“UNIVERSIDAD ESTATAL DE GUAYAQUIL”

FACULTAD DE CIENCIAS MEDICAS

ESCUELA DE MEDICINA

Neuroanatomía

Docente: Dr. Pablo Ulloa

Estudiante: Daniel Aldaz Carvajal

CASO CLÍNICO 3

Grupo 8

Ciclo l 2020-2021
 A 54-year-old man with a history of chronic otitis media comes to the physician because of
gradually progressing hearing loss and discharge from the right ear. An MRl shows
evidence of a cholestea{oma in the middle ear. After diagnosis, surgery is performed to
remove the cholesteatoma. The surgery resulted in injury to a nerve that passes through
the middle ear cavity. Following the procedure, the patient notes significant improvement
in his otologic symptoms; however, he begins to notice increasingly severe symptoms of
dry mouth, Salivation from which of the following glands is most likely to be impaired as a
result of the surgery?

' A. Parotid and sublingual glands

` 8. Parctid and submandibular glands

' C. Parotid gland only

' r\ D. Sub|ingual gland only

E. Submandibular and sublingual glands

F. Submandibular gland only

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