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Management of Neck Lumps - Head and Neck Services point of view

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Here I discuss the role played by the Head and Neck Service department in the management of a patient with a neck lump

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Management of Neck Lumps - Head and Neck Services point of view

  1. 1. Neck Lump Management Our Take – Head and Neck Services point of view Dr. MTD Lakshan MBBS MS(OTO) DOHNS FEB ORL- HNS, FRCSEd ORL-HNS
  2. 2. Head and Neck Services • During Evaluation • Surgical Input • Post Surgical Input – Managing Complications
  3. 3. Neck Lumps • Structures in the Neck – Thyroid, Parotid, Nerves, Vessels, Bones, Skin, S C tissue • Structures close to the neck – Ear, Nose, Sinuses, Oral, Pharyngeal, Laryngeal Oesophageal, Tracheo-bronchial
  4. 4. Neck Lumps • Distant Structures – Mets • Systemic – Lymphoma Infections
  5. 5. History
  6. 6. Examination
  7. 7. What to do you see?
  8. 8. Apical Tumour
  9. 9. Two Things 1. Listen to Voice 2. Listen to Breathing
  10. 10. Oropharyngeal Examination
  11. 11. Oropharyngeal Examination
  12. 12. IDL
  13. 13. Post Nasal Space
  14. 14. RNE
  15. 15. FOL
  16. 16. DL
  17. 17. Oesophagoscopy
  18. 18. Bronchoscopy
  19. 19. Think Uncommon
  20. 20. Post Operative
  21. 21. Post OP VC Palsy
  22. 22. Thyroplasty
  23. 23. Summary • Multiple Pathologies • Think : Pathological Sieve – Vascular, Infective, Traumatic, Autoimmune, Meta bolic, Inflammatory, Neoplastic, Congenital, Dege nerative (VITAMIN CD) • Think : Structures – Local, Adjacent, Distant, Systemic • Think Through • Think Team
  24. 24. MDT

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