Clinicopathological study and management of infective swellings of neck in pediatric age group patients
Keywords:Pediatric neck swellings, Infective neck swelling, Reactive lymphadenitis, Deep neck space infections, Management
Background: Neck swellings are common presenting complaint in paediatric age group patients attending ENT department and are cause of concern for both doctors and parents because they are considered as red flag.
Methods: This prospective study was conducted among 102 paediatric patients of both genders attending the OPD of department of ENT, Vijayanagar institute of medical sciences, Bellary, Karnataka, between July 2018 to March 2020.
Results: Out of 102 patients in our study, majority of them were reactive lymphadenopathy 47 (46%). Out of 41 deep neck space infections, submandibular space is the most commonly involved space 27 (65.8%). Twenty-nine (70.7%) DNSI’s needed institutional management hence got admitted and among them 20 (48.7%) were submandibular space infection and 7 (17%) were Ludwig’s angina which was statistically significant (p=0.001). Among 27 submandibular space infection, 24 (88.8%) had fever, 19 (70.3%) had local pain, 4 (14.8%) had dysphagia which was statistically significant (p<0.05).
Conclusions: In the infective neck swellings of paediatric age group the submandibular space infection needs the zenith of active institutional management among both the genders, and the Ludwig’s angina warrants its treatment on institutional admission which is frequent in this age group.
Tracy TF, Muratore CS. Management of common head and neck masses. Semin Peiatr Surg. 2007;16: 3-13.
Showkat SA, Lateef M, Wani AA, Lone SA, Singh K, Yousuf I. Clinicopathological profile of cervicofacial masses in pediatric patients. Indian J Otolaryngol Head Neck Surg. 2009;61(2):141-6.
Osifo OD, Ugiagbe EE. Neck masses in children: etiopathology in a tertiary centre. Niger J Clin Pract. 2011;14:232-6.
Hudise JY, Alshehri KA, Shamakhey RE, Alshehri AK. Prevalence and pattern of neck masses in pediatric patient: in Aseer Central Hospital, KSA. Int J Otorhinolaryngol Head Neck Surg. 2017;3: 791-4.
Carvalho GM, Lavor MS, Rickli JCK, Takara TFM, Guimaraes AC, Crespo AN. Pediatric neck mass. Int J Pediatr. 2015;3(6-1):1005-14.
Al-Mayoof AF. Neck masses in pediatric population: An experience with children attended the central teaching hospital of pediatrics in Baghdad 2008-2009. Afr J Pediatr Surg. 2015;12(2): 136.
Ragesh KP, Chana RS, Varshney PK, Naim M. Head and neck masses in children: A clinicopathological study. Indian J Otolaryngol Head Neck Surg. 2002;54:268-71.
Lucumay EM, Gilyoma JM, Rambau PF, Chalya PL. Paediatric neck masses at a university teaching hospital in Northwestern Tanzania: a prospective analysis of 148 cases. BMJ Res. 2014;7(1):1.
Curtis WJ, Edwards SP. Pediatric neck masses. Atlas Oral Maxillofac Surg Clin North Am. 2015; 23:15-20.
Gupta A, Nagar V, Ukawat L. Clinicopathological study of paediatric neck masses in a tertiary care hospital, Bhopal, India. Int J Med Health Res. 2020; 6(1):92-4.
Unsal O, Soytas P, Hascicek SO, Coskun BU. Clinical approach to pediatric neck masses: Retrospective analysis of 98 cases. North Clin Istanb. 2017;4(3):225-32.
Smith A, Cronin M. Paediatric neck lumps: An approach for the primary physician. Aust J Gen Pract. 2019;48(5):289-93.
Gangwar N, Vyas P, Gakkar S. Clinicopathological study of pediatric neck masses. Int J Otorhinolaryngol Head Neck Surg. 2018;4:343-7.
Motiwala MA, Dalmia D, Behara SK. Cervical lymphadenopathy: a clinicopathological study. Int J Otorhinolaryngol Head Neck Surg. 2017;3:210-5.
Ayugi JW, Ogeng’o JA, Macharia IM. Pattern of congenital neck masses in a Kenyan paediatric population. Int J Pediatr Otorhinolaryngol. 2010;74: 64-6.
Govari E, Hopewell BL. Correlation between pre-operative diagnosis and post-operative pathology reading in pediatric neck masses- A review of 281 cases. Int J Pediatr Otorhinolaryngol. 2015;79(1):2-7.
Kumar DB, Kiran AP. Clinicopathological study of significant cervical lymphadenopathy in children. Int J Contemp Med Res. 2017;4(10):2025-7.
Connolly AP, Mackenzie K. Paediatric neck masses a diagnostic dilemma. J Laryngol Otol. 1997;111: 541-5.