ENT

Question 1

What are the differential diagnosis possibilities for salivary swellings?

Answer 1

• Benign neoplasms
• Malignancy
• Salivary stones and stenosis
• Salivary swelling (adenosis) secondary to a systemic illness

Question 2

Which imaging technique is the best initial approach for evaluating salivary-gland lumps?

Answer 2

CT of the head and neck

Question 3

What are the advantages of CT over MRI for evaluating salivary swellings?

Answer 3

• Distinguishes diffuse enlargement from focal masses
• Characterizes the parenchyma
• Evaluates levels 2 and 3 lymph nodes
• Lower cost and greater availability

Question 4

When is ultrasound indicated in the evaluation of salivary swellings?

Answer 4

When biopsy is suggested by CT or MRI

Question 5

What symptoms typically present in patients with sialadenitis or salivary stones?

Answer 5

• Pain
• Swelling in the involved gland

Question 6

Is viral infection of the salivary gland usually unilateral or bilateral?

Answer 6

Typically not unilateral

Question 7

What are common bacterial causes of salivary gland infections?

Answer 7

• Staphylococcus aureus
• Haemophilus influenzae
• Anaerobic organisms of the oral cavity

Question 8

What signs indicate that antibiotic therapy is inappropriate for a patient with a salivary gland issue?

Answer 8

Without signs of infection

Question 9

True or False: MRI is typically preferred over CT for the initial imaging of salivary swellings.

Answer 9

False

Question 10

What systemic illnesses can cause secondary salivary swelling (adenosis)?

Answer 10

• Sjögren syndrome
• HIV infection