Observation on Clinico-pathological and radiological findings of head and neck swellings in a tertiary care centre

Authors

  • Bhavna Deewan MS (ENT)- IIIrd year postgraduate student,Department of ENT and Head-Neck Surgery, Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar
  • Madhuri Kaintura Associate Professor,Department of ENT and Head-Neck surgery, Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, Uttarakhand, INDIA
  • Apoorva Kumar Pandey Professor, Department of ENT, Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, 248001, Uttarakhand, India
  • Aparna Bhardwaj Professor ,Department of Pathology,Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, Uttarakhand, INDIA

DOI:

https://doi.org/10.3329/bjo.v31i1.84290

Keywords:

Facial swelling, Ultrasound (USG), Fine needle aspiration (FNAC),Head and Neck Neoplasm, Histo-pathology (HPE), Thyroid neoplasms, Salivary Gland Diseases, Lymph Node, Post-trauma

Abstract

Introduction: Head and neck swellings have a wide range of causes, appearances, and behaviours. Developing a diagnostic plan for their accurate management is crucial. This requires a thorough understanding. Therefore, this study aimed to describe the clinicopathological profile of various head and neck swellings in a tertiary care center.

Materials and Methods: This prospective descriptive study was conducted on 190 patients at a tertiary care center in Northern India. After a detailed workup, clinical, USG and FNAC findings were documented and patients were managed medically or surgically. The findings were then correlated with the final HPE report.

Results: Of the 190 patients, 139 (73.2%) had non-neoplastic swellings, 21 (11.1%) had benign neoplasms, and 30 (15.7%) had malignant lesions. Neck swellings accounted for 71.6% (n=136), with the majority being thyroid swellings (47.1%) and lymphadenopathy (26.4%). Head swellings comprised 28.4% (n=54), predominantly involving the parotid gland (25.9%) and post-traumatic nasal swellings (9.3%). The most common etiology was infective or inflammatory (55.2%).

Conclusion: A systematic approach is essential for determining a preliminary diagnosis, considering potential alternative diagnoses, and devising an appropriate treatment plan for patients with palpable masses.

Bangladesh J Otorhinolaryngology 2025; 31 (1)  Page-16-27

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Published

2025-10-13

How to Cite

Deewan, B., Kaintura, M., Pandey, A. K., & Bhardwaj, A. (2025). Observation on Clinico-pathological and radiological findings of head and neck swellings in a tertiary care centre. Bangladesh Journal of Otorhinolaryngology, 31(1), 16–27. https://doi.org/10.3329/bjo.v31i1.84290

Issue

Vol. 31 No. 1 (2025)

Section

Original Articles

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