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They are situated just superficial to the submandibular salivary gland, and posterolateral to the anterior belly of either digastric muscle. [1]One gland, the middle gland of Stahr, which lies on the facial artery as it turns over the mandible, is the most constant of the series; small lymph glands are sometimes found on the deep surface of the submandibular gland.
Parotitis presents as swelling at the angle of the jaw. Bacterial parotitis presents as a unilateral swelling, where the gland is swollen and tender and usually produces pus at the Stensen's duct. This pus is usually sampled and the bacteria within are identified. Common causative bacteria are Staphylococcus aureus, Streptococcus pyogenes and E ...
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Swelling of the parotid gland may also indicate the eating disorder bulimia nervosa, creating the look of a heavy jaw line. With the inflammation of mumps or obstruction of the ducts, increased levels of the salivary alpha amylase secreted by the parotid gland can be detected in the blood stream.
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The facial lymph nodes comprise three groups: (a) infraorbital or maxillary , scattered over the infraorbital region from the groove between the nose and cheek to the zygomatic arch ; (b) buccinator , one or more placed on the buccinator muscle opposite the angle of the mouth;
Cervical lymphadenitis (swelling of the lymph nodes in the neck). Aesthesia or paresthesia (altered sensation such as numbness or pins and needles) in the distribution of the mental nerve. Fever which may be present in the acute phase and is high and intermittent; Malaise (general feeling of being unwell) which may be present in the acute phase
Castleman diseases; Other names: Giant lymph node hyperplasia, lymphoid hamartoma, angiofollicular lymph node hyperplasia: Micrograph of Castleman disease showing hyaline vascular features including atrophic germinal center, expanded mantle zone, and a radially penetrating sclerotic blood vessel ("lollipop" sign).