Neck Pathology

A midline neck mass, prior to excision, must be differentiated from a thyroid gland mass; and normal thyroid tissue should be confirmed, generally through imaging, to ensure that excision will not result in complete removal of functioning thyroid tissue from an ectopic location. Standard imaging mod...

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Bibliographic Details
Published inAtlas of Operative Oral and Maxillofacial Surgery pp. 453 - 458
Main Authors Shah, Anil N, Brigger, Matthew T
Format Book Chapter
LanguageEnglish
Published Hoboken, NJ, USA John Wiley & Sons, Inc 09.03.2015
Subjects
branchial arch anlage
computed tomography (CT) scan
hyoid bone
magnetic resonance imaging (MRI)
midline neck mass
neck pathology
pharyngeal mucosa
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Summary:A midline neck mass, prior to excision, must be differentiated from a thyroid gland mass; and normal thyroid tissue should be confirmed, generally through imaging, to ensure that excision will not result in complete removal of functioning thyroid tissue from an ectopic location. Standard imaging modalities include ultrasound, computed tomography (CT) scan, and magnetic resonance imaging (MRI). Fusion of the second branchial arch anlage in the midline may result in entrapment of the thyroglossal duct by the hyoid bone. A history of a prior infection increases the risk of recurrence, especially infections within 6 months of definitive treatment and requiring incision and drainage. Recurrence is likely after re‐excision and may be due to the presence of accessory ducts and diverticula from the main duct and pharyngeal mucosa that was not removed at the initial surgery.
ISBN:1118442342
9781118442340
DOI:10.1002/9781118993729.ch50