The reliability of high resolution ultrasound in the identification of pus collections in head and neck swellings

Mallorie, C.N.J.; Jones, Simon; Drage, Nicholas; Shepherd, J.

doi:10.1016/j.ijom.2011.10.012

Cited by 22 publications

(11 citation statements)

References 18 publications

(16 reference statements)

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“…During routine evaluation of pediatric neck masses, US has been regarded as the first choice, although there have been reports regarding its limitation in evaluating midline neck masses [7,8]. Ultrasound has demonstrated great diagnostic performance in assessing thyroid masses, branchial cysts, and parotid lesions [9].…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound has demonstrated great diagnostic performance in assessing thyroid masses, branchial cysts, and parotid lesions [9]. Moreover, for the head, the reliability of high resolution US for the distinction between a collection of purulent material and swelling without purulence was reported to be high, showing a sensitivity and specificity of 96% and 82%, respectively [7]. Despite this high diagnostic performance, drawback to the US is that US is examiner dependent.…”

Section: Discussionmentioning

confidence: 99%

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Neck computed tomography in pediatric neck mass as initial evaluation in ED: is it malpractice?

Lee

Seok

Kim

et al. 2014

The American Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neck computed tomography in pediatric neck mass as initial evaluation in ED: is it malpractice?

Lee

Seok

Kim

et al. 2014

The American Journal of Emergency Medicine

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“…This percentage is in contrast to that obtained by various authors who analyzed nonspecific swelling in orofacial soft tissues. 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.…”

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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“…Although computed tomography (CT) is of immense importance in diagnosing bone lesions but the radiation hazard and high cost limits its use. 4 Ultrasonic imaging is one of the most important, developing diagnostic tools today. State-of-the-art ultrasonic scanners offer real-time gray scale images of anatomical details with millimeter spatial resolution superimposed on which a map of Doppler blood flow information is displayed in full color.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonography and Doppler ultrasonography in the evaluation of intraosseous lesions of the jaws

Tariq¹,

Chalkoo²,

Hamid³

2020

JOOO

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Objectives: To evaluate the efficacy of ultrasonography and colour and power Doppler ultrasonography for diagnosis of intraosseous lesions of the jaws and to correlate the contents of the lesion with the histological findings. Materials and Methods: 30 patients with intraosseous jaw lesions in the maxilla or mandible were included in the study. Ultrasonographic examinations were performed and, according to the ultrasonography findings, the jaw lesions were classified into three groups: cystic, semisolid and solid. Further, colour Doppler ultrasonographic examination was performed to evaluate blood flow in all patients following which surgical treatment was done. The correlation between ultrasonography and Doppler ultrasonography findings of the lesions and histological findings was investigated. Results: Thirty intra-osseous lesions from twenty nine patients were evaluated in this study. Twenty two lesions were located in the mandible and eight were in the maxilla. Of the thirty lesions, the ultrasound examination was inconclusive in one lesion because of the thick cortical vestibular bone plate and for two lesions histopathology was not available. Conclusions: Information regarding the content of intraosseous jaw lesions can be obtained using ultrasound before any surgical procedure. Further, vascularization of the lesion can be assessed via Doppler ultrasonography. Also, there was a correlation between the ultrasound findings and the definitive histological diagnosis.

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The reliability of high resolution ultrasound in the identification of pus collections in head and neck swellings

Cited by 22 publications

References 18 publications

Neck computed tomography in pediatric neck mass as initial evaluation in ED: is it malpractice?

Neck computed tomography in pediatric neck mass as initial evaluation in ED: is it malpractice?

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

Ultrasonography and Doppler ultrasonography in the evaluation of intraosseous lesions of the jaws

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