Learning objectives
There is a perception as little as emergencies can occur in head and radiology.Whereas there are many emergencies in head and neck radiology, they can threaten the life because of the anatomical proximity of vital organs.
We aimed to describe and identify radiological findings of the most common emergencies in head and neck radiology. In these situations, radiologist plays an essential role in a patient’s outcome.Fig. 2
Background
The patients who underwent computed tomography or magnetic resonance imaging for head and neck pathologies in a university hospital between January 2017 and July 2019 were screened.
Pathologies with educative value and risk of severe morbidity and mortality in lack of rapid diagnosis were selected for this pictorial essay. Fig. 3
Pathologies that clinician cannot distinguish, where radiologist plays an important role were classified as traumatic and inflammatory; and one patient included despite nonbeing trauma or inflammation which was recovered from biopsy procedure that could...
Findings and procedure details
There were 11 inflammatories, four traumatic, and one other condition were described. To emphasize the radiological and clinical importance of these pathologies; if all will be eliminated individually:
Peritonsillar abscess is the most common deep neck infection. Retropharyngeal effusion, abscess, and septic thrombophlebitis of the internal jugular vein are the mortal complications of the peritonsillar abscess. Diagnosis is vital because almost always, surgical aspiration or drainage is required. Fig. 4
The trans-spatial abscess is essential to describe because the continuations and extension of multiple spaces...
Conclusion
There are many emergencies in head and neck radiology. When imaging reveals a traumatic pathology, another should be searched and found immediately.
The mechanism and direction of trauma should be understood and evaluated with a systematic approach.
The extent of fracture in facial traumas, its relationship with alveolar recesses, and adjacent foramina should be reported.
Some of the infectious and inflammatory pathologies may be rapidly progressive, and some may be accompanied by complications that may cause high mortality and morbidity.
The radiologist should always be...
Personal information and conflict of interest
M. B. Eser; Istanbul/TR -
[email protected]
U. P. O. Soylemez; Istanbul/TR - nothing to disclose
B. Atalay; Istanbul/TR - nothing to disclose
S. Erdemli; Istanbul/TR - nothing to disclose
References
Brucker, J.L., Gentry, L.R., 2015. Imaging of Head and Neck Emergencies. Radiol. Clin. North Am. 53, 215–252. https://doi.org/10.1016/j.rcl.2014.09.007
Capps, E.F., Kinsella, J.J., Gupta, M., Bhatki, A.M., Opatowsky, M.J., 2010. Emergency imaging assessment of acute, nontraumatic conditions of the head and neck. Radiographics 30, 1335–1352. https://doi.org/10.1148/rg.305105040
George, E., Khandelwal, A., Potter, C., Sodickson, A., Mukundan, S., Nunez, D., Khurana, B., 2019. Blunt traumatic vascular injuries of the head and neck in the ED. Emerg. Radiol. 26, 75–85. https://doi.org/10.1007/s10140-018-1630-y
Mueck, F.G., Roesch, S., Geyer, L., Scherr, M.,...