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1 Chapter 1Figure 1.1. A lateral view of the skull showing some of the bony features re...Figure 1.2. The parotid gland and associated structures.Figure 1.3. The mandibulo‐stylohyoid ligament.Figure 1.4. Anatomical landmarks of the extratemporal facial nerve.Figure 1.5. Clinical photograph of dissected facial nerve following superfic...Figure 1.6. The branching patterns of the facial nerve.Figure 1.7. The facial nerve and its relationship to the retromandibular vei...Figure 1.8. The surface markings for the location of the parotid duct.Figure 1.9. The parasympathetic innervations of the salivary glands. The par...Figure 1.10. The relationship of the superficial and deep lobes of the subma...Figure 1.11 Superficial dissection of the left submandibular gland. The inve...Figure 1.12. Deep dissection of the left submandibular gland. With the subma...Figure 1.13. Clinical photograph showing the relationship of the lingual ner...Figure 1.14. Diagram showing the histology of the major components of the sa...Figure 1.15. Axial (a) and coronal (b) CT angiogram of the neck demonstratin...

2 Chapter 2Figure 2.1. Axial CT of the neck in soft‐tissue window without contrast demo...Figure 2.2. Axial CT of the neck in soft‐tissue window with IV contrast demo...Figure 2.3. Axial CT of the skull base reconstructed in a sharp algorithm an...Figure 2.4. Axial CT of the neck at the thoracic inlet in lung windows demon...Figure 2.5. Coronal CT reformation of the neck in soft‐tissue window at the ...Figure 2.6. Sagittal CT reformation of the neck in soft‐tissue window at the...Figure 2.7. CT angiogram (CTA) of the neck at the level of the parotid gland...Figure 2.8. Axial MRI T1 weighted image at level of the skull base and brain...Figure 2.9. Axial MRI FSE T2 weighted image demonstrating the high signal of...Figure 2.10. Axial MRI GRE image.Figure 2.11. Axial MRI STIR image at the skull base demonstrating the high s...Figure 2.12. Sagittal MRI STIR image at the level of the parotid gland demon...Figure 2.13. Axial (a) and coronal (b) MRI T1 post‐contrast fat saturated im...Figure 2.14. Axial MRI FLAIR image at the skull base demonstrating CSF flow‐...Figure 2.15. Axial MRI DWI image at the skull base demonstrating susceptibil...Figure 2.16. Ultrasound of the submandibular gland (black arrow) adjacent to...Figure 2.17. Ultrasound of the parotid gland demonstrating a normal intrapar...Figure 2.18. Ultrasound of the parotid gland in longitudinal orientation dem...Figure 2.19. Ultrasound of the parotid gland in longitudinal orientation dem...Figure 2.20. Submandibular sialogram (a). Note the continuity defect that re...Figure 2.21. Parotid sialogram. Note the numerous areas of duct dilatation a...Figure 2.22. Submandibular sialogram: Note the “soft” noncalcified stone fil...Figure 2.23. Parotid sialogram. Note the punctate filling areas without duct...Figure 2.24. Parotid sialo‐CT. Although the main duct is opacified, it is im...Figure 2.25. Contrast‐enhanced axial CT exam through the parotid gland prior...Figure 2.26. CT (a), PET (b), and fused PET/CT (c) images in axial plane and...Figure 2.27. PET image (a), corresponding CT image (b) and a fused PET/CT im...Figure 2.28. CT (a) and PET (b) images in axial plane demonstrating normal p...Figure 2.29. CT (a) and PET (b) images in axial plane demonstrating normal s...Figure 2.30. Axial CT of the neck demonstrates the intermediate to low densi...Figure 2.31. Reformatted coronal CT of the neck at the level of the parotid ...Figure 2.32. Reformatted sagittal CT of the neck at the level of the parotid...Figure 2.33. Axial T1 MRI image at the level of the parotid gland demonstrat...Figure 2.34. Coronal STIR MRI image at the level of the parotid gland demons...Figure 2.35. Sagittal fat suppressed T1 MRI image of the parotid gland demon...Figure 2.36. Axial CT scan (a) and