Atlas of Human Anatomy by Netter

FACTS & HINTS

High-Yield Facts

Clinical Points

Parotid Tumors

Most common salivary gland tumor, but still rare

More common in people older than 40 years of age

Patient usually presents with a slow growing lump

If painful or affecting the facial nerve suggests the tumor is malignant

Treatment is by surgical excision conserving the facial nerve and its branches

Clinical Points

Sialoadenitis

Inflammation of the salivary gland

Can be caused by infection or obstruction of the duct of a gland

Most commonly a result of bacterial infection (Staphylococcus aureus)

Patient may present with pain, swelling, and fever

Submandibular gland most commonly affected

Treatment with antibiotics and/or increasing secretions with drugs

Relief of the obstruction may require surgery

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Clinical Points

Sialolithiasis

Obstruction of the duct of a salivary gland with a calculus (stone)

Commonly occurs in submandibular gland

Patient presents with pain when eating and swelling

Ninety percent of stones are radio-opaque-diagnosis can be made on radiograph

Ultrasound or computed tomography (CT) can also be useful

Treatment is by removing the stone, increasing secretions with drugs or surgical removal

Mnemonics

Memory Aids

Three Tonsils

People (or for short PPL) have three tonsils: PPL

Pharyngeal

Palatine

Lingual.