salivary gland disorders

1. Salivary Gland
Diseases
Dr. Ahmed M. Al Abbasi
professor of ORL-H&N surgery

6. Salivary Gland Diseases
Salivary
Gland
Diseases
Functional
disorders
Obstructive
disorders
Non-
Neoplastic
disorders
Neoplastic
disorders

7. Functional Disorders
Sialorrhea
Psychosis,
mental retardation
neurological diseases,
rabies,
mercury poisoning
Xerostomia
Mumps,
sarcoidosis,
Sjogrens syndrome,
lupus,
post-irradiation

8. Obstructive Disorders
Sialolithiasis
92% in Submandibular gland
6% inparotid gland
Multiple occurrence
in same gland

9. Lithiasis
Diagnosis
Pain and
sudden
enlargement
Palpation
of stone
Occlusal
radiograp
h (80%)

15. Submandibular Lithiasis
Treatment
Remove
the stone
Remove
the gland

17. Parotid Lithiasis diagnosis
 History
 Examination
 Investigation
Swelling
during meals
Bimanual
palpation of
painful gland
40% non-
radioopaque
Most parotid
stones are
multiple

18. Non-Neoplastic
Disorders

19. Acute Sialadenitis
Etiology
–Viral - ( Mumps)
–Bacterial

21. Mumps

22. Acute
bacterial
Sialadenitis

23. Acute Sialadenitis
-(Staph aureus, Strep pyogenes)
Diagnosis: Hx & Ex
Painful swelling parotid gland,
overlying skin red, shiny & tense,
pus from parotid duct

24. Acute Sialadentis treatment
Appropriate antibiotic -Culture pus
Supportive therapy
Fluids
Salivary stimulent

25. Chronic Sialadenitis
Chronic recurrent parotitis
- Age 3-6
-Caused by Strep viridans
-May spontaneously heal
during puberty

26. Neoplastic
Disorders

27. Salivary Gland Tumors
 80 % occur in parotid gland
 5-10 % occur in the Submandibular
gland
 1 % occur in sublingual gland
 10-15% occur in the minor salivary
glands

28. Incidence of Malignancy
According to Site
Sublingual 70%
Submandibular 40%
Parotid 20 %

29. Salivary Gland Tumors
-Pleomorphic adenoma -
- Monomorphic adenoma
-Adenolymphoma
-Oxyphil adenoma
-Other types

30. Pleomorphic
adenoma
 Definition
 History
 Examination
 Investigation
 Treatment

31. Salivary Gland malignancy
– Adenoid cystic carcinoma
– Adenocarcinoma
– Epidermoid carcinoma
– Undifferentiated carcinoma
– Carcinoma in pleomorphic adenoma

32. Adenoid cystic
carcinoma
1.Definition
2.History
3.Examination
4.Investigation
5.Treatment

36. THANK
YOU