54 Disorders of the salivary glands

Acute necrotising sialometaplasia This usually occurs on the palate and primarily a ff ects the mi...

Benign tumours Pleomorphic adenoma These are the most common benign salivary gland tumours. They ...

CLINICAL ANATOMY AND EMBRYOLOGY The parotid, submandibular and sublingual glands are three paired...

COMMON DISORDERS COMMON DISORDERS

Cytology Fine-needle aspiration cytology Fine-needle aspiration cytology (FNAC) is a widely avail...

Ectopic/aberrant salivary gland tissue The presence of ectopic salivary tissue in the mandible c...

FURTHER READING El-Naggar AK, Chan JKC, Grandis JR et al. (eds). Tumours of the salivary glands ...

INVESTIGATIONS Imaging Various modalities, from plain radiography to ultrasonography , CT , MRI a...

Immunological conditions Sjögren’s syndrome Sjögren’s syndrome (SjS) is a chronic autoimmune dise...

INTRODUCTION The parotid, submandibular and sublingual glands are the three paired major salivary...

Learning objectives To understand: The surgical anatomy of the salivary glands • The presentation...

Malignant tumours Mucoepidermoid carcinoma Mucoepidermoid carcinomas are malignancies consisting ...

Minor salivary glands Minor salivary glands appear at about the 12th week of gesta - tion, for...

Mucoceles Extravasation mucoceles and retention cysts are formed by - mucous extravasation. Both ...

NEOPLASMS OF THE SALIVARY GLAND Primary salivary gland neoplasms are extremely rare and form less...

Parotid gland Understanding a gland’s development gives us insight into the pathophysiology of t...

Parotidectomy In parotidectomy , the tumour is removed with a cu ff of normal surrounding tissue ...

STAGING OF SALIVARY GLAND MALIGNANCIES Major salivary gland malignancies are staged using the eig...

SURGERY AND COMPLICATIONS Submandibular gland resection The submandibular gland is surrounded by ...

SURGERY AND COMPLICATIONS Submandibular gland resection The submandibular gland is surrounded by ...

Sialadenitis Inflammation of a salivary gland can be acute or chronic ( Table 54.2 ). Acute cause...

Sialolithiasis Salivary gland stones can form in the gland ducts. Patients between the ages of 3...

Sialorrhoea Excess salivation is rarely symptomatic in healthy individuals as it is swallowed spo...

Sublingual gland The sublingual glands contribute around 5% of saliva produc - tion and are the ...

Submandibular gland The submandibular glands originate from the junctional tissue between ectoder...

TREATMENT OF SALIVARY GLAND MALIGNANCIES The treatment guidelines are based on retrospective stud...

Trauma Trauma to the salivary glands or ducts is uncommon and is usually associated with polytrau...

Xerostomia Normal salivary flow decreases with age. Typical complaints are of a dry mouth, di ffi c...