《耳鼻喉科学 Otolaryngology》课程教学课件（PPT讲稿）pharynx and larynx_Neck Lumps（swelling）

Neck Lumps (swelling)

Neck Lumps (swelling)

Cervical swellings Ant and post trianglesby sternomastoid9Ant triangle furgthersubdiveded by digastric& omohyoidsubmandibularcarotidmuscular

Cervical swellings ◼ Ant and post triangles by sternomastoid ◼ Ant triangle furgther subdiveded by digastric & omohyoid submandibular carotid muscular ◼ C:\Documents and Settings\Dr Dinesh Kafle\Desktop\PIC_0019 .JPG

Midline neck swellings Submental LN- Suprasternal Plunging ranulacyst,LN Ludwig's angina Lipoma SublingualAdvanced Cadermoidlarynx Subhyoid bursitis thyroglossal cyst Isthmic thyroid

Midline neck swellings ◼ Submental LN ◼ Plunging ranula ◼ Ludwig’s angina ◼ Sublingual dermoid ◼ Subhyoid bursitis ◼ thyroglossal cyst ◼ Isthmic thyroid ◼ Suprasternal cyst,LN ◼ Lipoma ◼ Advanced Ca larynx

Suprasternal cyst

Suprasternal cyst

Lateral neck swellings : anttriangleLymph nodesSwelling lower pole ofparotidinflammatory - ac /chParapharyngeal abscessneoplastic- primarytumours- secondariesCarotid body tumourEnlarged SM gland -inflammatory orPharyngeal pouchneoplastic LaryngocoeleBranchial cystSternomastoidtumourThyroid swellingLymphangil\ma

Lateral neck swellings : ant triangle ◼ Lymph nodes inflammatory – ac /ch neoplastic- primary - secondaries ◼ Enlarged SM gland – inflammatory or neoplastic ◼ Branchial cyst ◼ Thyroid swelling ◼ Lymphangil\ma ◼ Swelling lower pole of parotid ◼ Parapharyngeal abscess, tumours ◼ Carotid body tumour ◼ Pharyngeal pouch ◼ Laryngocoele ◼ Sternomastoid tumour

Massive thyroid swelling

Massive thyroid swelling

Post triangle swellingsEnlarged LNinflammatoryneoplasticCervical ribCystic hygroma Aneurysm ofsubclavian art Lipoma

Post triangle swellings ◼ Enlarged LN inflammatory neoplastic ◼ Cervical rib ◼ Cystic hygroma ◼ Aneurysm of subclavian art ◼ Lipoma

Lymphangioma 3 types : simple(thin walled channels)cavernous (dilated lymphatic spaces)arise from lips, cheek, FOMcystic hygroma (cysts of varying size)arise in lower neck Treatment - Inj OK432- surgical excision

Lymphangioma ◼ 3 types : simple(thin walled channels), cavernous (dilated lymphatic spaces) arise from lips, cheek, FOM cystic hygroma (cysts of varying size) arise in lower neck ◼ Treatment – Inj OK432, - surgical excision

Dermoid cystsMidline swellings not moving withswallowing or protrusion of tongue

Dermoid cysts ◼ Midline swellings not moving with swallowing or protrusion of tongue

Dermoid cysts- 3 types :epidermoid cysts : lined only with sq epitrue dermoid - sg epi+ all skinappendageteratoid cyst - resp/sq epi +ecto,meso,endo elements like teethnails,thyroid tissue Treatment - excision

Dermoid cysts ◼ 3 types : epidermoid cysts : lined only with sq epi true dermoid – sq epi+ all skin appendage teratoid cyst – resp/sq epi + ecto,meso,endo elements like teeth, nails,thyroid tissue ◼ Treatment - excision