Professional Documents
Culture Documents
EA SE
DI S
Deficiency of
o the saliva cause dry
mouth (xerostormia)
Chronic sialadenitis
Recurrent sialadenitis
Mumps
Autoimmune diseases
Acute
Acute Bacterial
Bacterial Sialadenitis:
Sialadenitis:
This condition is now uncommon
almost always occurring in elderly
or debilitated patients with poor oral
hygiene.
TREATMENT:
a. Parenteral antibiotics.
Treatment:
a. Antibiotics with careful attention to oral
hygiene.
b. Associated strictures is treated with
dilatation.
c. If stones present these must be removed.
b. Intractable causes may required surgical
removal of the gland.
MUMPS
II. Malignant:
a) Primary carcinoma
b) Secondary carcinoma – direct invasion
from skin or from secondarily involved lymph
nodes
PLEOMORPHIC
PLEOMORPHIC ADENOMA
ADENOMA
The most common benign neoplasms of salivary
glands. Most pleomorphic present in middle age
but may occur at any age and equally in either
sex.
It usually remains benign for many years but unless adequately
removed it tend to recur and to turn malignant.
Clinically:
a) Slow growing painless lump mostly in parotid and
some in submandular and few in the minor
glands.
b) Mobile with well defined edge and smooth or
lobulated surface.
Definitive diagnosis can only be made histologically after
excision
Treatment surgical removal (superficial parotidectomy)
ADENOLYMPHOMA
ADENOLYMPHOMA (Warthin’s
(Warthin’s Tumor)
Tumor)
1. Operable Tumors:
a) Radical parotidectomy combined with block
dissection of the cervical lymph node.
b) Post-operative radiotherapy
c) When the tumor arises in the other site of
salivary tissues wide local excision is performed
with block dissection of lymph node.
2. Non operative tumor with infiltration
to the skull and pharynx.
Radiotherapy can be given.
Complication
Complication of
of Parotidectomy:
Parotidectomy:
3) Dry mouth
SJOGREN’s
SJOGREN’s SYNDROME
SYNDROME