X ray soft tissue neck valuable economic tool

Xray Soft tissue neck A-P,Lateral films give valuable information.

1. X-Ray Soft Tissue Neck Dr Shrikant Phatak Head of ENT Department Choithram Hospital & Research Center Indore

2. Structures Visualized 1. Base Tongue 2. Epiglottis 3. Hyoid 4. Thyroid & Cricoid Cartilages 5. A-E Folds 6. Sub glottis Trachea 7 Pre vertebral Soft Tissue 8. Vertebral Column 9. Soft palate

3. Air Way An ENT Perspective

4. X-Ray Soft Tissue Neck X-Ray Soft tissue Neck A-P, Lateral views give a reliable information about air way & other soft tissues that is of help to anesthetist to surgeon also to decide for Tracheostomy. It indirectly informs about esophageal condition. In case of stenosis it’s site, & extent . Helps to assess feasibility of decanulation in a Tracheostomised patient Economical investigation.

5. Importance of A-P & Lateral Views On A-P It Appears F.B. Lateral shows it’s not F.B. but the Zip

6. Importance of A-P & Lateral Views A-P shows F.B. on left side Lateral shows in Pre vertebral tissue

7. Importance of A-P & Lateral Views A-P shows F.B. upside down Lateral shows F.B. upper G.I

8. X-Ray Soft Tissue Neck (impacted denture) Lateral showing denture wire R emoved Denture

9. Thyroid Swelling in A-P Lateral X-Ray Shifting Of Airway Patent Airway In spite of Shift

10. Anterior Neck-Base Tongue Swelling Base Tongue ,Anterior Neck. Ante coagulant treatment Mass lesion Base tongue (Lymphoma)

11. X-Ray Soft Tissue Neck Lateral View Vallecular Cyst Air Fluid Level Endoscopic view

12. X-Ray Soft Tissue Neck Lateral View Epiglottic Mass Distorted epiglottis Endoview

13. X-Ray Soft Tissue Neck Lateral View Retropharyngeal Swelling Causing Stridor Intra Op View Red arrow Abscess Yellow Arrow uvula

14. X-Ray Soft Tissue Neck Lateral View Widening pre vertebral soft tissue Widening pre vertebral soft tissue in Thyroid swelling

15. A-V Malformation Ina Child causing Respiratory distress. X-Ray Soft Tissue Neck Lateral View

16. X-Ray Soft Tissue Neck Lateral View Retropharyngeal widening Causing Torticollis in a child Retropharyngeal widening

17. X-Ray Soft Tissue Neck Lateral View Post Cricoid Mass Obscuring Airway Endoview Pre vertebral Widening

18. X-Ray Soft Tissue Neck Lateral Widened Air Shadow Due to Aerophagy Subglottic Block Red Vocal Cords Blue Subglottic Mass Very narrow Airway 10 yr Male

19. X-Ray Soft Tissue Neck Lateral View Retropharyngeal Air Shadow due to Dilated Esophagus Ba Swallow Confirms Achalasia Cardia

20. X-Ray ST Neck Lateral View Pre vertebral Air shadow Ba Swallow Confirms Malignancy

21. X-Ray Soft Tissue Neck A-P View Proximal Dilatation of Esophagus Due to Distal Malignancy Widening of Pharyngeal Air Shadow Esophageal Malignancy

22. X-Ray ST Neck Lateral View Funneling of the Air Shadow Supra stomal Stenosis Grade 4 Supra stomal Stenosis

23. Stenotic Narrowing Narrow Trachea Narrow Trachea

24. X-Ray ST Neck Lateral View Supraglottic Mass Supraglottic Mass

25. Broken Tracheostomy

26. Broken Metallic Tracheostomy Tube Left Bronchus

27. Broken Tracheostomy

28. Broken metallic tube

29. X-Ray ST Neck # Thyroid Cartilage (injury) Surgical Emphysema

30. Spine Abnormality

31. Disclaimer The information contained in the presentation is based on the personal experience and cases collected at Choithram Hospital Indore over the last 20 years. It is intended for the use of Medical students Anesthesia & ENT,Radiology post graduates. The views expressed are purely on personal opinion. viewers can make their own opinion. For any confusion please contact sole author. Everybody is allowed to copy or download the material best suited to him. I am not responsible for any controversies arising out of the presentation. For any suggestions or corrections you may please contact [email protected]

32. X-Ray ST Neck Thank you