Salivary Glands Overview

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Questions and Answers

What is a common oral manifestation of Sjögren's syndrome?

  • Excessive saliva production
  • Swelling of the gums
  • Thickened enamel
  • Erythema and fissuring of the tongue (correct)

What is the primary cause of Nicotine Stomatitis?

  • Heat from tobacco use (correct)
  • Viral infection
  • Autoimmune disorder
  • Bacterial growth

Which of the following conditions is associated with Sialosis?

  • Pregnancy-induced hypertension
  • Acute viral infection
  • Liver cirrhosis (correct)
  • Rheumatoid arthritis

What distinguishes Sialosis from other forms of gland swelling?

<p>It is not caused by inflammation or infection (D)</p> Signup and view all the answers

Which of the following is a benign tumor example mentioned?

<p>Warthin’s tumour (A)</p> Signup and view all the answers

What is one common cause of dry mouth?

<p>Emotional disturbances (A)</p> Signup and view all the answers

Which type of salivary gland tumor is referred to as a bilateral Warthin’s tumor?

<p>Warthin's tumor (A)</p> Signup and view all the answers

Which drug class is most likely to contribute to dry mouth?

<p>Antidepressants (D)</p> Signup and view all the answers

What effect does mouth breathing have on saliva production?

<p>Decreases saliva flow (D)</p> Signup and view all the answers

Salivary glands should be included in which examination?

<p>Extra-oral examination (A)</p> Signup and view all the answers

Which condition is NOT directly associated with salivary gland neoplasms?

<p>Diabetes mellitus (D)</p> Signup and view all the answers

What is one of the primary roles of salivary glands?

<p>To aid in digestion (C)</p> Signup and view all the answers

Which factor is least likely to contribute to dry mouth?

<p>Hydration (D)</p> Signup and view all the answers

What is the role of the Tubarial Glands?

<p>Lubricating the nasopharynx and oropharynx (D)</p> Signup and view all the answers

Which gland is known for producing the majority of total saliva volume?

<p>Submandibular gland (A)</p> Signup and view all the answers

What is the length of Wharton's duct?

<p>5cm (A)</p> Signup and view all the answers

Which type of saliva does the sublingual gland predominantly produce?

<p>Mucous saliva (D)</p> Signup and view all the answers

What type of innervation does the submandibular gland receive?

<p>Mixed sensory and autonomic (A)</p> Signup and view all the answers

Where does Bartholin's duct open?

<p>Under the anterior part of the tongue (B)</p> Signup and view all the answers

What constitutes the working part of a salivary gland?

<p>Adenomere (C)</p> Signup and view all the answers

Which type of gland is the smallest among the major salivary glands?

<p>Sublingual gland (C)</p> Signup and view all the answers

What primarily occurs within the acini of the salivary glands?

<p>Secretion of saliva (C)</p> Signup and view all the answers

Which gland contributes over 10% of total saliva volume and is classified as minor?

<p>Labial gland (B)</p> Signup and view all the answers

What type of epithelial cells line the excretory duct of the salivary glands?

<p>Pseudostratified columnar epithelium (C)</p> Signup and view all the answers

Which artery primarily supplies blood to the salivary glands?

<p>Facial artery (C)</p> Signup and view all the answers

Which condition can lead to severe pain when eating due to salivary stone formation?

<p>Sialolithiasis (B)</p> Signup and view all the answers

What initiates the stimulation of salivary nuclei in the brain?

<p>Taste and smells (D)</p> Signup and view all the answers

Which of the following is NOT a cause of hyposalivation?

<p>Stress (A)</p> Signup and view all the answers

What results from irradiation of the head and neck area affecting salivary glands?

<p>Atrophy of secretory cells (A)</p> Signup and view all the answers

What is a ranula?

<p>A cyst in the major glands of the mouth (A)</p> Signup and view all the answers

What type of epithelium lines the secretory end piece of the salivary gland?

