Salivary Gland Disorders

This population-based study uses data from the Surveillance, Epidemiology, and End Results database to analyze the typical clinical characteristics of mammary analog secretory carcinoma.

This case series evaluates the oncologic outcomes of patients with acinic cell carcinoma of the parotid gland and the results of adjuvant therapy for those with close (≤1-mm) margins.

A man presents with a firm, painless, slow-growing mass in his upper lip. What is your diagnosis?

This study describes the case of a man in his 60s with a 2-year medical history of right epiphora with recent 6-week onset of hemolacrima who presented with an incidental soft tissue lesion along the left inferior turbinate with associated nasolacrimal duct dilatation above the mass.

This cross-sectional study of data from the National Health and Nutrition Examination Survey examines the prevalence of phantom odor perception among US adults and evaluates differences by age, sex, socioeconomic position, health status, health behaviors, smell function, and oral and sinonasal symptoms.

A man had a hard swelling of the left inner cheek, with increasing spontaneous pain and swelling; examination revealed an erythematous lesion of the buccal mucosa, adjacent to the maxillary first molar, which produced a small amount of bleeding with palpation. What is your diagnosis?

A woman with a history of bruxism and long-term use of a bite guard presented with pain centering on left submandibular area; contrast-enhanced computed tomography demonstrated a mass adjacent to the left submandibular gland. What is your diagnosis?

A young boy had an enlarging right facial mass; a computed tomographic scan showed a discrete necrotic mass in the right parotid gland, and fine-needle aspirate yielded a cellular sample with spindloid features. What is your diagnosis?

This study reviews all parotidectomies at a single institution conducted by head and neck surgeons to compare extracapsular dissection with superficial parotidectomy for benign parotid tumors with respect to surgical outcomes and cost-effectiveness.

A child presented with left jaw pain and symptoms of an upper respiratory infection; the swelling resolved leaving a firm, slightly mobile, subcentimeter mass palpable in the anterior parotid gland that enlarged and became painful. What is your diagnosis?

This cohort study compares the outcomes of sialendoscopy procedures in patients who underwent general anesthesia with endotracheal intubation or monitored anesthesia care.

A woman presented with right submandibular swelling and pain, associated with eating, and inability to express saliva on examination; a sialogram showed a high-grade stricture into the right submandibular duct orifice. What is your diagnosis?

A man presented with a 5-year progression of facial asymmetry and a 2-week history of left-sided facial weakness, pain, and otalgia; a biopsy revealed dense subcutaneous tissue overlying and invading the parotid gland. What is your diagnosis?

A man had a right parotid mass infiltrating the overlying facial skin and a postauricular node; MRI showed infiltration into the cartilaginous tissue of the external auditory canal, ipsilateral cervical adenopathy, and possible perineural involvement of the facial nerve. What is your diagnosis?

This review assesses the utility of intraoperative facial nerve monitoring in 2 groups of patients undergoing partial and total parotidectomies.

A young black man had progressive bilateral parotid swelling; radiologically, there were no masses or sialoliths, and his only associated symptoms were fevers and fatigue. What is your diagnosis?

A man had a left parotid gland lesion, with no associated pain, facial numbness, or weakness; computed tomography revealed a well-circumscribed ovoid lesion in the anterior aspect of the superficial lobe of the left parotid gland. What is your diagnosis?

This study of patient records in the National Cancer Database examines the incidence of 30-day unplanned readmission for patients undergoing parotidectomy for treatment of parotid cancer.