Colour Doppler ultrasound in preoperative assessment of the neck vessels in patients with tumours of the oral cavity and the neck region.
BACKGROUND
The aim of the study was not only to establish the applicability of color Doppler ultrasound of the neck vessels in patients with tumors of the oral cavity and the neck region but also to check whether the coexistence of sclerotic changes in the carotid arteries is essential in determination of the sequence of surgical procedure.


METHODS
Color Doppler ultrasound was performed on 110 patients, aged 15 -71 years with tumors of the oral cavity and the neck. The localization, size, echogenicity, as well as the tumor relationship to the surrounding structures and big vessels of the neck region was analyzed.


RESULTS
Compression of the veins was observed in 27 cases, and of the arteries only in 20 cases. Infiltration of the jugular vein was observed in 8 patients, whereas infiltration of the carotid artery were seen only in 6 patients. Severe internal carotid artery stenosis, due to arteriosclerosis, was observed in 10 patients. Three persons were suggested to be operated on, first due to carotid artery stenosis, later on, due to the oral cavity tumor.


CONCLUSIONS
It was found that color Doppler ultrasound is useful in deciding upon the method of treatment, while the examination of the neck vessels is helpful in establishing the sequence of surgical procedures in patients with tumors and coexisting arteriosclerosis.
Falkowski
Aleksander
A
Department of General and Dental Radiology, Pomeranian Medical University Szczecin, Poland.
Wilk
Grazyna
G
Mokrzyński
Stanisław
S
Dul
Przemysław
P
Toloczko-Grabarek
Aleksandra
A
Huzarski
Tomasz
T
Kowalczyk
Robert
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging; D005260:Female; D006258:Head and Neck Neoplasms / Q000098:blood supply* / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000098:blood supply* / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D009333:Neck / Q000098:blood supply / Q000000981:diagnostic imaging; D011300:Preoperative Care; D011379:Prognosis; D012468:Salivary Gland Neoplasms / Q000098:blood supply / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D018615:Ultrasonography, Doppler, Color; D055815:Young Adult