Histology, staging and tumor grade are essential for treatment plan. Introduction sialolithiasis is the most common disease affecting adult salivary glands, accounting for more than 50% of all salivary gland conditions. Salivary gland disorders government medical college. Storz medical, kreutzlingen, switzerland are currently used for the treatment of. Surgical conditions of the salivary glands bsava2008 vin. Salivary gland disorders american family physician. Conclusion recurrent pas will frequently require en block resection due to their infiltrative and multinodular nature. Among the causes are dehydration, smoking and exposure to radiation. Acute suppurative sialadenitis presents as rapidonset pain and swelling and is treated with antibiotics, salivary massage, hydration, and sialagogues such as lemon drops or vitamin c lozenges. Salivary glands are unique because of the manifold subtypes of benign and malignant diseases found there. Diagnosis and management ebook description overall, the text is easy to read and a valuable resource for any head and neck surgeon who desires greater insight into one of the most fascinating glands in the human body.
Pdf the management of salivary gland disease forms a. Beginning with the embryology, anatomy and physiology of the salivary glands, the first section of the book discusses radiographic imaging, infections, cystic conditions, sialoadenitis and sialolithiasis, and systemic diseases. A thorough knowledge of the normal and abnormal physiology of the salivary glands, and the surgical anatomy of the structures, is necessary for the successful management. The recent advances in salivary gland surgery are described, and the chapter concludes by highlighting recent discoveries in the field of salivary gland regeneration. They represent less than one percent of all head and neck tumors. Experienced clinicians generally agree that surgical excision is indicated for all patients in whom a salivary gland mass develops, unless comorbid medical problems preclude such intervention. Atlas of salivary gland pathology focuses on the diagnostic approach to salivary gland neoplasiaone of the more challenging fields within surgical pathologyemphasizing the need to understand downstream implications with respect to patient surveillance and treatment. Salivary gland disorders include inflammatory, bacterial, viral, and neoplastic etiologies. Management is medical or surgical dependent on pathology. Ultimately, surgical excision permits definitive diagnosis and determines the need for any adjuvant therapy that may be indicated in malignant tumors.
This should be cul tured to direct antibiotic therapy. Controversies in the management of salivary gland disease. Get a printable copy pdf file of the complete article 2. A number of therapies have been proposed including surgical excision of the. This study describes the case of a man in his 60s with a 2year medical history of right epiphora with recent 6week onset of hemolacrima who presented with an incidental soft tissue lesion along the.
The effect of human immunodeficiency virus hiv infection on salivary glands has diagnostic and prognostic significance. The majority of these tumors reoccur after curative surgical procedures. Pain management, antibiotics based on culture and sensitivity of the fluidtissue aspirate, nsaids, antiinflammatory doses of glucocorticoids, and control of internal parasites have resulted in favorable responses in some cases. Pdf on apr 1, 1998, michael miloro and others published the surgical management of submandibular gland disease find, read and cite. Currently little is known about the efficacy of chemotherapy in treating salivary gland tumours 79. Please use one of the following formats to cite this article in your essay, paper or report. Etiology, diagnosis, and medical and surgical treatment modalities will be presented. The authors discuss the role of robotic surgery specifically related to salivary gland disease and discuss the indications, complications and anatomic nuances that justify the current role and. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. Advances in diagnosis and management of salivary gland diseases. Describe proper technique for evaluation of salivary gland diseases and the appropriate treatment for each. The parotid gland and submandibular gland both have a branching system that combines into a single large channel duct that empties into the mouth in the cheek parotid or under the tongue submandibular.
Sialectasis is an uncommon medical condition of the salivary glands. Surgical management of salivary gland disease springerlink. Salivary gland diseases surgical and medical management. Diagnosis and management fills a major gap in the literature by presenting modern and uptodate knowledge on all aspects of this important field. Salivary glands may be involved ina wide variety of diseases, which may be broadly. Sialolithiasis is a rare clinical condition in dogs although one histopathological study of salivary gland disease in 245 dogs and cats reported an incidence of 0. Salivary gland disorders and diseases pdf free pdf epub. Management of anterior submandibular sialolithiasis. The surgical management of submandibular gland disease article pdf available in atlas of the oral and maxillofacial surgery clinics 61. The main treatment is surgery with caution to facial nerve in the major salivary. Sialendoscopy for the management of obstructive salivary. Approximately three fourths of all salivary gland tumors occur in the major salivary glands.
