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Dr.Urooj Ahmed Abbasi
Post graduate trainee
General surgery ward 3
OBJECTIVES
• Introduction
• Surgical Anatomy
• Types & classification of tumors
• Risk factors
• Examination & investigation
• staging of tumors
• Treatment
• Complication of surgical Rx &their management
INTRODUCTION
1. Major salivary gland
a. Parotid gland
b. Submandibular gland
c. Sublingual gland
2. Minor salivary gland
600 – 1,000 minor salivary gland distributed throughout the
mucosa of the upper aerodigestive tract.
INTRODUCTION
INTRODUCTION
 85% of salivary gland tumor occur in the parotid.
 10 – 15% in the minor salivary gland.
 5 – 10% in the submandibular gland.
 80% of the parotid tumor are benign.
 50% of the submandibular gland tumor are malignant.
 75% of the minor salivary gland are malignant.
SURGICAL ANATOMY
PAROTID GLAND:
SURGICAL ANATOMY
• Fascial vein
• Fascial artery
• Hypoglossal nerve
• Lingual nerve
• Marginal mandibular branch of
fascial nerve
Sub mandibular gland:
CLASSIFICATION OF TUMORS
• Benign neoplasms:
• Malignant neoplasms:
RISK FACTORS
CLINICAL PRESENTATION
EXAMINATION
DIFFERENTIAL DIAGNOSIS
RELEVANT INVESTIGATION
STAGING OF TUMOR
TREATMENT
COMPLICATION OF SURGERY
PROGNOSTIC FACTORS
POST TREATMENT SURVEILLANCE

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Final presentation