Endoscopically-Assisted Scar-Free Midline Neck Mass Excision

Traditional open surgery is indicated for the treatment of selected tumor subsites in the head and neck. However, it can cause major cosmetic problems and functional pathologies. The endoscopically-assisted transoral approach is increasingly preferred in some surgical fields due to its superior cosmetic and functional outcomes. Nonetheless, endoscopically-assisted transoral approach is not yet standard in the head and neck due to their anatomical complexity. The transoral surgical approach has been used for head and neck masses since the 1960s, and its application continues to evolve with changing disease conditions and recent innovations in surgical instruments. The potential for wide application of transoral surgery continues to be investigated, with a focus on minimizing occurrence of the complications. This review presents details of the surgical procedure and postoperative clinical outcomes, as well as endoscopically-assisted scar-free techniques for the resection of midline neck masses.

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Intramuscular hemangioma of the retropharyngeal space

Vojnosanitetski pregled ◽

10.2298/vsp0707485b ◽

2007 ◽

Vol 64 (7) ◽

pp. 485-488 ◽

Cited By ~ 2

Author(s):

Ivan Boricic ◽

Zorica Stojsic ◽

Anton Mikic ◽

Dimitrije Brasanac ◽

Nada Tomanovic ◽

...

Keyword(s):

Head And Neck ◽

English Literature ◽

Neck Region ◽

Trapezius Muscle ◽

Neck Mass ◽

Retropharyngeal Space ◽

Neck Masses ◽

Distinctive Type ◽

Intramuscular Hemangioma ◽

Head And Neck Masses

Background. Intramuscular hemangioma (IMH) is a distinctive type of hemangioma occurring within skeletal muscle. Most IMH are located in the lower extremity, particularly in the muscles of the thigh. When present in the head and neck region, the masseter and trapezius muscle are the most frequently involved sites. Case report. We reported a case of unusual localization of the head and neck IMH occurring within the retropharyngeal space (RPS). To our knowledge, this is the second such case reported in the English literature. The tumor presented as a left-sided neck mass with bulging of the posterior and left lateral oropharyngeal wall on indirect laryngoscopy. Computed tomography (CT) scan revealed an ill-defined mass in the RPS at the oropharyngeal level. The lesion was excised via a transoral approach and microscopically diagnosed as IMH, the complex malformation subtype. Although surgical margins were positive, no recurrence of the tumor was noted in the 17-month follow-up. Conclusion. Intramuscular hemangioma should be considered in the differential diagnosis of deep head and neck masses. The knowledge of the infiltrative nature and recurrence rate of an IMH is useful for appropriate management. .

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Head and Neck Masses in Children

Otolaryngology ◽

10.1016/s0194-5998(05)80371-7 ◽

1995 ◽

Vol 112 (5) ◽

pp. P142-P142

Author(s):

Charles M. Myer ◽

J. Paul Willging

Keyword(s):

Head And Neck ◽

Treatment Plan ◽

Neck Mass ◽

Educational Objective ◽

Neck Masses ◽

Evaluation Protocol ◽

Head And Neck Masses

Educational objective: To develop an evaluation protocol and a treatment plan for a head or neck mass in a child.

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Fine Needle Aspiration Cytology In The Diagnosis Of Head And Neck Masses

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n9p361 ◽

2016 ◽

Vol 12 (9) ◽

pp. 361

Author(s):

Akeel A. Khdhayer ◽

Mazin Jasim Al-Azawi ◽

Nawal Al-Alash ◽

Hadeel A. Yasseen

Keyword(s):

Head And Neck ◽

Fine Needle Aspiration ◽

Accurate Method ◽

Needle Aspiration ◽

Neck Mass ◽

Primary Diagnosis ◽

Fine Needle ◽

Neck Masses ◽

Head And Neck Masses ◽

Sensitivity Specificity

Background Commonly presenting neck masses occur within lymph nodes, thyroid, parotid and other salivary glands. Objective This study is designed to assess the accuracy, sensitivity, specificity in various head and neck lesions Material and method fine needle cytology and the histopathology were done on 100 patients who presented with palpable head and neck mass (es). Result Sensitivity, specificity, and accuracy for detection of lymphoma is 50%, 90%, 70.0% respectively. While the overall sensitivity, specificity, accuracy is 88%, 98%, 93%. Conclusion fine needle aspiration is a highly accurate method for primary diagnosis of neck masses apart from lymphoma.