Salivary gland tumours tumours of salivary glands represent a complex and histopathologically diverse group of tumour diagnosis and management is complicated by the fact that they are in frequent making up only 1% of head and neck tumour. The salivary glands comprise the paired major parotid and submandibular glands located on the side of the face, together with bilateral sublingual glands in the floor of the mouth and the numerous minor salivary glands distributed intraorally figure 16. The presentation can be acute, recurrent, or chronic. Surgical removal of the affected salivary gland produces minimal if any improvement. Small blockages may pass without treatment, but severe cases may require the removal of a salivary gland.
To better demonstrate the evolution of this field and its diagnostic and therapeutic management, the contents of this book have been organized to reflect the diverse nature of salivary gland anatomy, physiology, and dysfunction in various states of disease. Diagnosis and management offers comprehensive coverage of all aspects of this topic. Loma linda university school of medicine, loma linda, california. Pdf recent advances in the management of salivary gland disease. At the conclusion of this program, participants should be able to. Comprehensive management of salivary gland disease 2016. Modern management of obstructive salivary diseases ncbi. Salivary gland tumors rare and diverse group of benign and malignant lesions.
Management involves treating the infec tion and reversing the underlying medical. Conservative treatments of sialectasis include repeated aspiration, compression, dilation of the papilla and stent placement. Witt fullcolor photomicrographs of disease pathology here is a complete reference on the fundamental science, treatment, and management of salivary gland disorders. Disorders of salivary glands treated by surgery include cysts, salivary calculi, infections and tumours. Salivary gland diseases thieme medical publishers home. Surgical and medical management here is a complete reference on the fundamental science, treatment, and management of sali read online books at. The implications of these advances for the head and neck surgeon and the potential future of surgical management of salivary gland pathology are discussed. Covering anatomy, physiology, histology, cytology, pathology, and imaging, this text is a premier resource for physicians. Hivsalivary gland disease hivsgd is comprehensively ascertained amongst the major critical acquired immunodeficiency syndrome aidsrelated oral manifestation and causes substantial morbidity. Neoplasms that arise in the salivary glands are relatively rare, yet they represent a wide variety of both benign and malignant histologic subtypes as seen in the image below. The general dental practitioner is often the first health professional with the opportunity to assess salivary gland pathology, and therefore needs to be aware of the presenting signs and symptoms of major salivary gland lesions. Conservative management of salivary mucoceles by aspiration of the fluid is purely palliative. Advances in diagnosis and management of salivary gland. Addressing controversial and topical issues in the field of salivary gland disease and surgical management of salivary gland disease, this new edition integrates the newest clinical findings with the historical pathological records, and attempts to resolve any conflicts between the two.
The diagnosis and surgical management of major salivary. The diagnosis and surgical management of major salivary gland pathology. Surgical management, robert lee witt ed, thieme, 1st. Salivary glands, salivary calculi, salivary duct stenosis, surgical. Although researchers have learned much from the study of this diverse group of tumors over the years, the diagnosis and treatment of salivary gland neoplasms remain com. Basic salivary gland pathology 1 basic salivary gland pathology jennifer l. For example, if you have a mass in your salivary gland, your doctor may recommend surgery to remove the. Salivary gland neoplasms are a relatively uncommon disease, with nearly. Here is a complete reference on the fundamental science, treatment, and management of salivary gland disorders. Massage of the gland may express pus from the respective intra oral orifice figure 2. A lecture and laboratory course intended for otolaryngologyhead and neck surgeons, oral maxillofacial surgeons, and residents and fellows designed to teach comprehensive medical and surgical management of salivary gland disorders. Library of congress cataloginginpublication data salivary gland diseases.
Treatment for salivary gland disorders depends on the disease type and how advanced it is. Sialolithiasis is a common salivary gland disorder and is defined by the. The role of postoperative chemo radiation for salivary gland malignancy is not well established. The most common problems in the salivary gland occur when the ducts become blocked and saliva cannot drain. Salivary gland disease is managed by a number of specialities.
Written by worldrenowned experts, salivary gland disorders and diseases. Salivary gland disease in human immunodeficiency virus. Explore the latest in salivary gland disorders, including recent advances in diagnosis and management of parotitis and salivary gland cancer. Pdf the surgical management of submandibular gland disease.
The parotid gland is located in front of the ear, and it secretes its mostly serous saliva via the parotid duct. Pdf salivary gland diseases surgical and medical management. Frozen section imperative for appropriate surgical resection. Baishideng publishing group inc, 7041 koll center parkway, suite 160, pleasanton, ca 94566, usa. Salivary disorders in small animals merck veterinary manual. Covering anatomy, physiology, histology, cytology, pathology, and imaging, this text is a premier resource for physicians who diagnose and treat salivary gland diseases both medically and surgically. Surgical management of salivary gland tumors aliu sanni md. Fullcolor photomicrographs of disease pathology here is a complete reference on the fundamental science, treatment, and management of salivary gland disorders.
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