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Chapter-113 Diseases of the Salivary Glands: Diagnosis, Evaluation and Management

BOOK TITLE: Head & Neck Surgery (2 Volumes)

Author
1. Grewal DS
2. Khattar Vicky S
3. Hathiram Bachi T
4. T Rajeev
ISBN
9788184486797
DOI
10.5005/jp/books/10351_113
Edition
1/e
Publishing Year
2009
Pages
16
Author Affiliations
1. TN Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India; Association of Otolaryngologists of India (AOI)–2005, TN Medical College and BYL Nair Ch. Hospital, Mumbai, India, TN Medical College and BYL Nair Charity Hospital, Mumbai, India
2. TN Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India, TN Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra India, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India; Sir HN Reliance Foundation Hospital and Medical Research Center, Mumbai, Maharashtra, India, TN Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India; Sir HN Reliance Foundation Hospital and Research Centre, Prarthna Samaj, Girgaum, Mumbai, Maharashtra, India
3. TN Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India, TN Medical College and BYL Nair Ch. Hospital, Mumbai, India, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India; Sir HN Reliance Foundation Hospital and Medical Research Center, Mumbai, Maharashtra, India, TN Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India; Sir HN Reliance Foundation Hospital and Research Centre, Prarthna Samaj, Girgaum, Mumbai, Maharashtra, India, TN Medical College and BYL Nair Charity Hospital, Mumbai, India
4. TN Medical College and BYL Nair Charity Hospital, Mumbai, India
Chapter keywords
submandibular salivary gland, embryological development, microscopic examination, cystic degeneration, malignant transformation, morphological characteristics, parenchymal tissue, mesenchymal components, salivary secretions, secretomotor fibers, auriculotemporal branch, endoplasmic reticulum, histopathological examination, surgical excision

Abstract

This chapter discusses diseases of the salivary glands, which are situated in the face and neck and secrete saliva into the oral cavity through long ducts. Saliva performs many of the functions of mastication, speech, taste, and maintenance of oral hygiene. The connective tissue components of salivary glands are derived from neural crest cells and parenchymal tissue from the surface epithelium. The secretomotor fibers to the parotid start from the inferior salivary nucleus and travel through the glossopharyngeal nerve, lesser petrosal nerve, and auriculotemporal branch of the mandibular nerve to reach the gland. The gland has numerous excretory ducts, which either open directly in the floor of the mouth or into the submandibular duct. Drugs which reduce salivary flow are tricyclic antidepressant, phenothiazines and anticholinergics drugs. Anxiety states and depression cause dryness of mouth due to decreased production of saliva. The stimulation of either sympathetic or parasympathetic nerves produces salivary secretions.

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