Evaluation of Oral and Maxillofacial Swellings by Ultrasonographic Features (Research)

Tarek A Abdelsalam, MD

Status: Completed

Conditions: Swelling Lips & Face

Treatments: Procedure: resection and removal

Study type: Interventional

Funder types: Other

Identifiers

NCT03928730

TAbdallah

Details and patient eligibility

About

Fifty patients were randomly selected with oral and/or maxillofacial swelling, thorough case history and clinical examination were done, then ultrasound examinations were done for all of them and they were classified into five groups (I. inflammatory/space infection and abscess swellings), (II. cystic swellings), (III. lymph node swellings), (IV. benign swellings) and (V. malignant neoplastic swellings) according to their ultrasound features. The patients were subjected to histopathologic evaluation.

Full description

Fifty patients with swellings in the oral and/or maxillofacial region were randomly selected. Any other swellings that were caused by trauma and/or fracture, extended below the neck or patient reluctant to undergo US were excluded from the study. This study was approved by the (Research Ethics Committee) (REC), Faculty of Dentistry, Minia University before starting the research and all the entire patients had signed a standardized informed consent laid down by REC.

A comprehensive questionnaire was used to assess history and through extra-oral & intra-oral examinations were carried out and recorded on the basis of criteria reported by Das.11 The ultrasonographic investigations were carried using an ultrasound diagnostic modality (LOGIQ- P5) (GE Medical System, Korea) with color Doppler function by using a linear array transducer, operating at a frequency of (7.5-12 MHz). All the examinations were performed over the swellings and also compared to the contra-lateral/normal side whenever needed. (Fig. 1) All sonographic images were interpreted by an expert sonologist (15 years experience) and US features were recorded to extract ultrasonographic guided (USG) diagnosis and patient's swellings were categorized into five groups: inflammatory/infection/abscess swellings (Group I), cystic swellings (Group II), lymph node swellings (Group III), benign swellings (Group IV) and malignant neoplastic swellings (Group V).12 Finally, the included patients were subjected to either fine needle aspiration cytology (FNAC) or surgical intervention for histopathological examination to extract the histopathological diagnosis

Enrollment: 50 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• All with oral and/or maxillofacial swelling,

Exclusion criteria

• Any other swellings that were caused by trauma and/or fracture, extended below the neck or patient reluctant to undergo US were excluded from the study.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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50 participants in 5 patient groups

Group I

Other group

Description:

Inflammatory swellings

Treatment:

Procedure: resection and removal

Group II

Other group

Description:

Cystic swellings

Treatment:

Procedure: resection and removal

Group III

Other group

Description:

Lymph node swellings

Treatment:

Procedure: resection and removal

Group IV

Other group

Description:

Benign swellings

Treatment:

Procedure: resection and removal

Group V

Other group

Description:

Malignant swellings

Treatment:

Procedure: resection and removal