Question 25

How do you treat a salivary duct cyst?

Answer 25

-Surgical excision

Question 26

If you see a large bump on the hard palate what should you favor it being?

Answer 26

-Salivary gland tumor/neoplasm (but it could be a salivary gland cyst)

Question 27

What is a Sialolith?

Answer 27

-Calcifications developed in salivary duct

Question 28

Where do you see sialoliths?

Answer 28

• Submandibular gland (most common)
• Upper lip
• Buccal mucosa

Question 29

What is a treatment of a sialolith?

Answer 29

• Gentle massage
• Increase fluid intake
• Moist heat
• Sialogogue
• Surgery

Question 30

Why is the submandibular gland the most common location for a sialolith?

Answer 30

-Long and tortuous (curvy) duct with thick secretions

Question 31

What are reasons that can cause sialoliths?

Answer 31

• mucous plug
• Bacterial colonies
• Chronic duct blockage phenomena
• Normal ductal anatomy (whartons duct)
• Xerostomia

Question 32

What is Sialadenitis?

Answer 32

-Inflammation of the salivary gland

Question 33

What are infectious causes of sialadenitis?

Answer 33

• Viral: mumps (epidemic parotitis)

- Bacterial

Question 34

What are non infectious causes of sialadenitis?

Answer 34

• Sjogren syndrome
• Sarcoidosis
• Radiation induced
• Recent surgery
• Allergic reaction
• Obstruction of the salivary duct

Question 35

What causes mumps?

Answer 35

-Paramyxovirus infection

Question 36

What does mumps primarily affect?

Answer 36

-Salivary glands

Question 37

What is anesthesia mumps?

Answer 37

-Rare complication after general anesthesia

Question 38

What is sialadenosis (Sialosis)?

Answer 38

-Non-inflammatory asymptomatic salivary gland enlargement

Question 39

Where does sialadenosis (Sialosis) typically occur?

Answer 39

-Parotid, hypertrophy of acini

Question 40

What are some underlying systemic condition that can cause sialadenosis?

Answer 40

• Diabetes mellitus,
• hypothyroidism
• Pregnancy
• General malnutrition
• Alcoholism
• Anorexia nervosa
• Bulimia
• antihypertensive drugs
• Psychotropic drugs

Question 41

What is the clinical presentation of sialadenosis?

Answer 41

• Parotid swelling
• Usually slowly evolving
• Usually bilateral
• Pain +/-

Question 42

What is a localized, sessile painless swelling that mimics a neoplasm and if found in minor gland often on hard or soft palate?

Answer 42

-Adenomatoid hyperplasia

Question 43

What do you do treat an adenomatoid hyperplasia?

Answer 43

-Biopsy to rule out neoplasm

Question 44

What is a locally destructive inflammatory condition of the salivary glands believed to be due to ischemia?

Answer 44

-Necrotizing sialometaplasia

Question 45

What can cause necrotizing sialometaplasia?

Answer 45

• Traumatic injuries
• Dental injections
• Ill-fitting dentures
• Upper respiratory infections
• Previous surgery
• Adjacent tumors

Question 46

Where do you typically see necrotizing sialometaplasia?

Answer 46

-Palate and unilateral