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Chapter-21 Neck

BOOK TITLE: Clinical Surgery: A Text and Atlas

Author
1. Chumber Sunil
2. Saha Sudipto
3. Garg Subodh
ISBN
9789351526797
DOI
10.5005/jp/books/12698_22
Edition
1/e
Publishing Year
2016
Pages
10
Author Affiliations
2. Lady Hardinge Medical College, New Delhi, India
3. Jai Prakash Narain Trauma Center, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords
lymph nodes, mammography, plunging ranula, branchial cyst, cystic hygroma, lipoma, sebaceous cyst, carbuncle, laryngocele, hyoid, thyroid, cricoid, clavicle, stemum, lymphadenopathy

Abstract

Neck swellings are the most common manifestation of a disease associated the organ. Swellings in the neck are of two types — midline or lateral swellings. While Midline swellings of the neck are associated with diseases such as Ludwig’s angina, sublingual dermoid and lipoma in the submental region and thyroglossal cyst and subhyoid bursitis, the Lateral swellings may be divided in the regions such as submandibular triangle, carotid triangle, posterior triangle. The most common cause of swellings in the neck is enlarged lymph nodes. The lymph nodes are painful in both acute and chronic lymphadenitis. However, they are painless in lymphoma and metastatic lymphadenopathy. A swelling in the submandibular triangle presenting with pain during meals is due to calculous causing obstruction of the duct of the submandibular gland. It is essential to examine the drainage area when examining a patient with enlarged lymph nodes. The left supraclavicular lymph node, when enlarged is called Virchow’s node. When this lymph node is enlarged, the examiner should examine the arm, breast and chest, abdomen as well as the testis for a malignancy. The chapter, in this regard, suggests laboratory tests such as hemogram, tuberculin test and endoscopy.

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