Is ultrasound useful for evaluating paediatric inflammatory neck masses?

Douglas, Susan A; Jennings, Scott; Owen, Victoria M. F.; Elliott, Simon; Parker, David A.

doi:10.1111/j.1749-4486.2005.01083.x

Cited by 19 publications

(20 citation statements)

References 5 publications

(13 reference statements)

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“…However, other authors demonstrated relatively low accuracy of ultrasound, with sensitivity ranging from 60 to 70% and specificity of 33 to 88% [5,6]. Most authors attribute this limited accuracy to the inability of paediatric patients to actively cooperate during imaging studies [5,6]. In their response to Douglas et al [5], Ho et al [8] stated the advantage of repeated ultrasound, and claimed much greater accuracy when ultrasound studies are performed by experienced staff [8].…”

Section: Discussionmentioning

confidence: 94%

“…In their prospective study of 23 patients, Quraishi et al [7] demonstrated up to 100% surgically proven accuracy of ultrasound for the evaluation of neck abscesses in children. However, other authors demonstrated relatively low accuracy of ultrasound, with sensitivity ranging from 60 to 70% and specificity of 33 to 88% [5,6]. Most authors attribute this limited accuracy to the inability of paediatric patients to actively cooperate during imaging studies [5,6].…”

Section: Discussionmentioning

confidence: 96%

“…The literature regarding radiological evaluation of inflammatory neck masses is sparse [4][5][6][7]. Opinions as to the best technique for evaluation are controversial.…”

Section: Discussionmentioning

confidence: 98%

“…Ultrasound has technical limitations for the evaluation of profound neck structures. Doppler sonographic studies can greatly improve the ability to characterise these masses, but can be technically challenging because of patient movement, especially in very young children [5].…”

Section: Discussionmentioning

confidence: 99%

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Does CT have an additional diagnostic value over ultrasound in the evaluation of acute inflammatory neck masses in children?

et al. 2009

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 96%

“…The literature regarding radiological evaluation of inflammatory neck masses is sparse [4][5][6][7]. Opinions as to the best technique for evaluation are controversial.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Does CT have an additional diagnostic value over ultrasound in the evaluation of acute inflammatory neck masses in children?

et al. 2009

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“…They evaluated lesions of probable inflammatory nature and found a sensitivity of 96 %, that is, the fraction of the patients who showed a positive response in the ultrasonographic examination among those individuals who had the disease [8][9][10][11][12]. On the contrary, Douglas et al [13] found a 65 % sensitivity for the examination. Along this same line of research, Pallagatti et al [14] and Nisha et al [12] respectively determined an accuracy of 88.9 and 97.1 % for US.…”

Section: Discussionmentioning

confidence: 99%

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Martins

Salum

Cherubini

et al. 2014

J. Maxillofac. Oral Surg.

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Objective The aim of this study was to evaluate the contribution of ultrasonography in the establishment of the diagnosis of nonspecific nodular lesions of the oral soft tissues. We determined the indication of use and reliability of ultrasonography in the field of dentistry, considering whether it was of value in the conclusive diagnosis of these pathologies. Materials and Methods We recruited 65 patients from the Oral Medicine Unit of São Lucas Hospital, who had submucosal and subcutaneous nodules, without established diagnosis. They were subjected to ultrasonography of the lesion, carried out with standardization of the protocol and equipment, utilizing a Doppler system. The ultrasonographic report was prepared by an experienced professional, noting the imaging characteristics as well as the possibility of diagnosis. Two calibrated examiners analyzed the data, comparing the ultrasonographic report with the final diagnosis. Accordingly, we used established scoring, where zero corresponded to no contribution to the final diagnosis, 1 helped in the management of the case, and 2 when imaging determined the diagnosis. Results A zero score was obtained for 12.3 % of the examinations performed, and 1 and 2 accounted for respectively 41.5 and 46.1 %, totaling a contribution of about 88 %. Ultrasonography was of value in the diagnosis of vascular lesions in 93.3 % and of neoplasms in 87.5 %. In the salivary gland diseases, it contributed to the final diagnosis in 75 %. Conclusion The results demonstrated that ultrasonography is an effective tool in the determination of the definitive diagnosis of nonspecific nodular lesions of the soft tissues of the oral and maxillofacial region.

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Sensitivity and Specificity of US and CT as Diagnostic Tools for Pediatric Lateral Neck Abscesses

Ramazani

Yunker

Liu

2023

Otolaryngol.--head neck surg.

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Objective. Ultrasound (US) and computed tomography (CT) are commonly used in the diagnosis of pediatric neck abscesses. The objective of this study is to determine the sensitivity and specificity of US and CT in the diagnosis of pediatric lateral neck abscesses, with a secondary objective of evaluating the association of specific clinical features with a positive US or CT scan.Study Design. Retrospective review of pediatric patients admitted to a tertiary care center from January 1, 2011, to December 31, 2020, with neck abscesses.Setting. Tertiary care center.Methods. The sensitivity and specificity of US and CT were calculated by comparing imaging performed within 24 h of incision and drainage (I&D). Multiple regression was used to evaluate the association of clinical features with a true positive US or CT.Results. There were 171 patients included in this study, with a median age of 1.5 years (interquartile range [IQR]: 1-5 years). I&D was done in 156 patients (91.2%), while 15 (8.8%) were treated with antibiotics. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of US were 69.5%, 80%, 96.6%, and 24.2%. The sensitivity, specificity, PPV, and NPV of neck CT were 95.5%, 80%, 95.5%, and 57.1%. Length of symptoms, skin erythema, and fluctuance were not significantly associated with a positive US (F(3, 82) = 0.24, p = .9, R 2 = 0.01) or CT scan (F(3, 30) = 0.84, p = .5, R 2 = 0.08). Conclusion.Neck US has a low sensitivity for diagnosing pediatric neck abscesses, when compared to CT, but remains a useful initial investigation given its high PPV. Clinicians should have a low threshold for pursuing CT if there is a high suspicion of abscess formation. Level of Evidence: Level 4.

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Is ultrasound useful for evaluating paediatric inflammatory neck masses?

Cited by 19 publications

References 5 publications

Does CT have an additional diagnostic value over ultrasound in the evaluation of acute inflammatory neck masses in children?

Does CT have an additional diagnostic value over ultrasound in the evaluation of acute inflammatory neck masses in children?

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Sensitivity and Specificity of US and CT as Diagnostic Tools for Pediatric Lateral Neck Abscesses

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