2 Swellings of the Neck Classification According to site- Those occurring in the midline- Those in the side of the neckAccording to chronicity- Acute swelling- Chronic swelling
3 Mid-line Swellings Ludwig Angina Enlarged submental lymph node Sublingual dermoidLipoma in submental regionThyroglossal cystSubhyoid bursitisExtrinsic carcinoma of the larynx (late)Goitre (thyroid isthmus / pyramidal lobe)Enlarged lymph nodeCystic hygroma (suprasternal space )Retrosternal goitreThymic swellingDermiod cyst ( can occure anywhere in the midline )
4 Lateral swellings IN THE SUBMANDIBULAR TRIANGLE Enlarged lymph nodes Submandibular salivary glandDeep or plunging ranulaExtension of growth from the jawIN THE CAROTID TRIANGLEAneurysm of the carotid arteriesCarotid body tumoursBranchial cystBronchogenic carcinomaGoitreSternmastoid tumourIN THE POSTERIOR TRIANGLESupraclavicular lymph nodesCervical rib / cystic hygroma / lipoma / pharyngial pouchSubclavian aneurysm / aberrant thyroid /
5 Ludwig anginaIs a serious, potentially life-threatening cellulitis, or connective tissue infection, of the floor of the mouth, usually occurring in adults with concomitant dental infections and if left untreated, may obstruct the airways, necessitating tracheotomy. Dental infections account for approximately eighty percent of cases of Ludwig's angina It might dangerous complication: - oedema glottis - mediastinitis -fatal septicaemia
14 Carotid body tumour chemodectoma or ‘potato’ tumour
15 Sternomastoid tumour Is not a tumour It is the result of birth injury to the sternomastoid muscle, causing thormbosis and subsequent fibrosis.It gives rise to a circumscribed firm mass within muscle,
16 Aneurysm of the carotid and subclavian A Pulsatile palpable mass in supraclavicular fossa.