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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
Head and Neck Services
• During Evaluation
• Surgical Input
• Post Surgical Input –
Managing Complications
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
Neck Lumps
• Distant Structures
– Mets
• Systemic
– Lymphoma Infections
History
Examination
What to do you see?
Apical Tumour
Two Things
1. Listen to Voice
2. Listen to Breathing
Oropharyngeal Examination
Oropharyngeal Examination
IDL
Post Nasal Space
RNE
FOL
DL
Oesophagoscopy
Bronchoscopy
Think Uncommon
Post Operative
Post OP VC Palsy
Thyroplasty
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
MDT

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

Editor's Notes

  1. Horner’s Syndrome