Head And NeckHead And Neck
Swellings In Parotid RegionSwellings In Parotid Region
Acute:Acute:
SC tissue abcessSC tissue abcess
Parotid Mumps, septic parotitisParotid Mumps, septic parotitis
Bone OstemyelitisBone Ostemyelitis Chronic:Chronic:
Salivary Gland originSalivary Gland origin
Extrasalivary Gland originExtrasalivary Gland origin
Salivary Gland originSalivary Gland origin
Unilateral (suspect Tumor):Unilateral (suspect Tumor): Cystic AdenolymphomaCystic Adenolymphoma Solid Tumor (B or M)Solid Tumor (B or M)Bilateral (mostly Benign):Bilateral (mostly Benign): Inflammatory (chronic Parotitis)Inflammatory (chronic Parotitis) SialactaisisSialactaisis Endemic (Nutrirional) parotitisEndemic (Nutrirional) parotitis Mikulicz Syndrome,Sjogren’sMikulicz Syndrome,Sjogren’s Tumor (10% Adenolymphoma)Tumor (10% Adenolymphoma) OthersOthers
Extra-salivary GlandExtra-salivary Gland
Skin Skin SubcutaneousSubcutaneous Lymph NodeLymph Node Facial Nerve NeuromaFacial Nerve Neuroma Masseter MuscleMasseter Muscle
Idiopathic Hypertrophy, FibrosarcomaIdiopathic Hypertrophy, Fibrosarcoma MandibuleMandibule
AdamantimomaAdamantimoma
Acute parotitis (Parotid Acute parotitis (Parotid Abscess)Abscess) Aetiology:Aetiology:
Organism: StaphaureusOrganism: Staphaureus Route: mouth rare BloodRoute: mouth rare Blood Predisposed: Dehydration,Bad Predisposed: Dehydration,Bad
hygienehygiene Clinical PictureClinical Picture General: ToxaemiaGeneral: Toxaemia Local: Swelling, oedema, Throbbing Local: Swelling, oedema, Throbbing
pain, Tender gland, oral cavity pus on pain, Tender gland, oral cavity pus on pressure on the gland, Cervical LNpressure on the gland, Cervical LN
TreatmentTreatment Incision and DrainageIncision and Drainage
Acute parotitis (Parotid Acute parotitis (Parotid Abscess)Abscess)
Chronic Parotitis (Recurrent Chronic Parotitis (Recurrent Parotitis)Parotitis)
Adulthood:Adulthood:
Obstruction by stone or stenosisObstruction by stone or stenosis
Autoimmune (Bilateral) Autoimmune (Bilateral)
Sjogren’s Syndrme Sjogren’s Syndrme
Childhood (Sialectasis):Childhood (Sialectasis):
CongenitalCongenital
Autoimmune ( 3m-10y )remit at 15yAutoimmune ( 3m-10y )remit at 15y
Chronic Parotitis due to Chronic Parotitis due to obstruction by stoneobstruction by stone
Chronic Parotitis due to Chronic Parotitis due to Sjogren’s SyndromeSjogren’s Syndrome
Keratoconjuntivitis SiccaKeratoconjuntivitis Sicca
XerostomiaXerostomia
Rhematoid ArthritisRhematoid Arthritis
Cavitary sialectasis with Cavitary sialectasis with Sjogren’s SyndromeSjogren’s Syndrome
Mikulicz syndromeMikulicz syndrome
Sialectasis (snow storm Sialectasis (snow storm apperance in sialogram)apperance in sialogram)
Salivary Gland CalculiSalivary Gland Calculi
50 times more common in 50 times more common in submandibular gland !submandibular gland !
Clinically Clinically recurrent inflammation,recurrent inflammation, pain increase with meals,pain increase with meals, stone may felt in mouth floorstone may felt in mouth floor
Diagnosis : Plain x ray or SialogramDiagnosis : Plain x ray or Sialogram
Submandibular stoneSubmandibular stone
Submandibular stoneSubmandibular stone
Parotid stoneParotid stone
Treatment of salivary Gland Treatment of salivary Gland CalculiCalculi
ParotidParotid Gland single direct extractionGland single direct extraction multiple superficial multiple superficial
parotidectomyparotidectomy Duct extractionDuct extraction in front of masseter transoralin front of masseter transoral over the masseter parotid incisionover the masseter parotid incision SubmandibularSubmandibular Gland ExcisionGland Excision Duct stone extraction from mouthDuct stone extraction from mouth
Submandibular excisionSubmandibular excision