HEAD & NECK CARE
Head and Neck, Thyroid, Parathyroid,
Salivary Gland Disease
Dr. Gadlage and Associates are well trained and experienced in all aspects of diagnosis of diseases of the Head and Neck, which would refer more to the non-sinus and ear part of the specialty. This has to do with anything from mouth lesions, sore throats, hoarseness, swallowing disorders, as well as lumps in the neck for both the adult and pediatric population.
A complete history will be performed and physical examination of the head and neck areas both by direct feel and vision in the office and may include a fiber-optic video examination of the nose and throat areas, as well as the ordering and examination of CAT scan, MRI or other diagnostic tests.
There are multiple major salivary glands in the body, which include the following: the parotid glands, the submandibular glands, and the sublingual glands. In addition, there are many minor salivary glands located throughout the oral cavity. Disease of the major glands include benign and malignant tumors, inflammatory processes as well as the development of salivary duct stones.
Treatment can include re-establishment of drainage or surgical removal of the affected gland. A new technique available in our practice is the endoscopic treatment of salivary glandular disease, which can allow for non-surgical treatment and is much less invasive.
Pediatric Neck Masses
There are several congenital conditions which occur in pediatric patients. These include mid-line masses called thyroglossal duct cysts and more lateral masses called branchial cleft cysts.
These condition require surgical removal as they can become infected and, although rare, they can undergo malignant degeneration.
Enlarged lymph nodes can be inflammatory and can also be indicative of cancerous growths and should be evaluated. These can turn into abscesses and require antibiotics and drainage of the infection.