Catálogo de publicaciones - libros

Pathogenesis of radiation-induced xerostomia Xerostomia and quality of life Treatment Stringent oral and dental care Radiation therapy protectants Salivary gland transfer techniques Gene therapy Pharmacologic options Emerging parotid gland-sparing techniques

Sjögren’s syndrome and graft-versus-host-disease (GVHD) are autoimmune diseases affecting the salivary glands, as well as many other organ systems. The effects of these disorders on the salivary glands have a profound impact on oral health and functions. Dryness of the mouth (xerostomia) is the most common symptom associated with salivary gland dysfunction. Evaluation methods for xerostomia and salivary gland function are presented. Management of autoimmune salivary gland disorders combines palliative agents, secretagogues, and disease-modifying drugs.

Primary lesions arising from the salivary glands in children are rare. Salivary gland disorders in the pediatric age group can be divided into two general categories: (1) salivary gland masses and (2) sialorrhea in neurologically disabled children. Salivary gland masses in the pediatric age group are more likely to consist of vascular anomalies and infectious and inflammatory lesions than epithelial glandular tumors. When oral motor therapy either fails or is not feasible for neurologically devastated children with sialorrhea, management options include pharmacotherapy or surgery designed to either redirect the flow of saliva or to decrease saliva production.

Indications Preoperative evaluation Surgical technique First branchial cleft anomaly excision Complications

Total parotidectomy is a spectrum of operations based on anatomy and on tumor extent. The surgeon applies knowledge of embryology, anatomy, tumor pathology and behavior, and tumor extent to individualize the operation to the patient. The deep parotid gland contains lymphatic nodes that must be adequately managed in malignant tumors. Adequate management of the deep parotid gland requires control of the intraglandular external carotid artery and its branches.

Clinical presentations Assessment of risk for recurrence Options for treatment Management of the facial nerve Results of treatment of the parotid gland Risks of Malignant Transformation Role of radiation therapy Recurrent submandibular gland pleomorphic adenoma Recurrent minor salivary gland pleomorphic adenoma Conclusion

To provide a concept of the three-dimensional anatomy of the buccal space. To describe the clinical presentation and specific features of buccal space tumors. To discuss the advantages, disadvantages, and rationale for various surgical approaches to the tumors of the buccal space.

To provide a concept of the three-dimensional anatomy of the prestyloid parapharyngeal space (PPS). To present the various options for preoperative evaluation of PPS masses. To discuss the surgical approaches to the prestyloid PPS and their applications.

Vascular lesions can involve major and minor salivary glands. An understanding of the correct diagnosis of a vascular lesion is key to its adequate management. All vascular lesions are not hemangiomas and all do not spontaneously regress.

Anatomy Presentation Diagnostic strategy Staging Histology — general/specific: Polymorphous low-grade adenocarcinoma Adenoid cystic carcinoma Mucoepidermoid carcinoma Prognostic factors Treatment approaches Results of treatment Tumors by specific site: Oral cavity Palate Oropharynx Nose/paranasal sinuses Nasopharynx Larynx