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Ultrasound Teaching

Most neck masses can be initially assessed by an ENT/head and neck surgeon through history taking and physical examination. For example, if nasopharyngeal carcinoma is suspected, a biopsy is performed directly.
If there is uncertainty, the physician may arrange a neck ultrasound examination. Thus, history taking and physical exam remain the first step, while ultrasound serves as an adjunct tool.

Diagnosis and Follow-up of Nasopharyngeal Carcinoma Using Ultrasound: Journal Report

This case shows that history and physical exam are still primary for diagnosing neck masses. Ultrasound can assist in identifying unclear nasopharyngeal masses. After treatment, neck masses often resolve, and surgery may not be necessary; unnecessary surgery could adversely affect outcomes.

Further details on neck soft tissue ultrasound: Neck Ultrasound Examination Details

Ultrasound-Guided Neck Treatment: Ultrasound-Guided Ethanol Injection

Current status of head and neck ultrasound in Taiwan: Neck Ultrasound in Taiwan

10-Year Review of ENT Head and Neck Ultrasound at a Single Medical Center

  • FEMH Head & Neck Soft Tissue Ultrasound – Research Projects
    1. FEMH - 2011 - C – 021: Ultrasonographic Differentiation between Kikuchi’s Disease and Lymphoma in Patients with Cervical Lymphadenopathy
    2. NSC100–2314 – B – 418 - 005: Sonographic Scoring System for Predicting Malignant Thyroid Nodules
    3. NSC101 – 2314 – B – 418 - 002: US Elastography for Differentiating Benign and Malignant Cervical Lymph Nodes
    4. FEMH - 2013 - C - 012: Ultrasound-Guided Needle Biopsy in Diagnosis of Malignant Cervical Lymphadenopathies
    5. FEMH - 2014 - C - 048: High-Resolution Ultrasound and Ultrasound-Guided Fine Needle Biopsy for Neck Assessment in Stage 0 Head and Neck Cancer Patients
    6. FEMH - 2014 - C - 020: Elastography in Thyroid Nodule Assessment
    7. FEMH - 2015 - C - 038: Neck Ultrasound in Upper Airway Assessment for Sleep Disorder Patients
    8. 104-FTN01: Comparison of High-Resolution Ultrasound, Real-Time Elastography, Liquid-Based Cytology and Molecular Markers in Neck Mass Evaluation
    9. FEMH - 2016-C-051: Fine Needle Cytology Combined with Flow Cytometry in Diagnosis of Malignant Lymphoma of the Neck
    10. 105-FTN06: Comparison of Traditional Ultrasound and Shear Wave Elastography in Malignant Neck Lymph Nodes
    11. FEMH-YZU-2016-007: Comparison of Real-Time Elastography and Shear Wave Ultrasound in Thyroid Nodule Diagnosis
    12. FEMH - 2017-C-012: High-Resolution Ultrasound and Shear Wave Elastography in Normal and Post-Radiation Neck Evaluation
    13. FEMH - 2018-C-040: Ultrasound Texture Analysis for Salivary Gland Tumor Assessment
    14. FEMH - 2019-C-016: 10-Year Review of Head & Neck Ultrasound Cases at FEMH
    15. FEMH - 2019-C-040: Comparison of Ultrasound and CT in Determining Parotid Tumor Location (Deep vs. Superficial Lobe)

    Related Publications on Ultrasound

  • FEMH Head & Neck Ultrasound – Awards
    1. High-Resolution Sonographic Measurement of Normal Temporomandibular Joint and Masseter Muscle – Outstanding Paper Award, Taiwan Society of Medical Ultrasound 2016
    2. Liao LJ, et al. Assessment of Carotid Artery Intima-Media Thickness in Patients with Obstructive Sleep Apnea. Clin Otolaryngology, 42(5), 974–978. (IF: 2.748, SCI, 7/41, ORL Best Poster Award WFUMB 2017)
    3. Liao LJ, Cho TY, Cheng PW, Wang CT, Lo WC, Huang TW. Submental Ultrasonography in Diagnosing Severe Obstructive Sleep Apnea Syndrome. J Med Ultrasound, 24,107–111. Outstanding Paper Award, 2017

  • Research Directions and Advances in Head & Neck Ultrasound
    1. AI-Based Ultrasound-Assisted Diagnosis System for Neck Masses
    2. Using Shear Wave Ultrasound to Evaluate Salivary Gland Tumors
    3. Real-Time High-Resolution Ultrasound in Swallowing Disorders Assessment