When is parotidectomy needed?

When is parotidectomy needed?

Removal of the deep parotid lobe is advocated by most surgeons for the following reasons: malignant tumors located in the deep lobe, palpable or radiographic evidence of metastatic cancer in the deep lobe, or for direct extension of malignancy to the deep lobe from the superficial gland or surrounding structures.

What is Parotiditis?

Parotitis is a painful swelling of your parotid glands, which are salivary glands located between the ear and jaw. The most common cause is a virus, such as mumps, herpes, or Epstein-Barr. Bacterial infections, diabetes, tumours or stones in the saliva glands, and tooth problems also may cause parotitis.

How is sialogram performed?

A sialogram is performed to diagnose blockage of the salivary flow due to stones or strictures. This examination is done by introducing a very thin tube into the opening of the duct and injecting a small amount of liquid. This probe procedure is done without any anesthesia since it is not too painful.

How do you take a sialogram?

Sialogram Technique

  1. The cheek is retracted and inspected to identify the optimal position for cannulation.
  2. The guide wire is then used to bluntly probe for the lumen of the duct.
  3. It is then used to cannulate the duct.
  4. Permits placement of a 22 or 24 gauge angiocatheter over it via the Seldinger technique.

What is submandibular Sialolith?

Key Points. Salivary stones or sialoliths are calcified concrements in the salivary glands, most frequently located in Wharton’s duct of the submandibular gland. Salivary stones consist of a mineralised nucleus, surrounded by laminated layers of organic and inorganic substances.

What gland is between ear and jaw?

Parotid glands — These are the two largest glands. One is located in each cheek over the jaw in front of the ears. Inflammation of one or more of these glands is called parotitis, or parotiditis.

What is the difference between mumps and parotitis?

Patients with parotitis complain of progressive enlargement and pain in one or both parotid glands. Bilateral parotid involvement is typical for mumps and inflammatory conditions, whereas unilateral parotid swelling, pain, and presence of fever are more suggestive of bacterial cause.