<p>Simple cuboidal epithelium (D)</p> Signup and view all the answers

Which of the following conditions can lead to irreversible effects on salivation?

<p>Xerostomia from radiotherapy (C)</p> Signup and view all the answers

How does obstruction occur in salivary glands?

<p>Calcium deposits in the ducts (A)</p> Signup and view all the answers

Which major salivary gland is known for producing only serous saliva?

<p>Parotid glands (B)</p> Signup and view all the answers

Where is the parotid gland primarily located?

<p>Below the external auditory meatus (B)</p> Signup and view all the answers

What type of saliva do the submandibular glands primarily secrete?

<p>Serous and mucous (A)</p> Signup and view all the answers

What is the function of Stensen's duct?

<p>To transport saliva to the oral cavity (C)</p> Signup and view all the answers

Which minor salivary gland is primarily associated with the oral cavity?

<p>Labial glands (C)</p> Signup and view all the answers

Which of the following glands accounts for the highest percentage of total saliva volume?

<p>Submandibular glands (B)</p> Signup and view all the answers

Which structure pierces the buccinator muscle to facilitate saliva release?

<p>Stensen's duct (B)</p> Signup and view all the answers

What is the primary physiological role of saliva produced by the major salivary glands?

<p>Food lubrication and digestion (A)</p> Signup and view all the answers

Which disorder is associated with insufficient saliva production from salivary glands?

<p>Xerostomia (A)</p> Signup and view all the answers

Which major salivary gland produces approximately 25% of total saliva volume?

<p>Parotid glands (D)</p> Signup and view all the answers

What are the three major salivary glands?

<p>Parotid (B), Submandibular (C), Sublingual glands (D)</p> Signup and view all the answers

What are characteristics of the parotid gland?

<p>Largest, produced 100% serous saliva (A), 25% of total saliva (B), Below external auditory meatus (C), Stephens duct (5cm) (D)</p> Signup and view all the answers

What are the characteristics of submandibular gland?

<p>Serious and muscles secretions (A), 60-65% of saliva (B), Between the body of the mandible and mylohyoid muscle (C), Whartons duct (D)</p> Signup and view all the answers

What are characteristics of the sublingual gland?

<p>Smallest gland, produces 60% mucous saliva (A), Floor of the mouth, sublingual fossa (B), Bartholins duct and 10-20 rivinus ducts (C), Chorda tympani and lingual branch of the inferior dental nerve (D)</p> Signup and view all the answers

Myoepithelial cells embrace the acini secretory cells, contracting and squeezing, forcing saliva out of the lumen and into the ducts

<p>True (A)</p> Signup and view all the answers

What does acinar fluid consist of?

<p>Water (A), Inorganic ions (B), Small molecules and products synthesized by cells (amylase and mucoprotein) (D)</p> Signup and view all the answers

What are intercalated ducts lined with?

<p>Cuboidal epithelium cells (A)</p> Signup and view all the answers

What are striated ducts lined with?

<p>Columnar epithelial cells (B)</p> Signup and view all the answers

What is excretory ducts lined with?

<p>Pseudostratified columnar epithelium (C)</p> Signup and view all the answers

Vessels and nerves enter the gland at the hilum

<p>True (A)</p> Signup and view all the answers

Acinar fluid is modified in ducts to form saliva

<p>True (A)</p> Signup and view all the answers

Characteristics of minor salivary glands?

<p>Mixed saliva, predominately mucous (A), Throughout the oral cavity, buccaneers, labial (B), Produce proteins that help protect and lubricate the oral mucosa (C)</p> Signup and view all the answers

Flashcards

Major Salivary Glands

Three bilateral pairs: parotid, submandibular, and sublingual.

Parotid Gland

Largest salivary gland; produces 100% serous saliva; contributes 25% of total salivary volume; located below the external auditory meatus.

Submandibular Gland

Mixed saliva secretions; half the size of the parotid gland; produces 60-65% of total salivary volume; located between the mandible and mylohyoid muscle.

