Clinicopathological study of pediatric neck masses

Gangwar, Navneeta; Vyas, Pratibha; Gakkar, Saurabh

doi:10.18203/issn.2454-5929.ijohns20180504

Cited by 2 publications

(3 citation statements)

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“…In current study, fever (52%) is the most common associated presenting complaint. Similar findings were [13][14][15] Studies among paediatric neck masses done by Showkat et al, Govari et al, Deeva et al, Cannolly et al and Gangwar et al found that reactive lymphadenopathy is the most common infective neck swelling. 2,13,[16][17][18] Similar findings noted in current study 46% (N=47) are reactive lymphadenitis cases.…”

Section: Discussionsupporting

confidence: 77%

“…In our study the symptomatology of fever, local pain and dysphagia (p<0.05), need for institutional management (p=0.001) with respect to deep neck space infection is statistically significant when associated with submandibular space, Similar to the study carried by Gangwar et al who found the submandibular space to be involved commonly. 13 One case of submandibular space infection had spread of infection to parapharyngeal and retropharyngeal space which was managed surgically. In current study the lateral or midline infective neck swellings on treatment, improved clinically irrespective of the modality (p<0.02) ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

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Clinicopathological study and management of infective swellings of neck in pediatric age group patients

Rao

Bipinkumar

Vijaya

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Neck swellings are common presenting complaint in paediatric age group patients attending ENT department and are cause of concern for both doctors and parents because they are considered as red flag.Methods: This prospective study was conducted among 102 paediatric patients of both genders attending the OPD of department of ENT, Vijayanagar institute of medical sciences, Bellary, Karnataka, between July 2018 to March 2020.Results: Out of 102 patients in our study, majority of them were reactive lymphadenopathy 47 (46%). Out of 41 deep neck space infections, submandibular space is the most commonly involved space 27 (65.8%). Twenty-nine (70.7%) DNSI’s needed institutional management hence got admitted and among them 20 (48.7%) were submandibular space infection and 7 (17%) were Ludwig’s angina which was statistically significant (p=0.001). Among 27 submandibular space infection, 24 (88.8%) had fever, 19 (70.3%) had local pain, 4 (14.8%) had dysphagia which was statistically significant (p<0.05).Conclusions: In the infective neck swellings of paediatric age group the submandibular space infection needs the zenith of active institutional management among both the genders, and the Ludwig’s angina warrants its treatment on institutional admission which is frequent in this age group.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Clinicopathological study and management of infective swellings of neck in pediatric age group patients

Rao

Bipinkumar

Vijaya

2020

Int J Otorhinolaryngol Head Neck Surg

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“…Benign lesions are usually more common in younger age from 11 to 20 years as nasopharyngeal angiofibroma was more common in adult age in our study. As per Aloke Bose Majumdar et al, non-neoplastic nasal masses were the commonest in the 2nd to 4th decade of life [6].…”

Section: Discussionmentioning

confidence: 87%

Clinicopathological study and management of masses in the sinonasal cavity and nasopharynx: a case series of 42 cases

Patel

Chauhan

Patel

2023

Egypt J Otolaryngol

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Background Different types of space-occupying lesions can arise from the nasal cavity and nasopharynx. They can be neoplastic (benign and malignant) or nonneoplastic lesions producing wide range of clinical symptoms. The correlations of clinical, radiological and histopathological findings are necessary in these types of cases. The aim of the study is to evaluate clinical behaviours of sinonasal cavity and nasopharyngeal masses, to correlate the radiological and pathological findings of masses, to evaluate the methods for early diagnosis of masses and to determine and evaluate the outcome of sinonasal cavity and nasopharyngeal masses following various modalities of treatment. Materials and methods This was a prospective study conducted in a tertiary care hospital of Vadodara, Gujarat. A total 42 cases were included in the study. Clinical, demographic, radiological and histopathological details were noted in each case. Follow-up period was about 3 months to 18 months in the study. Observation A total 42 cases were included in the study with 20 benign neoplastic lesions, 19 malignant lesions, and 3 nonneoplastic lesions. The incidence was noted between 8 and 75 years of age with a male to female ratio of 2:23. Angiofibroma was the most common benign neoplastic lesion. Squamous cell carcinoma was the most common malignant lesion noted. Thirty-three patients were successfully operated for the excision of tumour. The most common symptom was nasal obstruction present in 66.67% of cases followed by swelling over local site in 62% of cases followed by nasal discharge in our study. Discussion The nasal cavity contains different types of epithelial (squamous, neural, olfactory) and mesenchymal (bone, cartilage, muscle and vascular) tissues. Tumours can arise from any of these tissues. Symptomatology is indistinguishable from nasal polypi, chronic rhinosinusitis and granulomatous diseases of the nose. Utmost care is needed in the examination and diagnosis of these cases before starting the treatment. Conclusion Clinical, radiological and histopathological correlations are necessary in sinonasal masses as it will be helpful in deciding the treatment plan and any adjunctive treatment if necessary like chemoradiation in malignant lesions. Continuous follow-up is also necessary to look for patency of nasal cavity, any complication and recurrence.

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Clinicopathological study of pediatric neck masses

Cited by 2 publications

References 13 publications

Clinicopathological study and management of infective swellings of neck in pediatric age group patients

Clinicopathological study and management of infective swellings of neck in pediatric age group patients

Clinicopathological study and management of masses in the sinonasal cavity and nasopharynx: a case series of 42 cases

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