Damaging inflammation and swelling of the salivary glands

Damage salivary glands may arise from a gunshot wound or inflict cut or usilenno-lacerations. The most frequently damaged parotid gland. It is often ranada facial nerve and the external carotid artery. The continuity of the facial nerve is sometimes possible to recover the stitching it all in the wound. To stop bleeding apply a pressure bandage or tight tamponade wounds. On the glandular tissue and separately on the fasciacovering gland, impose knotted seams of catgut. When wound duct wound is sutured and outside, long-draining wound inside, create conditions for the outflow of saliva in the mouth. After healing the wounds of the parotid gland is often formed salivary fistula. Less salivary it occurs after opening purulent foci, removal of benign tumors of the salivary glands or foreign phone is formed On the skin spot the mouth of the fistula, which is constantly allocated transparent liquid; during the meal the number of detachable increases sharply. Around the mouth of the fistula often have skin irritation. Patients should be sent to the dental hospital for surgical treatment. Fistulas submandibular salivary glands are observed very rarely.
Inflammatory processes. Cialdini (see) occurs most frequently, especially the parotid glands (see also the Mumps , and the Mumps epidemic). Salivary stones (see Sialolithiasis) are often observed in the field of submandibular salivary glands.
Retention cysts arise as a result of closing duct cancer or its segments after inflammatory process or injured more often than in the minor salivary glands (the lower lip, cheek), rarely in large. On the inside of the lips or cheeks find rounded soft-elastic consistence education with clear boundaries with diameter up to 2, see the salivary glands cysts can be significant. The treatment is surgical removal of cysts in the dental clinics.
In the differential diagnosis of various pathological processes in the salivary glands of great help, radiography with artificial contrast - sialography (see).
Tumors of the salivary glands. In the salivary glands meet some benign tumors. Most often there are localized mixed tumors (see) and mucoepidermoid (in most cases with a benign course), cylindrem and crayfish. In the parotid gland tumours grow more often, less often - in submandibular.
Mixed tumor in a single node in the parotid gland sometimes reach considerable size; they can be sometimes for years, tend to malignant transformation, and often recur after removal. The tumor is solid consistency, lobed, mobile, surrounded by a fibrous capsule. Cilindrata is epithelial tumor glandular type; contains, besides the usual round cavity mucous mass included in the epithelial slices. Cylindrem often become malignant over.
Cancer of the salivary glands is rare; in most cases this cancer solid forms, but are squamous cell cancers, often in the parotid gland; in these cases is palpated dense tumor, which quickly grows capsule of the gland, infiltrates adjacent tissue, including the branches of the facial nerve, leading to paralysis.
An important auxiliary method of diagnostics of tumors of the salivary glands is Cytology punctate suspicious lesion seal (see Cytological diagnosis.).
Treatment of tumors of the salivary glands surgical - their total destruction or extended resection of the share gland tumor (depending on the shape of the tumor). Applied also combined methods of treatment involves removal of the tumor followed vnutrennim implementation radioactive drugs, which gives a more stable long-term results.
In cancer of the salivary gland - the complete removal of the gland surrounding tissues and lymph apparatus neck (operation of krila), pre - and postoperative gamma therapy.