corresponding PET scan (b) at the level o...Figure 2.37. Axial CT at the level of the submandibular gland demonstrating ...Figure 2.38. Reformatted coronal CT at the level of the submandibular gland ...Figure 2.39. Reformatted sagittal CT at the level of the submandibular gland...Figure 2.40. Axial T1 MRI of the submandibular gland demonstrating slight hy...Figure 2.41. Coronal fat saturated T2 MRI of the submandibular gland. Note t...Figure 2.42. Sagittal T1 fat saturated MRI of the submandibular gland demons...Figure 2.43. Axial CT (a) and corresponding PET (b) of the submandibular gla...Figure 2.44. Axial CT of the neck at the level of the sublingual gland demon...Figure 2.45. Axial contrast‐enhanced T1 MRI of the sublingual gland demonstr...Figure 2.46. Axial PET of the sublingual gland demonstrating the intense upt...Figure 2.47. Axial contrast‐enhanced CT of the neck at the level of the subm...Figure 2.48. Coronal STIR MRI of the face of a different patient with a very...Figure 2.49. Direct coronal CT displayed in bone window demonstrating smooth...Figure 2.50. Coronal fat suppressed contrast‐enhanced T1 MRI image correspon...Figure 2.51. Coronal fat saturated T2 MRI image demonstrating a well‐demarca...Figure 2.52. Axial CT with contrast at the level of the masseter muscles dem...Figure 2.53. Axial contrast‐enhanced fat saturated T1 MRI demonstrating hete...Figure 2.54. Reformatted coronal CT demonstrating enlargement and enhancemen...Figure 2.55. Axial CT demonstrating a large cystic lesion in the right parot...Figure 2.56. Reformatted coronal contrast‐enhanced CT of the submandibular g...Figure 2.57. Axial contrast‐enhanced CT of the parotid gland demonstrating a...Figure 2.58. Axial contrast‐enhanced CT at the level of the submandibular gl...Figure 2.59. Axial contrast‐enhanced CT (a) of the head with a cystic mass a...Figure 2.60. Axial contrast‐enhanced CT of the maxillofacial soft tissues wi...Figure 2.61. Axial contrast‐enhanced CT of the parotid gland with a heteroge...Figure 2.62. Axial PET/CT fused image demonstrating intense FDG uptake in a ...Figure 2.63. Axial contrast‐enhanced CT of a heterogenous parotid mass at th...Figure 2.64. Axial contrast‐enhanced CT demonstrating an ill‐defined mass di...Figure 2.65. Axial contrast‐enhanced CT demonstrating large bulky cervical l...Figure 2.66. Reformatted coronal contrast‐enhanced CT demonstrating an ill‐d...Figure 2.67. Coronal contrast‐enhanced MRI of the skull base demonstrating a...Figure 2.68. Axial CT in bone window demonstrating a mass eroding through th...Figure 2.69. Coronal CT corresponding to the case illustrated in Figure 2.68...Figure 2.70. Reformatted contrast‐enhanced coronal CT with a mass in the rig...Figure 2.71. Reformatted sagittal contrast‐enhanced CT corresponding to the ...Figure 2.72. Axial contrasted‐enhanced CT of the head with a fat density mas...Figure 2.73. Axial contrast‐enhanced CT through the submandibular gland with...Figure 2.74. Coronal T1 contrast‐enhanced MRI demonstrating a mass in the le...Figure 2.75. Coronal T2 MRI corresponding to the case illustrated in Figure ...Figure 2.76. Axial CT at the skull base displayed in bone window showing dil...Figure 2.77. Coronal T1 contrast image showing a very ill‐defined mass with ...Figure 2.78. Axial T2 MRI image corresponding to the case illustrated in Fig...Figure 2.79. Axial CT scan with contrast at the level of the parotid tail de...Figure 2.80. Axial PET scan image corresponding to the case in Figure 2.79. ...Figure 2.81. Fused axial PET/CT image corresponding to the case illustrated ...Figure 2.82. Axial CT of a mass in the right parotid gland with homogenous e...Figure 2.83. Axial PET scan corresponding to the case illustrated in Figure ...Figure 2.84. Axial contrast‐enhanced CT scan through the parotid glands demo...Figure 2.85. The patient demonstrates obvious left facial swelling in the re...

