06 Salivary

Structure and Function

• submandibular: saliva to wharton's duct

Saliva

• lactoferrin: also found in breast milk (lacto), binds iron

Saliva electorlytes

• fluid reach mouth: lower Na/Cl, higher K/HCO3 compared to plasma

• higher flow rate, more metabolism in glandular cells, more CO2, more bicarb

• gastrin, secretin, CCK no effect

• parasympathetic activated, M1, M3

Stones, inflammation

• risks: anything decrease flow

• double coverage

Salivary Tumors

Pleomorphic

• left, nuclei tightly packed, glandular

• right, stromal

Warthin's

Muco

• child with lymphoma with radiation

• mucous cells and epidermal cells (squamous)

• no classic histology