Journal of Otology & RhinologyISSN: 2324-8785

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Research Article, J Otol Rhinol Vol: 2 Issue: 4

Head and Neck Ultrasound by an Otolaryngologist - The Experience with 4273 Cases Over 8 Years

Cheng-Ping Wang1,2*, Tseng-Cheng Chen2,3, Tsung-Lin Yang2, Li-Jen Liao4 and Fon-Jou Hsieh5
1Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, Taiwan
2Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
3Department of Otolaryngology, National Taiwan University Hospital- Yun-Lin Branch, Yun-Lin, Taiwan
4Department of Otolaryngology, Far Eastern Memorial Hospital, New Taipei city, Taiwan
5Division of Ultrasound, Department of Integrated Diagnostic & Therapeutics, National Taiwan University Hospital, Taipei, Taiwan
Corresponding author : Cheng-Ping Wang
Department of Otolaryngology, National Taiwan University Hospital, 7-Chung-Shan South Road, Taipei, Taiwan
Tel: +886 2 23123456 (63525); Fax: +886 2 23910905
E-mail: [email protected]
Received: July 03, 2013 Accepted: September 18, 2013 Published: October 01, 2013
Citation: Wang CP, Chen TC, Yang TL, Liao LJ, Hsieh FJ (2013) Head and Neck Ultrasound by an Otolaryngologist - The Experience with 4273 Cases Over 8 Years. J Otol Rhinol 2:4. doi:10.4172/2324-8785.1000134

Abstract

Head and Neck Ultrasound by an Otolaryngologist - The Experience with 4273 Cases Over 8 Years

Background: Head and neck ultrasound examination has frequently been performed by otolaryngologists in recent years. This article aims to report the experience of an otolaryngologist who has worked on head and neck ultrasound for the past 8 years.

Materials: An ultrasound with a 7-14 MHz linear transducer was operated to perform head and neck ultrasound examinations. The gray-scale technique with the scan set for the thyroid gland was first used to evaluate the morphology of the structures in the entire neck, and the Doppler mode was used if necessary. Fine needle aspiration (FNA) with a free-hand technique under ultrasound guidance was performed if indicated.

Results: Between October 2003 and May 2011, 4273 patients received an ultrasound examination: 1927 (45%) examinations were for the thyroid gland, 1658 (39%) for a non-thyroid or salivarygland neck mass, 388 (9%) for the major salivary gland and 300 (7%) for other indications. Of these patients, 2048 (48%) received FNA for cytology. In the first 5 years, there were only 1361 (31%) patients, in contrast with the 2912 (68%) patients during the last 3 years. Comparing the indications between the first 5 years and the last 3 years, the thyroid gland (47%) was the most common in the last 3 years, and the non-thyroid or salivary gland neck mass (44%) was the most common indication in the first 5 years (p<0.001).

Conclusion: Otolaryngologists are performing more head and neck ultrasound examinations, with more familiarity with the ultrasound equipment and interpretation.

Keywords: Ultrasonography; Neck mass; Thyroid gland; Lymph node; Salivary gland; Sonography

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