Chapter 14 - Salivary Gland Flashcards Preview

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Flashcards in Chapter 14 - Salivary Gland Deck (17)
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1
Q

Retromandibular vein

A

Formed by maxillary and sup temp vv

This and posterior auricular v form EJ

2
Q

How to find Stensen’s Duct

A

Superficial to masseter

Adjacent to 2nd upper molar

3
Q

Relationship of whartons Duct and lingual nerve

A

Duct deep to nerve

This is SM gland Duct

4
Q

Treatment of sialadenitis

A

Abx with B lactamase resistance (Augmentin)

Hydrate, warm compress, sialogogue (lemon wedges)

5
Q

Sialolithiasis Tx

A

Sialogogue, warm, ABx, hydrate
Sialolithotomy
Sialoemdoscopy
Excise gland

6
Q

Mumps

A

4-6yo, possible even with vacc
Bilat
Orchitis, encephalitis, SNHL

7
Q

HIV parotid dz

A

Lymphoepithelial cystic disease

8
Q

Causes of salivary granuloma dz

A

TB, Bartonella, Mycobacterium, Actinomyces, Sarcoid

Also Toxo- treat with pyrimethamine, sulfadiazene, folinic acid

9
Q

Benign salivary tumor order of incidence

A
Pleo
Warthin (F 50-60 smoker, 10% bilat)
Cyst
Lymphoepith
Oncocytoma
Mono Adenoma
10
Q

Malignant salivary tumor order incidence

A

Mucoepi (2nd most common overall, more mucinous the better)
Adenoid cystic (solid worst, then cribiform, tubular)
AdenoCA
Mixed
Acinic cell (3-5% bilat)
Epidermoid CA

11
Q

Workup salivary mass

A

FNA Bx

CT with con

12
Q

Salivary T Stage

A

3:>4cm or extraparenchymal

4a: skin, mandible, ear canal, VII
b: SB, pterygoid plate, encase ICa

13
Q

Hayes Martin maneuver

A

Lígate facial av, lift up

Gets marg out of way during SM gland removal (marg runs deep to vessels)

14
Q

7 ways to find facial nerve

A

1cm Inf/Deep to TP
6-8mm A/I To TMSL
Sup to cephalic portion PD
Sup/lat to styloid
Find marg where passes over facial av at Ant Masseter border
Find zyg branch as go over arch 2/3 from tragus to lat canthus
Mastoidectomy

15
Q

Indications for Post-op Rads after parotid neoplasm

A
High grade 
Residual disease 
LN Mets
Extraparotid ext
Involve VII
Deep lobe (sometimes)
Recurrence
16
Q

Frey’s Syndrome

A

Gustatory Sweating
PNS carried by auriculotemporal nerve grow into sup sweat glands

Botox, antiperspirant, allograft between skin and parotid, Jacobsen neurectomy

17
Q

When to do neck dissection with salivary tumors

A

High grade

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