IJAR - Indian Journal of Applied Research

Dr. Sambit Kumar Pattanayak; Dr Adya Kinkar Panda; Dr Satya Sundar G Mohapatra

Volume : VIII, Issue : V, May - 2018

STUDY ON EVALUATION OF NECK LESIONS BY MUTIDETECTOR COMPUTED TOMOGRAPHY

Dr. Sambit Kumar Pattanayak, Dr Adya Kinkar Panda, Dr Satya Sundar G Mohapatra

Abstract :

BACKGROUND:– Neck swelling is a very common presentation encountered in clinical practise. Because of it highly complex anatomy and physiology, neck disease manifesting as neck swelling can be varied from etiological, pathological and prognostic point of view.

Current imaging with a high resolution helical CT and multiplanar reformations permit a detailed analysis of the complex anatomy in this region and is the key to understanding many of its disorders including mass lesions. Through such understanding we can recognize the issues involved in conservative surgery, neck nodal texture and functional assessment, achial plexopathy, and the treated neck, appreciate the relevant surgical anatomy of the spaces in the neck.

MATERIALS & METHODS :– This study was carried out on 40 cases of clinically diagnosed neck masses, from outpatient departments and indoor wards of various departments, in the department of Radiodiagnosis, Ims & Sum Hospital, Bhubaneswar from July 2015 to August 2017. Patients from both sexes and all ages were included as part of the study.

Results & Conclusions :– The combination of soft tissue characterization and anatomical localization afforded by CT allows radiologists to make a substantial contribution to the preoperative assessment of the patients with neck masses. With multidetector CT scanners (MDCT) there is tremendous improvement in scanning time, tissue resolution and quality of three dimensional (3D) reconstruction. MDCT has ought about newer applications like excellent quality CT angiography and CT virtual endoscopy (CTVE) which will play significant role in head and neck mass lesions. Radiological evaluation with cross sectional modalities, i.e. CCT ensures accurate anatomical localization, tumour morphology and state of surrounding structures in benign lesions. In malignant tumours, it is invaluable for staging and provides essential information about the tumour extent that directly affects the surgical approach necessary for curatives resection.