3 Chapter 3Figure 3.1. A 55‐year‐old woman (a and b) with a one‐week history of pain an...Figure 3.2. A 45‐year‐old man (a) with a six‐month history of left submandib...Figure 3.3. A 35‐year‐old man with a toxic megacolon (a) associated with Clo...Figure 3.4. A severe case of hospital acquired parotitis related to insuffic...Figure 3.5. A mild case of community acquired parotitis is noted by the expr...Figure 3.6. Lacrimal probes are utilized to probe the salivary ducts. The fo...Figure 3.7. Axial (a) and coronal (b) CT scans of a patient with a hospital ...Figure 3.8. The algorithm for diagnosis and treatment of a unilateral or bil...Figure 3.9. A left facial abscess in a 45‐year‐old man with a two‐week histo...Figure 3.10. Algorithm for the management of chronic recurrent bacterial par...Figure 3.11. The miniature endoscope for diagnostic and interventional siale...Figure 3.12. A 35‐year‐old man with a two‐year history of left parotid pain ...Figure 3.13. The CT scan (a) of a 73‐year‐old man with a one‐year history of...Figure 3.14. Algorithm for diagnosis and management of acute bacterial subma...Figure 3.15. A 52‐year‐old man (a) with a one‐year history of vague discomfo...Figure 3.16. A 21‐year‐old woman (a) with a two‐week history of left submand...Figure 3.17. A 9‐year‐old girl with a left parotid swelling with overlying e...Figure 3.18. Axial (a) and coronal (b) CT images demonstrating contrast enha...Figure 3.19. A 6‐year‐old African female with AIDS showing involvement of th...Figure 3.20. A 21‐year‐old woman (a and b) with a three‐week history of left...Figure 3.21. A 71‐year‐old man (a) demonstrated significant left facial swel...

4 Chapter 4Figure 4.1. The typical appearance of a ranula of the floor of mouth. The ch...Figure 4.2. This ranula has resulted in significant pain experienced by the ...Figure 4.3. The classic appearance of a mucocele of the lower lip. Similar t...Figure 4.4. A ranula of the left floor of mouth. While the lesion is clearly...Figure 4.5. A ranula of the right floor of mouth. Classic signs of elevation...Figure 4.6. An 8‐year‐old girl with obvious right submandibular swelling (a)...Figure 4.7. This elderly woman shows left submandibular swelling (a). Her hi...Figure 4.8. The excision of the sublingual gland and associated ranula from ...Figure 4.9. The specimen from the excision of the mucocele seen in Figure 4....Figure 4.10. The patient seen in Figure 4.7 underwent excision of her left s...Figure 4.11. A 48‐year‐old man with a swelling of the right submandibular re...Figure 4.12. A cyst of Blandin and Nuhn of the ventral surface of the tongue...Figure 4.13. A 71‐year‐old man was referred with a six‐month history of a pr...Figure 4.14. A 50‐year‐old HIV positive male presented in 1994 with obvious ...Figure 4.15. A 35‐year‐old HIV positive man presented in 2005 with a complai...Figure 4.16. A 79‐year‐old man was referred with a six‐month history of a ma...Figure 4.17. This patient presented with a seven‐month history of a painless...

5 Chapter 5Figure 5.1. A single sialolith noted within the right submandibular gland. I...Figure 5.2. This panoramic radiograph close‐up shows two sialoliths within t...Figure 5.3. This lateral cephalometric radiograph shows a single stone locat...Figure 5.4. This panoramic radiograph shows an oval sialolith of the left su...Figure 5.5. This very large sialolith is associated with the right submandib...Figure 5.6. This axial section of computerized tomograms shows the presence ...Figure 5.7. A close‐up of a panoramic radiograph obtained in a patient with ...Figure 5.8. A panoramic radiograph demonstrating calcifications within the l...Figure 5.9. This panoramic radiographic close‐up shows an irregular mass ass...Figure 5.10. Algorithm for management of submandibular sialolithiasis.Figure 5.11. A sialolith is noted at the opening of the right Wharton's duct...Figure 5.12. The clinical appearance of a man with pain and left submandibul...Figure 5.13. Interventional sialendoscopic instrumentation for retrieval of ...Figure 5.14. Algorithm for management of parotid sialolithiasis.Figure 5.15. Management of an extraglandular parotid duct sialolith. The pan...Figure 5.16. Axial CT scan demonstrating a parotid sialolith at the hilum wi...Figure 5.17. A lateral oblique plain film demonstrating two sialoliths of St...Figure 5.18. A 72‐year‐old man with pain and swelling of one month's duratio...Figure 5.19. Floor of mouth swelling present in a 55‐year‐old woman (a). A d...Figure 5.20. A 54‐year‐old man (a and b) with a long history of prandial swe...

