Authors Bhavna Deewan MS (ENT)- IIIrd year postgraduate student,Department of ENT and Head-Neck Surgery, Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar Madhuri Kaintura Associate Professor,Department of ENT and Head-Neck surgery, Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, Uttarakhand, INDIA Apoorva Kumar Pandey Professor, Department of ENT, Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, 248001, Uttarakhand, India Aparna Bhardwaj Professor ,Department of Pathology,Sri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, Uttarakhand, INDIA DOI: https://doi.org/10.3329/bjo.v31i1.84290 Keywords: Facial swelling, Ultrasound (USG), Fine needle aspiration (FNAC),Head and Neck Neoplasm, Histo-pathology (HPE), Thyroid neoplasms, Salivary Gland Diseases, Lymph Node, Post-trauma Abstract

Introduction: Head and neck swellings have a wide range of causes, appearances, and behaviours. Developing a diagnostic plan for their accurate management is crucial. This requires a thorough understanding. Therefore, this study aimed to describe the clinicopathological profile of various head and neck swellings in a tertiary care center.

Materials and Methods: This prospective descriptive study was conducted on 190 patients at a tertiary care center in Northern India. After a detailed workup, clinical, USG and FNAC findings were documented and patients were managed medically or surgically. The findings were then correlated with the final HPE report.

Results: Of the 190 patients, 139 (73.2%) had non-neoplastic swellings, 21 (11.1%) had benign neoplasms, and 30 (15.7%) had malignant lesions. Neck swellings accounted for 71.6% (n=136), with the majority being thyroid swellings (47.1%) and lymphadenopathy (26.4%). Head swellings comprised 28.4% (n=54), predominantly involving the parotid gland (25.9%) and post-traumatic nasal swellings (9.3%). The most common etiology was infective or inflammatory (55.2%).

Conclusion: A systematic approach is essential for determining a preliminary diagnosis, considering potential alternative diagnoses, and devising an appropriate treatment plan for patients with palpable masses.

Bangladesh J Otorhinolaryngology 2025; 31 (1)  Page-16-27

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Deewan, B., Kaintura, M., Pandey, A. K., & Bhardwaj, A. (2025). Observation on Clinico-pathological and radiological findings of head and neck swellings in a tertiary care centre. Bangladesh Journal of Otorhinolaryngology, 31(1), 16–27. https://doi.org/10.3329/bjo.v31i1.84290

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