ENT - Salivary Glands Flashcards Preview

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Flashcards in ENT - Salivary Glands Deck (17)
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1
Q

What nerve creates an artificial separation of superficial and deep in the parotid gland?

A

Facial nerve

2
Q

What do you biopsy to definitely diagnose Sjogrens?

A

Minor salivary glands of lower lip

3
Q

What is the difference between ptyalism and sialorrhea?

A

Ptyalism - drooling

Sialorrhea - excessive production

4
Q

Is Xerostomia central or gland related? What is the most common cause?

A

Gland - meds are huge

5
Q

What is the thing that FNA are not great at diagnosing?

A

Lymphoma

6
Q

Where are acute sialolithiasis are most commonly found?

A

Submandibular gland

7
Q

Which gland of then has radioluscent stones?

A

Parotid

8
Q

What are symptom differences between acute sialadentis and sialolithiasis?

A

Sialadentis - redness, pain, constant

Sialolithisis - intermittent discomfort

9
Q

If radiation in a patient is >40-50 gy, is radiation sialedintis permanent? 2gy day for 5-7 weeks

A

Yes

10
Q

What population is Sjogren common in? ASsociated with what?

A

Middle age women

Associated with non-hodgkin’s lymphoma

11
Q

Are necrotizing sialometaplasia lesions malignant? What two things are it often mistaken for

A

No

SCC or mucoepidermoid cancer

12
Q

What are the most common salivary gland tumors in children? Most common SG malignancy in children?

A

Hemangioma and pleomorphic adenoma - most common

Mucoepidermoid tumors - most common SG malignancy

13
Q

If you see a hemangioma on the skin, where else should you look for one?

A

Parotid gland

14
Q

Which salivary gland tumor is known for insidious growth, perineural spread, and reoccurence/distal metastisis even >5 years after?

A

Adenoid Cystic Carcinoma

15
Q

What is the most common submandibular and minor salivary gland malignancy?

A

Adenoid Cystic carcinoma

16
Q

What type of parotidectomy is for benign or malignant tumor in superficial nerve?

A

SUperficial parotidectomy

17
Q

Which parotidectomy is harder to do, a total or radical?

A

Total - due to having to skeletonize the nerve