6 Chapter 6Figure 6.1. The association between the lymphoepithelial lesion, Sjögren syn...Figure 6.2. A 36‐year‐old woman with a known history of Sjögren syndrome ass...Figure 6.3. A 75‐year‐old woman (a and b) with a left parotid mass. Fine nee...Figure 6.4. A 45‐year‐old woman diagnosed with Sjögren syndrome with bilater...Figure 6.5. A 55‐year‐old woman (a) with a 10‐year history of a progressivel...Figure 6.6. A 32‐year‐old woman with the recent development of dry eyes and ...Figure 6.7. An incisional parotid biopsy was performed on the patient seen i...Figure 6.8. The histopathology of the incisional parotid biopsy of the patie...Figure 6.9. Posterior‐anterior (a) and lateral (b) chest radiographs of a pa...Figure 6.10. Severe nasal cartilage involvement by sarcoidosis in this elder...Figure 6.11. A 64‐year‐old woman with parotid swelling of two month's durati...Figure 6.12. A 55‐year‐old man with bilateral submandibular gland swellings ...Figure 6.13 Histopathology of sarcoidosis (hematoxylin and eosin, original m...Figure 6.14. A 32‐year‐old man with a chronic history of bilateral parotid s...Figure 6.15. The fluoroscopic images of the barium swallow performed in the ...Figure 6.16. The histopathology of the incisional parotid biopsy performed o...Figure 6.17. The relative incidence of the most commonly observed IgG4‐relat...Figure 6.18. Axial (a and b), coronal (c), and sagittal (d) CT scans identif...

7 Chapter 7Figure 7.1. A 14‐year‐old boy with a nine‐month history of left parotid swel...Figure 7.2. A seven‐year‐old girl (a) with recurrent swellings of the left s...Figure 7.3. A baby with an acute suppurative infection of the right parotid ...Figure 7.4. A six‐year‐old girl with recurrent right parotid swelling indica...Figure 7.5. A four‐month‐old infant with left parotid swelling related to a ...Figure 7.6. An 18‐year‐old patient with calcifications superimposed over the...Figure 7.7. A three‐year‐old boy (a) with left parotid swelling that is soft...Figure 7.8. An 11‐month‐old boy with a right facial/upper neck swelling that...Figure 7.9. An eight‐year‐old girl (a) with left submandibular swelling that...Figure 7.10. A nine‐year‐old boy (a) with a mass of the left hard–soft palat...Figure 7.11. A 12‐year‐old girl (a) with a long history of a slowly growing ...Figure 7.12. (a) Axial MRI showing an enhancing lesion at the posterior hard...

8 Chapter 8Figure 8.1. (a) Pleomorphic adenoma containing tubular and solid structures ...Figure 8.2. Warthin tumor with well‐developed fibrous capsule delineating th...Figure 8.3. Basal cell adenoma consisting of monotonous sheets of basaloid c...Figure 8.4. Canalicular adenoma demonstrating columns of columnar cells lini...Figure 8.5. Oncocytoma characterized by eosinophilic, granular cytoplasm, wi...Figure 8.6. Sebaceous adenoma demonstrating numerous islands of tumor cells ...Figure 8.7. One morphologic pattern of myoepithelioma demonstrating a monoto...Figure 8.8. Cystadenoma characterized by tortuous cystic spaces lined by cub...Figure 8.9. Sialadenoma papilliferum demonstrating papillary stalks composed...Figure 8.10. Polycystic sclerosing adenoma composed of numerous tubuloacinar...Figure 8.11. Mucoepidermoid carcinoma exhibiting large cystic spaces contain...Figure 8.12. Intermediate‐grade mucoepidermoid carcinoma with mostly solid f...Figure 8.13. Intermediate‐grade mucoepidermoid carcinoma from Figure 8.12 de...Figure 8.14. Adenoid cystic carcinoma manifesting cribriform and tubular pat...Figure 8.15. Adenoid cystic carcinoma demonstrating classic nerve invasion p...Figure 8.16. Microcystic type of acinic cell carcinoma. Note the numerous sm...Figure 8.17. Acinic cell carcinoma composed predominately of acinar cells. H...Figure 8.18. Polymorphous adenocarcinoma comprised of both small‐ and interm...Figure 8.19. Polymorphous adenocarcinoma arranged in a concentric pattern. N...Figure 8.20. Adenocarcinoma, NOS demonstrating infiltrative growth of neopla...Figure 8.21. Basal cell adenocarcinoma arranged much like a basal cell adeno...Figure 8.22. Primary clear cell carcinoma arising within the parotid gland. ...Figure 8.23. A glassy cell variant of a squamous cell carcinoma. Note the cl...Figure 8.24. A clear cell variant of a mucoepidermoid carcinoma. H&E stainin...Figure 8.25. The classic clear cell variant of a renal cell carcinoma metast...Figure 8.26. Low‐grade cribriform cystadenocarcinoma, also known as the low‐...Figure 8.27. Sebaceous adenocarcinoma characterized by sebaceous differentia...Figure 8.28. Oncocytic carcinoma demonstrating the atypical cellular feature...Figure 8.29. Salivary duct carcinoma containing comedonecrosis centrally wit...Figure 8.30. Nodules of salivary duct carcinoma embedded within a dense conn...Figure 8.31. Carcinoma ex‐pleomorphic adenoma. The histology demonstrates ad...Figure 8.32. Carcinoma ex‐pleomorphic adenoma exhibiting nuclear abnormaliti...Figure 8.33. Primary squamous cell carcinoma arising within a parotid gland....Figure 8.34. Closer view of Figure 8.33 exhibiting atypical nuclear features...Figure 8.35. Myoepithelial carcinoma of salivary gland. Note the larger clea...Figure 8.36. Poorly differentiated carcinoma arranged in groups. Note the la...Figure 8.37. Poorly differentiated carcinoma as in Figure 8.35. This immunos...Figure 8.38. Small cell undifferentiated carcinoma of minor salivary gland. ...Figure 8.39. Large cell undifferentiated carcinoma of the submandibular glan...Figure 8.40. Lymphoepithelial carcinoma is composed of large malignant cells...Figure 8.41. Immunohistochemistry is a great help in determining the exact t...Figure 8.42. Mammary analogue secretory carcinoma of salivary gland. Note th...Figure 8.43. Mammary analogue secretory carcinoma of salivary gland. Note th...Figure 8.44. Lymphoid aggregate in mucous minor salivary gland often seen in...Figure 8.45. Benign lymphoepithelial lesion, now designated as lymphoepithel...Figure 8.46. Small B‐cell lymphoma arising within a Warthin tumor from the p...Figure 8.47. Hodgkin lymphoma within an intraparotid node. Note the classic ...Figure 8.48. Benign spindle cell tumor of the parotid gland. After immunosta...Figure 8.49. Another spindle cell tumor of the parotid gland determined to r...Figure 8.50. (a) A mass of the left soft palate that conjures numerous benig...

