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Benign Lesions of Head and Neck
Robert Sataloff, M.D., is Professor of otolaryngology, head and neck Surgery – Thomas Jefferson University, Philadelphia, PA; adjunct professor of otolaryngology, Head and Neck Surgery – University of Pennsylvania School of Medicine, Philadelphia, PA. Here he discusses diagnostic evaluation of head and neck lesions. Dr. Sataloff describes the typical workup for acquired lesions, including examination of the hypopharynx and nasopharynx for signs of infection. In addition to the more routine blood studies, blood work should include viral titers for Epstein-Barr and Burkitt's lymphoma in lesions of the head and neck. He stresses that neck biopsy is the last stage in a proper workup. The author details types of abscesses, including Bezold's abscess and Ludwig's angina. Among congenital masses he reviews two types of parenchymal cysts – thymic and parathyroid cysts – in benign lesions of the head and neck. Beyond that, there are thyroglossal cysts and cutaneous branchiogenic cysts. Three types of teratomas are described, as are various forms of hemangiomas in lesions of the head and neck. The author describes the location and presentation of four types of brachial cleft abnormalities, as well as papillomas, fibrous lesions, and various types of tumors, including extracardiac rhabdomyomas' predilection for the head and neck, tumors of skeletal muscle, and peripheral nerves. Dr. Sataloff, who also holds a doctorate in musical arts and specializes in the otology and evaluation of voice disorders, concludes his lecture with a discussion of laryngeal lesions in the head and neck, particularly vocal nodules and polyps. Read More from Dr. Sataloff and the Journal of Voice. |
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