This a work was done by 2nd year students from menoufia university (faculty of medicine),Egypt, under supervision of some of anatomy and embryology staff

1. Faculty of Medicine
Menoufia University

2. Rana samy
Reem Abdelhameed
Raghda elhenawy
Sara Abdelsamad
Sara Hamada
Zahraa Lotfya
Sara Younis
Sara Mahmoud
Reem Saber
Sara Ammarr
Prof.Dr.Hanaa Nooh
Dr. Sara Gamal
Dr.Hadeer El Naggar

3. They are exocrine glands that secret saliva into
mouth to help chew and swallow food.
* Major
1-Submandibular salivary glands(serous)
2-Parotid salivary glands(mixed)
3-Sublingual salivary glands(mixed)
*Minor salivary glands :-There are 800-1000
located in buccal,labial,lingual mucosa, soft palate
and hard palate
Definition
Types

4. *Site:-bt ear and ascending
branch of lower jaw
*Secretion :-serous
*Composition :-fat tissue and
cells
Surrounded by:-capsule
Opening of duct ( stenson's
duct) opposite upper 2nd
molar tooth

5. *Site:-alongside of lower
jaw.
*Secretion :-mixed.
Surrounded by capsule.
Opening of duct :-meeting
point bt front of tongu and
mouth floor.

6. Site :-beneath mucous membrane of
floor of mouth near chin region.
No capsule .
Secretion :-mixed ((mucous
mainly)
Opening of duct :-junction bt
tongue and mouth floor or may
unite to form Bartholin's duct that
empty into submaxillary duct.

7. Composition of
saliva

8. Innervation of the
glands& relation to
secretion???

12. Calcified structure (masses of crystallized
minerals) that formed inside salivary gland
or duct.
The stone often referred to as salivary duct
calculus is the most common cause of blockage
in the salivary ducts that prevent flow of saliva.
(also called sialolithiasis )

13. Regions
Common in
sub mandibular ,it has
viscous secretion and
ascending pathway of duct.
Sex
occurs in males more
than females.
Age
from (25:61) mostly at
48

14. dehydration
Not eating enough
food
medications as blood pressure
antihistamines (reduce saliva)
drugs and
Site Trauma

15. Certain substances in saliva such
as Capo4 ,,Caco3 can crystallize forming stones
varying in size bt mms and 2cms .
When these stones block the duct ,
saliva builds up in gland leading to swelling .

17. Dry mouth
swelling in
face,
mouth or
neck .
Pain in face
mouth
becomes
worse
during
meals
Redness
over the
affected
area
Fever if
there is
Bacterial
infections
Trouble in
swallowing
food or
opening
mouth
Clinical picture

18. Examination
Examining head and neck to check for
swollen salivary glands and duct stones.
*Imaging tests can provide a more
accurate diagnosis because doctor will be
able to see the stones.
*X-ray ,Ultrasound or computed
tomography {ct} scan of face are of the
imaging tests that may be ordered .

19. investigation
X-ray sonar CT
Face
scan
Sialography

20. Sialography
Ductal injection of a small amount of contrast medium followed by
routine X-ray projections .
*useful in patients showing signs of salivary stone.

21. * Large stones:-
A)Sailendoscopy
B)ESWL shock waves
N.B if there is abacterial infection antibiotics
* Recurrent stones :- removal of salivary gland it-self.
* small stones:
A)home treatment through sucking sugar or sour substances as lemon massaging
the affected area .
B)medical treatment through compression on both sides of duct.

23. In majority of patients ,the prognosis is positive ,as the
salivary stones are removed without any complications.
If patient suffers from recurrent salivary stones or infections at
level of salivary glands ,the surgical removal might be essential.
BUT
The surgical removal of the gland presents a series of risks,
including related to nerve injury.

24. A)Oral health
*brushing teeth twice a day ,flossing and using antiseptic
mouth rinse several time a week ,as salivary stone formed
as result of left over debris and chemicals in our mouth.
*Elimination of excess germs .
B) Water intake at least 6:8L of water daily.
C) Salivary secretion ,you can suck on sugar free &sour
candy.