9 Chapter 9Figure 9.1. Why are salivary gland tumors so hard to study? Among the most im...Figure 9.2. Histogenetic versus morphogenetic classification: How do salivary...Figure 9.3. Paradigms in tumor biology: What are the cellular and molecular a...Figure 9.4. Enhanced cellular proliferation: How does protein deregulation le...Figure 9.5. How chromosomal alterations lead to phenotypes in salivary gland ...Figure 9.6. How can biomarkers aid in salivary gland tumor diagnosis? Biomark...Figure 9.7. How can an understanding of salivary gland tumor biology lead to ...

10 Chapter 10Figure 10.1. (a) A 67‐year‐old gentleman with a rapidly growing right paroti...Figure 10.2. (a) A woman with a Warthin tumor in the parotid tail presenting...Figure 10.3. (a and b) MR T1 and T2 weighted images of a cystic pleomorphic ...Figure 10.4. (a) A 45‐year‐old lady with parotid pleomorphic adenoma biopsie...Figure 10.5. (a and b) Patient with pleomorphic adenoma of the left parotid ...Figure 10.6. (a and b) Post surgery facial views of patient with left paroti...Figure 10.7. (a) Omega incision preauricular limb used to access a PA in the...Figure 10.8. Facial nerve trunk 4 mm superior to and at the same depth as th...Figure 10.9. (a) A 67‐year‐old African‐American lady with a preauricular swe...Figure 10.10. (a) MR shows large parapharyngeal PA. (b) Standard lip split i...Figure 10.11. (a) Deep lobe parotid tumor with parapharyngeal extension pres...Figure 10.12. (a) Female patient with fullness and mass in anterior right ch...Figure 10.13. The superficial parotidectomy is completed and the superficial...Figure 10.14. (a–c) MR images of large cystic benign tumor in the parotid ta...Figure 10.15. (a) Two large nodules of recurrent pleomorphic adenoma exist i...Figure 10.16. (a) A 20‐year‐old lady who previously had a “cyst” enucleated ...Figure 10.17. (a) Axial CT shows large hypodense mass in the retromandibular...Figure 10.18. (a) CT scan of large superficial lobe tumor in 22‐year‐old lad...Figure 10.19. (a) Patient who had “skin‐cyst” biopsied, which was histologic...Figure 10.20. (a) MR of parotid tumor which radiologically was diagnosed as ...Figure 10.21. (a) High‐grade parotid malignancy with skin fixity and N0 neck...Figure 10.22. (a) Coronal MRI view shows mass in left sublingual gland adjac...

