2016_Head & Neck COURSE BOOK

Summary Ultrasound

Characterisation neck lymph nodes

 Superficial technique – Primary evaluation of neck swelling – H&N ca.: lymph node staging  Disadvantages: – No evaluation of primary tumor – Operator dependent  Advantages: – FNAC

Fine Needle Aspiration Cytology (FNAC)

Daily practice: Panoramic X-ray

Objectives

 Male, 28 years  Swelling left upper jaw since > 1 year

 Ultrasound

 Panoramic dental X-ray

 CT

 MRI

CT

Radiological diagnosis Mucocele

• Expanded (part of) paranasal sinus – Cystic lesion due to chronic obstruction of the ostium

Soft tissue window

Bone window

• Expansion / remodelling of bone

• Slow development of complaints

Needs surgical therapy

•

Diagnosis??

3

3