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Feasibility of Quantitative Diffusion Weighted MR Imaging with Calculated Apparent Diffusion Coefficients in Characterization of Pediatric Head and Neck Masses

Indian Journal of Public Health Research & Development ◽

10.37506/v10/i12/2019/ijphrd/192433 ◽

2019 ◽

Vol 10 (12) ◽

pp. 1577

Author(s):

Ahmed Gabr ◽

Ayman M. Nada ◽

Mohammed Gomaa ◽

Rania Hashem ◽

Ahmed Shokry ◽

...

Keyword(s):

Mr Imaging ◽

Head And Neck ◽

Diffusion Coefficients ◽

Apparent Diffusion Coefficients ◽

Neck Masses ◽

Diffusion Weighted ◽

Apparent Diffusion ◽

Head And Neck Masses

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Multiple b values of diffusion-weighted magnetic resonance imaging in evaluation of solid head and neck masses

Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1186/s43055-019-0054-3 ◽

2019 ◽

Vol 50 (1) ◽

Cited By ~ 1

Author(s):

Rania Sobhy Abou khadrah ◽

Haytham Haroon Imam

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Head And Neck ◽

Resonance Imaging ◽

Adc Value ◽

Neck Masses ◽

Adc Values ◽

Weighted Magnetic Resonance Imaging ◽

The Mean ◽

Head And Neck Masses

Abstract Background Differentiation between malignant and benign masses is essential for treatment planning and helps in improving the prognosis of malignant tumors; the aim of this work is to determine the role of diffusion-weighted magnetic resonance imaging (DW-MRI) and the apparent diffusion coefficient (ADC) in the differentiation between benign and malignant solid head and neck masses by comparing diagnostic performance of low b values (0.50 and 400 s/mm2) versus high b values (800 and 1000 s/mm2) and comparing the result with histopathological finding. Results The study included 60 patients (34 male and 26 female) with solid head and neck masses > 1 cm who referred to radiodiagnosis department for MRI evaluation. Multiple b values were used 50, 400, 800, and 1000 s/mm2 (at least 2 b values). DWI and ADC value of all 60 patients were acquired. Mean ADC values of both malignant and benign masses were statistically measured and compared, and cut off value was determined. Solid head and neck masses in our study DWI with the use of high b value 800 and 1000 s/mm2 were of higher significance (P value 0.001*). There was a significant difference in the mean ADC value between benign and malignant masses (P < 0.01); solid masses were divided into 2 categories: (a) malignant lesions 46.7% (n = 28) with mean ADC value (0.82 ± 0.19) × 10−3 s/mm2 and (b) benign lesions 53.3% (n = 32) with mean ADC value (2.05 ± 0.46) × 10−3 s/mm2) with ADC cutoff value of 1.0 × 10−3 s/mm2 and 94% sensitivity, 93% specificity, negative predictive value (NPV) = 94%, positive predictive value (PPV) 93%, and an accuracy of 93.5%. Conclusion The DWI with ADC mapping were valuable as non-invasive tools in differentiating between benign and malignant solid head and neck masses. The use of high b value 800 and 1000 s/mm2 was of higher significance (P value 0.001*) in differentiation between benign and malignant lesion than that with low b values 0, 50, and 400 s/mm2 (0.01). The mean ADC values were significantly lower in malignant solid masses. Attention had to be paid to the choice of b values in MRI-DWI in the head and neck region.

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