11 Chapter 11Figure 11.1. A 64‐year‐old man with a painless submandibular mass.Figure 11.2. (a) Elderly lady with a hard‐submandibular mass (adenoid cystic...Figure 11.3. (a and b) CT scans showing submandibular mass with differing re...Figure 11.4. (a) T2 coronal MR with skin marker overlying the palpable nodul...Figure 11.5. (a) Adenocarcinoma of right sublingual gland. (b) Polymorphous ...Figure 11.6. CT scan of large malignant sublingual gland tumor.Figure 11.7. (a) The incision for submandibular gland tumor removal lies app...Figure 11.8. Another case of submandibular pleomorphic adenoma dissected to ...Figure 11.9. (a) Axial CT shows tumor projecting beyond the gland surface. (...Figure 11.10. (a) Submandibular gland attached only by its duct. The pleomor...Figure 11.11. (a) A 82‐year‐old man with pain and swelling of the right subma...Figure 11.12. Three‐dimensional CT scan of a 15‐year‐old Caucasian girl who ...Figure 11.13. Delivering sublingual gland with low‐grade (polymorphous adeno...Figure 11.14. (a and b) A 48‐year‐old Asian female with ACC of left sublingu...Figure 11.15. (a) Adenoid cystic carcinoma of sublingual gland closely appro...Figure 11.16. (a) CT scan shows low‐grade mucoepidermoid carcinoma of the ri...Figure 11.17. (a and b) MR imaging shows mass in right sublingual gland in a...Figure 11.18. (a) Intraoperative view of a 53‐year‐old man with a mass of th...Figure 11.19. (a) A 46‐year‐old African‐American man with right cervical lym...Figure 11.20. (a) Intraoperative view shows the raised, hard, indolent mass ...

12 Chapter 12Figure 12.1. The clinical appearance of a pleomorphic adenoma of the palate ...Figure 12.2. A large pleomorphic adenoma that is primarily located over the ...Figure 12.3. The clinical appearance of a pleomorphic adenoma that is locate...Figure 12.4. A freely moveable, indurated, submucosal mass of the upper lip ...Figure 12.5. A freely moveable, indurated, submucosal mass of the buccal muc...Figure 12.6. A mass of the palate in a 45‐year‐old man (a). The extensive di...Figure 12.7. A mass of the left palate (a) that demonstrated low‐grade mucoe...Figure 12.8. A lesion of the right tuberosity region (a). Biopsy of the lesi...Figure 12.9. An indurated upper lip mass that was fixed to surrounding mucos...Figure 12.10. A central mucoepidermoid carcinoma of the right mandibular ram...Figure 12.11. A 52‐year‐old man with a six‐month history of a palatal mass (...Figure 12.12. A mass of the dorsum of the tongue (a) that demonstrated adeno...Figure 12.13. A mass of the left palate (a) whose incisional biopsy identifi...Figure 12.14. A representative axial cut of a chest CT (a) of a patient with...Figure 12.15. Subtle differences between the adenoid cystic carcinoma (a) an...Figure 12.16. A 51‐year‐old man with a mass of the soft palate that had been...Figure 12.17. A biopsy‐proven polymorphous low‐grade adenocarcinoma of the p...Figure 12.18. A biopsy proved polymorphous low‐grade adenocarcinoma of the b...Figure 12.19. An acinic cell adenocarcinoma of the buccal mucosa in a 52‐yea...Figure 12.20. A mass of the right maxillary gingiva in a 12‐year‐old girl (a...Figure 12.21. A large palatal mass (a) that was diagnosed as mucoepidermoid ...

13 Chapter 13Figure 13.1. Salivary gland tumors are divided into three risk groups based ...Figure 13.2. A basic treatment algorithm for patients with salivary gland tu...Figure 13.3. Elective nodal irradiation should always be delivered to cervic...Figure 13.4. Axial images of a patient with an intermediate grade mucoepider...Figure 13.5. A 3D‐Conformal radiation treatment plan was generated using thr...Figure 13.6. Intensity modulated radiation therapy (IMRT) targets the saliva...Figure 13.7. Using advanced radiation planning the tumor target can be treat...Figure 13.8. A representative plan is shown treating a patient with a high‐r...Figure 13.9. An IMRT plan is shown treating a patient with an adenoid cystic...Figure 13.10. The figure demonstrates the difference in dose distribution be...

14 Chapter 14Figure 14.1. Activated signaling pathways and their inhibitory agents in adv...Figure 14.2. (a) Axial CT scan shows a large mass in the left parotid 5.8 × ...

