FACTS & HINTS

High-Yield Facts

Clinical Points

Parotid Tumors

Most common salivarygland tumor, but still rare

More common in people older than 40 years of age

Patient usuallypresents with a slow growing lump

If painful or affecting the facial nerve suggests the tumor is malignant

Treatment is bysurgical excision conserving the facial nerve and its branches

Clinical Points

Sialoadenitis

Inflammation of the salivarygland

Can be caused byinfection or obstruction of the duct of a gland

Most commonlya result of bacterial infection (Staphylococcus aureus)

Patient maypresent with pain, swelling, and fever

Submandibular gland most commonlyaffected

Treatment with antibiotics and/or increasing secretions with drugs

Relief of the obstruction mayrequire surgery

page 36 page 37

Clinical Points

Sialolithiasis

Obstruction of the duct of a salivarygland with a calculus (stone)

Commonlyoccurs in submandibular gland

Patient presents with pain when eating and swelling

Ninetypercent of stones are radio-opaque-diagnosis can be made on radiograph

Ultrasound or computed tomography(CT) can also be useful

Treatment is byremoving the stone, increasing secretions with drugs or surgical removal

Mnemonics

Memory Aids

Three Tonsils

44 / 425