Sublingual Gland

60% mucous saliva; smallest of the major salivary glands; produces 5-10% of total salivary volume; located in the floor of the mouth.

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Tubarial Glands

Located in the nasopharynx; contain seromucous acini for lubrication and swallowing.

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Adenomeres

Working part of a salivary gland, surrounded by connective tissue.

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Acini

Secretory units within the adenomere, lined with columnar epithelial cells.

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Excretory (Terminal) Duct

Saliva exits into the oral cavity via this duct, lined by epithelium.

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Hyposalivation

Dry mouth, caused by multiple factors such as medications, radiotherapy or autoimmune diseases.

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Obstruction (Salivary Stones)

Calcium deposits form in the ducts, usually in the submandibular glands.

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Cysts (Salivary)

Trauma to the salivary gland or duct, leading to an accumulation of saliva in the surrounding tissue.

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Irradiation (Salivary Gland)

Destroys secretory cells, causing xerostomia.

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Degenerative (Sjögren's syndrome)

Immunological disorder that affects the salivary glands and lachrymal apparatus.

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Inflammation/Infection (Mumps)

Acute viral infection causing inflammation and painful swelling of the parotid glands.

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Sialosis

Painless swelling of the parotid glands, not caused by inflammation or infection.

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Neoplasms (tumors)

Can be benign (e.g., Warthin's tumor) or malignant.

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Study Notes

Salivary Glands

  • There are three bilateral pairs of major salivary glands: parotid, submandibular, and sublingual glands.
  • The major glands produce 90% of the total salivary volume.
  • Numerous minor salivary glands exist.

Parotid

  • Largest salivary gland.
  • Produces 100% serous saliva.
  • Contributes 25% of total salivary volume.
  • Located below the external auditory meatus, between the mastoid process and the posterior border of the ramus.

Submandibular

  • Mixed saliva secretions.
  • Half the size of the parotid gland.
  • Produces 60-65% of total salivary volume.
  • Located between the body of the mandible and the mylohyoid muscle.

Sublingual

  • 60% mucous saliva.
  • Smallest of the major salivary glands.
  • Produces 5-10% of total salivary volume.
  • Located in the floor of the mouth.

Tubarial Glands

  • Located in the nasopharynx.
  • Believed to contain a large number of seromucous acini, playing a role in nasopharynx/oropharynx lubrication and swallowing.

Salivary Gland Structure

  • Epithelium lines the ducts and produces saliva.
  • Connective tissue surrounds the epithelium, protecting and supporting the gland.
  • Connective tissue is divided into the capsule and septa.

Adenomeres

  • Working part of a salivary gland.
  • Surrounded by connective tissue.

Acini

  • Secretory units within the adenomere.
  • Made up of secretory cells.
  • Lined with a single layer of columnar epithelial cells.

Excretory (Terminal) Duct

  • Saliva exits into the oral cavity via this duct.
  • Lined by epithelium, transitioning from pseudostratified columnar to stratified cuboidal and then stratified squamous at its opening.

Disorders of the Salivary Glands

  • Hyposalivation (dry mouth) can be caused by medications, radiotherapy, autoimmune diseases, diabetes, and salivary stones.
  • Obstruction: Caniculi (calcium deposits) form in the ducts, usually in the submandibular glands.
  • Cysts: Trauma to the salivary gland or duct, leading to an accumulation of saliva in the surrounding tissue.
  • Irradiation: Destroys secretory cells, causing xerostomia.
  • Degenerative: Sjögren's syndrome is an immunological disorder that affects the salivary glands and lachrymal apparatus.
  • Inflammation/Infection: Mumps is an acute viral infection causing inflammation and painful swelling of the parotid glands.
  • Sialosis: Painless swelling of the parotid glands, not caused by inflammation or infection.
  • Neoplasms (tumors): Can be benign (e.g., Warthin's tumor) or malignant.

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