15 Chapter 15Figure 15.1. (a) three‐year‐old boy with prominent cavernous vascular neopla...Figure 15.2. MR shows vascular malformation is located intramuscularly in th...Figure 15.3. (a–c) Vascular malformation in the submandibular region. At the...Figure 15.4. Lymphangioma involving both parotid and submandibular glad in a...Figure 15.5. (a) Massive plexiform neurofibroma involving the parotid and or...Figure 15.6. (a) Lipoma in tail of the parotid. (b) CT is diagnostic of lipo...Figure 15.7. (a) and (b) MR images of infiltrating lipoma of submandibular r...Figure 15.8. (a) Rapidly growing sublingual gland tumor diagnosed as synovia...Figure 15.9. (a) Elderly man with primary desmoid melanoma of the parotid. A...Figure 15.10. (a) Elderly lady with itchy facial and neck rash who complains...Figure 15.11. 52‐year‐old man with left parotid mass and firm Level II node ...Figure 15.12. Non‐Hodgkin lymphoma of the left parotid and submental node.Figure 15.13. (a) 35‐year‐old lady with MALT lymphoma of Waldeyer's ring con...Figure 15.14. Malignant syringoma of forehead metastatic to left parotid and...Figure 15.15. (a) PET scan of elderly lady with left preauricular mass post‐...Figure 15.16. (a and b) Full face and lateral view of elderly lady who had e...Figure 15.17. (a) Patient with nodular melanoma of posterior neck with palpa...Figure 15.18. (a) Patient with large lymph node swelling at level I and pigm...Figure 15.19. (a) An 80‐year‐old woman with known small cell carcinoma of th...Figure 15.20. (a) and (b) MR of submandibular gland mass fixed to the lower ...Figure 15.21. (a) Initial palatal lesion June 2002. Note the slight blue dis...

16 Chapter 16Figure 16.1. (a) Penetrating injury of the parotid after being stabbed with ...Figure 16.2. (a) Extensive avulsive injury from self‐inflicted shotgun wound...Figure 16.3. (a and b) Frontal and three‐quarter views of patient with right...Figure 16.4. (a) 41‐year‐old male post a gunshot wound which entered in the ...Figure 16.5. (a) Plain film of 20‐year old boy following a gunshot wound sho...Figure 16.6. Infant with laceration from broken glass. No facial nerve damag...Figure 16.7. (a) Entrance wound for bullet below ear lobe. (b) Bougie placed...Figure 16.8. (a and b) 72‐year‐old man diagnosed with a stroke in the ER aft...Figure 16.9. (a) Penetrating wound through ear and parotid. (b) Exploration ...Figure 16.10. (a) Extensive penetrating wound is anterior to the parotid gla...Figure 16.11. Sural nerve graft. The initial incision is made close to the l...Figure 16.12. Avance nerve graft used to reconstruct resected inferior alveo...Figure 16.13. (a) Lateral view of face of patient complaining of gustatory s...Figure 16.14. Surface markings of the parotid duct are shown by a line drawn...Figure 16.15. (a) Patient with cheek laceration that was primarily sutured, ...Figure 16.16. (a) A 38‐year‐old man with a laceration of the right cheek in ...Figure 16.17. (a) Gunshot wound entering at right parotid region with exit a...Figure 16.18. Degloving injury of the floor of mouth with a torn left Wharto...Figure 16.19. (a) Patient with soft‐tissue scarring from penetrating wounds ...Figure 16.20. Marked skin reaction over parotid and submandibular region fol...Figure 16.21. (a) Bilateral acute reaction with redness and exudation involv...Figure 16.22. Algorithm for management of penetrating trauma to the parotid ...Figure 16.23. Algorithm for management of blunt trauma to the parotid gland....

17 Chapter 17Figure 17.1. (a) Three‐month‐old baby with a swelling of the left floor of m...Figure 17.2. (a and b) Middle aged lady with right parotid swelling for “man...Figure 17.3. Twenty‐year‐old girl with recurrent localized infection of the ...Figure 17.4. (a) Operative photograph of patient with a discrete mass though...Figure 17.5. (a and b) CT scans of large branchial cyst in the parotid gland...Figure 17.6. (a and b) Axial and coronal MRI showing superficial cyst in lef...Figure 17.7. (a) Twenty‐seven‐year‐old man with a large cystic lesion in his...Figure 17.8. (a) Necrotizing sialometaplasia of palate with rolled edge and ...Figure 17.9. (a) Seventy‐year‐old lady with “lumps” in her mouth. Clinical p...Figure 17.10. (a) Axial CT scan shows enhancing lesion in the inferior pole ...

