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Published byMaryann Craig
Modified over 4 years ago
Salivary Gland disease Andrew McCombe
Anatomy Major – Parotid – Sub-mandibular – Sub-lingual Minor – Oral cavity – Palate – Uvula
Physiology Autonomic nerve supply – Parasympathetic – Sympathetic Production of saliva – Major – mealtimes – Minor – all the time!
Physiology – salivary function Lubrication - mucins Protection – antibacterial/antifungal functions Lavage/cleansing Buffering Mineralisation – calcium, phosphate Digestion – amylase Taste
Hypofunction Anxiety – sympathetic drive Depression Radiotherapy Drugs (Age?) – Atropine etc/ tricyclics/MAOIs/Phenothiazines/antihistamines Disease (Sjogren’s) Dehydration
Hypofunction- consequences/symptoms Dry mouth Altered taste Dysarthria/Dysphagia Dental problems Candidiasis Salivary gland swelling
Hypofunction - treatment Fluids Sweets/chewing gum Salivary substitutes Drugs – Pilocarpine (5mg QID) – Cevimeline/Bethanechol…. – Alpha Interferon (Sjogrens)
Hyperfunction Very rare – more likely an inability to manage normal salivary quantities - neurological
Sialorrhoea - treatment Anticholinergics – scopolomine/benztropine patches Intra-glandular botox Low dose radiotherapy Surgery – Duct relocation – Sub-lingual gland removal
Infective problems Mumps Acute suppurative sialadenitis Chronic sialadenitis – Infective – Inflammatory – Stone disease
Infections - management Maintain hydration Analgesia Antibiotics Treat underlying pathology
Sialolithiasis Sub-mandibular gland - 80% Various causes – Salivary composition – Dehydration – Reduced flow - anatomy Obstructive symptoms
Sialolithiasis - investigation Plain X-ray Sialogram
Sialolithiasis - treatment Observation Stone removal – Locally intra-oral – Lithotripsy (Smaller stones – 7mm) – Basket removal (Sialadenoscopy) Surgical gland removal
General salivary gland swelling Drugs Disease – Mumps etc – Sjogren’s – Sarcoidosis, Diabetes,….etc Mangment is that of underlying condition
Localised swelling - tumours Majority benign – Parotid -> Minor Very many histological types – Mucocele – Pleomorphic adenoma/Warthins – Muco-epidermoids – Adenocarcinoma/adenoidcystic – Lymphoma (MALT)
Tumours - investigation Clinical assessment
Tumours - investigation Clinical assessment FNA Ultrasound
Fine Needle Aspiration Cytology
Cytology – Royal Surrey
Tumour - investigation MRI CT
Tumours - management Observation Surgery – Balance of risk/benefit +/- Radiotherapy (MDT) Risks – local nerve damage – Facial – Lingual/hypoglossal – Marginal mandibular
Summary Parotid gland – tumours (benign) / Infections Submandibular gland – Stones Minor glands - function
NURSING CARE Salivary Gland Disorders
ORAL CAVITY SALIVA SECRETION SWALLOWING
SALIVA (Composition and Functions) BY. Dr. Shahzadi Tayyaba Hashmi DNT 353.
1 Salivary Glands. 2 MAJOR SALIVARY GLANDS SUPPLY SECRETION TO THE ORAL CAVITY Serous Glands- secrete serum (which is a clear liquid 90% water) Mucous.
Introduction and Physiological anatomy of Gastro Intestinal tract Every cell of living system needs energy Unicellular organisms: Exists in the sea of.
Textbook Reading Salivary gland disorders Nuclear medicine in diagnosis and treatment.
ORAL LESION Prof. Hesham Saad. Objectives Inflammatory & reactive conditions - Candidiasis - Herpes simplex - Aphthous ulcer - Pyogenic granuloma - Epulis.
BIOLOGY OF THE HUMAN DENTITION
Head and Neck Conditions
SALIVARY GLAND DISORDERS
Disorders of the salivary glands
Parathyroid gland M. Alhashash. Anatomy Physiology.
Aging and Diseases of the Salivary Glands Biology of Salivary Glands Domenica G. Sweier DDS June 4, 2003.
Introduction to the Salivary Glands Dennis E. Lopatin, Ph.D Dept. of Biologic & Materials Sciences.
By – Pradeep Jaiswal Group no Parotitis Salivary gland infections are viral or bacterial infections of the saliva-producing glands. There are three.
Salivary Gland Diseases
SALIVARY GLAND DISEASES
Salivary Glands Disorders
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