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Ultraschall Med
DOI: 10.1055/a-2451-9373
Continuing Education

Endosonography in head and neck imaging and surgery

Article in several languages: English | deutsch
Marie Brandt 
1   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Regensburg, Germany
,
Martin Garset-Zamani
2   Department of Otorhinolaryngology, Head and Neck Surgery, Copenhagen University Hospital, Kobenhavn, Denmark
3   Institute of Clinical Medicine, University of Copenhagen, Faculty of Health and Medical Sciences, Kobenhavn, Denmark
,
Alessandro Bozzato 
4   Department of Otorhinolaryngology, Head and Neck Surgery, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany
,
Johannes M Weimer 
5   Rudolf-Frey Teaching Department, University Medical Center of the Johannes Gutenberg University Mainz, Germany
,
Christoph Arens 
6   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Gießen and Marburg Campus Gießen, Germany
,
Christoph F. Dietrich 
7   Department of General Internal Medicine, Hirslanden Hospital Beau-Site, Department of Interior Medicine, Bern, Switzerland
,
Tobias Todsen
8   Institute of Clinical Medicine, Faculty of Health and Medical Sciences, Copenhagen University Hospital, Kobenhavn, Denmark
9   Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital, Kobenhavn, Denmark
10   Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark
,
Julian Künzel
1   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Regensburg, Germany
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Abstract

This CME article explores the evolving role of endosonography in otorhinolaryngology and head and neck surgery. Endosonography offers significant potential to improve imaging inside the upper respiratory tract, particularly with advancements in probe technology and imaging resolution. The article will describe the sonoanatomy of the oral cavity, pharynx, and larynx and the selection of probes and scanning techniques used for the various anatomical sites. Transoral ultrasound can be used to improve the diagnosis of salivary gland diseases, oropharyngeal abscesses, and ultrasound-guided puncture and biopsy. Endoscopic endolaryngeal ultrasound is used especially for diagnosing small laryngeal cancer and determining infiltration status. The article highlights the role of endosonography in managing oncologic diseases, especially in oral tongue carcinoma, where it aids in surgical planning by assessing the depth of invasion. In cases of HPV-positive carcinoma of unknown primary, high-frequency endosonography is crucial for detecting small tumors in the oropharyngeal region. In summary, the article advocates the broader integration of endosonography in clinical practice, highlighting its potential to enhance diagnostic accuracy and improve patient outcomes in head and neck oncology.

Keywords

head and neck ultrasound - intraoral ultrasound - head and neck cancer - POCUS - endoscopic laryngeal ultrasound


Publication History

Article published online:
20 December 2024

© 2024. Thieme. All rights reserved.

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