ANTERIOR TRIANGLE NECK SWELLINGS- RELATIVE INCIDENCE OF VARIOUS CLINICAL CAUSES

Abstract

Aims and objectives- The intented aim of our study was to find out the cause of various benign anterior triangle neck swellings. Material And Methods- A prospective study was carried out at ENT department of MMIMSR for a period one year from June 2017 to May 2018. The sample size consist of 50 patients. All patients attending the ENT OPD with neck swelling were included in this study. These patients were evaluated based on clinical history and examinations. Pathological investigations like FNAC (Fine needle aspiration cytology) & histopathological examination (HPE) along with radiological examination such as Ultrasounography (USG), X-ray, Magnetic resonance imaging (MRI), Computed tonnography (CT Scan) was carried out wherever it was required. Result – Out of 50 patients, 46 percent were male patients (n=23) and 54 percent were female patients (n=27). Patients with the age from 5 years to 70 years were affected with the mean age of 42years. Midline neck neck swellings were more common than lateral neck swellings (Anterior triangle). Among the midline neck swelling ,thyroid gland pathology was commonest with 72.4% of cases (n=21), followed by Thyroglossal duct cyst with 24% cases(n=7). Thyroglossal cyst was the most common congenital swelling seen in our study. In the lateral neck, salivary gland pathology was the commonest cause of neck swelling with 52.3% cases (n=11) followed by branchial cyst with 23.8% cases (n=5). 14.3% of cases (n=3) with tubercular lymphadenopathy were found in submandibular region