18 Chapter 18Figure 18.1. Bilateral submandibular duct orifices are not visible on examin...Figure 18.2. Identification of submandibular duct following papillotomy for ...Figure 18.3. Following superficial parotidectomy, identification of the faci...Figure 18.4. Forty‐three‐year‐old man undergoing a superficial parotidectomy...Figure 18.5. Panoramic radiograph (a) of a 56‐year‐old woman who sustained a...Figure 18.6. House–Brackmann grading scale for objective evaluation of facia...Figure 18.7. Illustration of abnormal neuromuscular junction between branche...Figure 18.8. Seventy‐four‐year‐old woman one‐year status post total parotide...Figure 18.9. Superficial musculoaponeurotic system flap in a 66‐year‐old man...Figure 18.10. Forty‐four‐year‐old man undergoing a superficial parotidectomy...Figure 18.11. Thirty‐one‐year‐old woman with an infected sialolith developed...Figure 18.12. Seventy‐seven‐year‐old man presented with a sialocele of the r...Figure 18.13. Twenty‐three‐year‐old man presented following assault where he...Figure 18.14. Placement of size eight lacrimal probe into right parotid orif...Figure 18.15. Forty‐year‐old woman who developed obstruction of the right pa...Figure 18.16. Completion of a pull through sialodochoplasty with the excess ...Figure 18.17. Eighteen‐gauge angiocatheter placed into Stensen duct navigati...Figure 18.18. Bartholin duct entering into the Wharton duct during an intrao...Figure 18.19. Twenty‐five‐year‐old man presents with enlarged, translucent b...Figure 18.20. Thirty‐one‐year‐old woman presented with enlarging mass on lat...Figure 18.21. The relationship of the lingual nerve and the submandibular du...Figure 18.22. During sialadenectomy of right salivary gland through a transc...Figure 18.23. Perforation of the submandibular duct through a 1.1 mm sialend...Figure 18.24. Sialolith of a right submandibular gland embedded into the duc...Figure 18.25. Occlusion of the left parotid salivary duct from stricture for...Figure 18.26. Twenty‐six‐year‐old man with manipulation of the lingual nerve...Figure 18.27. Seventy‐five‐year‐old man following sialendoscopy with extrava...Figure 18.28. Sixty‐two‐year‐old woman who had successful removal of a 4 mm ...Figure 18.29. Seventy‐one‐year‐old man status post removal of his left subma...Figure 18.30. Twenty‐six‐year‐old man with mucocele of the left lower lip.Figure 18.31. Twenty‐three‐year‐old man with a mucocele of the tongue on the...Figure 18.32. Twenty‐seven‐year‐old man during removal of a mucocele with vi...Figure 18.33. Illustration of the labial surface of the lip. The anatomy of ...Figure 18.34. Twenty‐five‐year‐old woman with a surgical defect immediately ...Figure 18.35. (a) Intraoral view shows of the left palate extending from the...

19 Chapter 19Figure 19.1. Tumors in the superficial lobe that are easily palpable and jus...Figure 19.2. Depiction of the approach to deep parotid tumors where the glan...Figure 19.3. Intra‐oral ultrasound showing a stone in the distal third of th...Figure 19.4. Left submandibular sialogram with filling defect/stone at the p...Figure 19.5. CT scan showing a stone just anterior to the right submandibula...Figure 19.6. Polydiagnost modular micro‐endoscope with sheaths of two differ...Figure 19.7. Semi‐rigid Polydiagnost micro‐endoscope.Figure 19.8. Karl Storz micro‐endoscopes with working channel.Figure 19.9. Instruments for salivary duct access including Nettleship dilat...Figure 19.10. Cook Medical salivary duct dilators.Figure 19.11. Kolenda introducer sheath (Cook Medical) in situ.Figure 19.12. Sialendoscopy guided basket retrieval of a stone.Figure 19.13. Non‐releasing baskets.Figure 19.14. Releasing baskets.Figure 19.15. Stonebreaker™ (Cook Medical, Bloomington, USA).Figure 19.16. Stone fragmentation with Stonebreaker.Figure 19.17. Relationship between the submandibular duct and nerve as seen ...Figure 19.18. Combined endoscopic and open approach for removal of a parotid...Figure 19.19. Right parotid sialogram showing a stricture at the mid‐distal ...Figure 19.20. Right parotid sialogram with guide wire and inflated balloon i...Figure 19.21. Sialogram following sialography guided duct dilatation for a r...