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Analysing lateral soft tissue neck radiographs

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Abstract

A lateral soft tissue neck radiograph is a useful adjunct in diagnosing and managing the patient presenting with upper airway symptoms but is often inadequately reviewed. We present some common findings and robust systems to improve analysis of these radiographs.

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References

  1. Herdman RCD, Saeed SR, Hinton EA (1991) The lateral soft tissue neck X-ray in accident and emergency medicine. Arch Emerg Med 9:149–156

    Article  Google Scholar 

  2. Nandi P, Ong GB (1978) Foreign body in the oesophagus: Review of 2394 cases. Br J Surg 65:5–9

    Article  PubMed  CAS  Google Scholar 

  3. Anwer AR (2004) Removal of foreign bodies upper end oesophagus. J Postgrad Med Inst 18:677–680

    Google Scholar 

  4. Adhikari P, Shrestha BL, Baskota DK, Sinha BK (2007) Accidental Foreign Body ingestion: analysis of 163 cases. Intl Arch Otorhinolaryngol 11:267–270

    Google Scholar 

  5. Shivakumar A, Naik A, Proshanth K, Hongal G, Chaturvedy G (2006) Foreign bodies in upper digestive tract. Indian J Otolaryngol Head Neck Surg 58:63–68

    Google Scholar 

  6. Karnwal A, Ho EC, Hall A, Molony N (2008) Lateral soft tissue neck X-rays: are they useful in management of upper aero-digestive tract foreign bodies? J Laryngol Otol 122:845–847

    Article  PubMed  CAS  Google Scholar 

  7. Zerella JT, Dimler M, McGill LC, Pippus KJ (1998) Foreign body aspiration in children: value of radiography and complications of bronchoscopy. J Paediatr Surg 33:1651–1654

    Article  CAS  Google Scholar 

  8. Silva AB, Muntz HR, Clary R (1998) Utility of conventional radiography in the diagnosis and management of paediatric airway foreign bodies. Ann Otol Rhinol Laryngol 107:834–838

    PubMed  CAS  Google Scholar 

  9. Walner DL, Ouanounou S, Donnelly LF, Cotton RT (1999) Utility of radiographs in the evaluation of paediatric upper airway obstruction. Ann Otol Rhinol Laryngol 108:378–383

    PubMed  CAS  Google Scholar 

  10. Adhikari P, Bhatta R, Pokharel R, Baskota DK, Sinha BK (2009) Role of plain X-ray soft tissue neck lateral view in the diagnosis of cervical esophageal foreign bodies. The Internet Journal of Otorhinolaryngology; 8:2 [ISSN 1528-8420]

    Google Scholar 

  11. Wu IS, Ho TL, Chang CC, Lee HS, Chen MK (2008) Value of lateral neck radiography for ingested foreign bodies using the likelihood ratio. J Otolaryngol Head Neck Surg 37:292–296

    PubMed  Google Scholar 

  12. Evans RM, Ahuja A, Rhys Williams S, Van Hasselt CA (1992) The lateral neck radiography in suspected impacted fish bones – does it have a role? Clin Radiol 46:121–123

    Article  PubMed  CAS  Google Scholar 

  13. Haglund S, Haverling M, Kuylenstierna R, Lind MG (1978) Radiographic diagnosis of foreign bodies in the oesophagus. J Laryngol Otol 92:1117–1125

    Article  PubMed  CAS  Google Scholar 

  14. Craig FW, Schunk JE (2003) Retropharyngeal abscess in children: clinical presentation, utility of imaging, and current management. Paediatrics 111:1394–1398

    Article  Google Scholar 

  15. Hartmann RW (1992) Recognition of retropharyngeal abscess in children. Am Fam Physician 46:193–196

    PubMed  CAS  Google Scholar 

  16. Goldenberg D, Golz A, Joachims HZ (1997) Retropharyngeal abscess: a clinical review. J Laryngol Otol 111:546–550

    PubMed  CAS  Google Scholar 

  17. Feres MF, Hermann JS, Cappellette M Jr, Pignatari SS (2011) Lateral X-ray view of the skull for the diagnosis of adenoid hypertrophy: a systematic review. Int J Pediatr Otorhinolaryngol 75:1–11

    Article  PubMed  Google Scholar 

  18. Haug RH, Wible RT, Liberman J (1991) Measurement standards for the prevertebral region in the lateral soft-tissue radiograph of the neck. J Oral and Maxillofac Surg 49:1149–1151

    Article  CAS  Google Scholar 

  19. Chen MY, Bohrer SP (1999) Radiographic measurement of prevertebral soft tissue thickness on lateral radiographs of the neck. Skeletal Radiol 28:444–446

    Article  PubMed  CAS  Google Scholar 

  20. Dai LY, Jia LS (1994) Radiographic measurement of the prevertebral soft tissue of cervical vertebrae. Chin Med J 107:471–476

    PubMed  CAS  Google Scholar 

  21. Vella EE, Booth PJ (1965) Foreign bodies in the oesophagus. Br Med J 2:1042

    Article  PubMed  CAS  Google Scholar 

  22. Chawla A, Eng SP, Peh WC (2004) Clinics in diagnostic imaging (100). Migrated pharyngeal fish bone. Singapore Med J 45:397–402

    PubMed  CAS  Google Scholar 

  23. Dao A, Karnezis S, Lane JS, Fujitani RM, Saremil F (2011) Eagle syndrome presenting with external carotid artery pseudoaneurysm. Emerg Radiol 18:263–265

    Article  PubMed  Google Scholar 

  24. Hung CW, Hung SC, Lee CJ, Lee WH, Wu KH (2011) Risk factors for complications after a foreign body is retained in the esophagus. J Emerg Med [Epub ahead of print]

  25. Knight LC, Lesser THJ (1989) Fish bones in the throat. Arch Emerg Med 6:13–16

    PubMed  CAS  Google Scholar 

  26. De Lucas EM, Ruiz-Delgado ML, Garcia-Baron PL, Sadaba P, Pagola MA (2004) Foreign esophageal body impaction: multimodality imaging diagnosis. Emerg Radiol 10:216–217

    Article  PubMed  Google Scholar 

  27. Carr AJ (1987) Radiology of fish bone foreign bodies in the neck. J Laryngol Otol 101:407–408

    Article  Google Scholar 

  28. Zoorob R, Sidani M, Murray J (2011) Croup: an overview. Am Fam Physician 83:1067–1073

    PubMed  Google Scholar 

  29. Isakson M, Hugosson S (2011) Acute epiglottitis: epidemiology and streptococcus pneumonia serotype distribution in adults. J Laryngol Otol 124:390–393

    Article  Google Scholar 

  30. Sobol SE, Zapata S (2008) Epiglottitis and croup. Otolaryngol Clin North Am 41:551–566

    Article  PubMed  Google Scholar 

  31. Leong HK, Chan RK (1987) Foreign bodies in the upper digestive tract. Singapore Med J 28:162–165

    PubMed  CAS  Google Scholar 

  32. Poon T, Yuen C, Fung K (2007) Predictive risk factors for complications following fish bone ingestion. HK Pract 29:374–379

    Google Scholar 

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Correspondence to Jagdeep Singh Virk.

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Virk, J.S., Pang, J., Okhovat, S. et al. Analysing lateral soft tissue neck radiographs. Emerg Radiol 19, 255–260 (2012). https://doi.org/10.1007/s10140-012-1026-3

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  • DOI: https://doi.org/10.1007/s10140-012-1026-3

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