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November 6, 1987

Diseases of the Salivary Glands: Pathology— Diagnosis—Treatment—Facia Nerve Surgery

JAMA. 1987;258(17):2440. doi:10.1001/jama.1987.03400170126042

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In this work, pathological and clinical entities are described under numerous headings, with emphasis on the former. The majority of the more than 600 illustrations are black-and-white histological sections. Modification of treatment based on histological variations in specific disease entities is stressed. Statements in the text are immediately and profusely documented by names and dates in addition to standard references between sections. Some readers may find this diverting. Descriptions are succinct and often colorful; eg, the facial nerve is "meat in a parotid sandwich," or "in a groove formed by the gland doubling on itself."

Basic function is fully described and related to pathological changes. Saliva, secreted in acini, has ingredients and concentrations similar to those of blood serum, including infectious agents such as hepatitis B virus without disease of the gland. This may be because IgA, secreted by plasma cells in the parotid, is 100 times higher than in