Causes of facial swelling in pediatric patients: Correlation of clinical and radiologic findings

被引:41
作者
Khanna, Geetika
Sato, Yutaka
Smith, Richard J. H.
Bauman, Nancy M.
Nerad, Jeffrey
机构
[1] Univ Iowa, Coll Med, Dept Radiol, Iowa City, IA 52242 USA
[2] Univ Iowa, Coll Med, Dept Otolaryngol, Iowa City, IA 52242 USA
[3] Univ Iowa, Coll Med, Dept Ophthalmol, Iowa City, IA 52242 USA
关键词
D O I
10.1148/rg.261055050
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Facial swelling is a common clinical problem in pediatric patients. The causes of swelling are diverse, and knowledge of the typical clinical and imaging manifestations and the most common sites of occurrence of these conditions is needed to formulate a differential diagnosis. The general clinical manifestations may be classified into the following four groups: (a) acute swelling with inflammation, (b) nonprogressive swelling, (c) slowly progressive swelling, and (d) rapidly progressive swelling. Conditions that may account for acute swelling accompanied by inflammation include lymphadenitis, sinusitis, odontogenic infection, and abscess. Contrast-enhanced computed tomography is the modality of choice for detection of abscesses requiring surgical drainage. Nonprogressive midfacial swelling is suggestive of a congenital anomaly (eg, a cephalocele, nasal glioma, or nasal dermoid or epidermoid cyst). Slowly progressive swelling may indicate the presence of a neurofibroma, hemangioma, lymphangioma, vascular malformation, or pseudocyst, or of fibrous dysplasia. The differential diagnosis for rapidly progressive facial swelling in association with cranial nerve deficits should include rhabdomyosarcoma, Langerhans cell histiocytosis, Ewing sarcoma, osteogenic sarcoma, and metastatic neuroblastoma. (C) RSNA, 2006.
引用
收藏
页码:157 / U214
页数:16
相关论文
共 34 条
[1]   Pott's puffy tumor: The forgotten entity - Case report [J].
Babu, RP ;
Todor, R ;
Kasoff, SS .
JOURNAL OF NEUROSURGERY, 1996, 84 (01) :110-112
[2]  
BAKER LL, 1993, AM J NEURORADIOL, V14, P307
[3]  
BARKOVICH AJ, 1991, AM J NEURORADIOL, V12, P105
[4]   CONGENITAL-ANOMALIES OF THE BRANCHIAL APPARATUS - EMBRYOLOGY AND PATHOLOGICAL ANATOMY [J].
BENSON, MT ;
DALEN, K ;
MANCUSO, AA ;
KERR, HH ;
CACCIARELLI, AA ;
MAFEE, MF .
RADIOGRAPHICS, 1992, 12 (05) :943-960
[5]   COMPUTER-ASSISTED TOMOGRAPHY - SINUS LESIONS WITH ORBITAL INVOLVEMENT [J].
BILANIUK, LT ;
ZIMMERMAN, RA .
HEAD & NECK SURGERY, 1980, 2 (04) :293-301
[6]   NASAL DERMOIDS IN CHILDREN [J].
BRADLEY, PJ .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 1981, 3 (01) :63-70
[7]   MRI IN CRANIOFACIAL FIBROUS DYSPLASIA [J].
CASSELMAN, JW ;
DEJONGE, I ;
NEYT, L ;
DECLERCQ, C ;
DHONT, G .
NEURORADIOLOGY, 1993, 35 (03) :234-237
[8]   CONGENITAL-ABNORMALITIES OF THE NOSE - CT AND MR FINDINGS [J].
CASTILLO, M .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1994, 162 (05) :1211-1217
[9]   MALIGNANT-TUMORS OF THE HEAD AND NECK IN CHILDREN - A 20-YEAR REVIEW [J].
CUNNINGHAM, MJ ;
MYERS, EN ;
BLUESTONE, CD .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 1987, 13 (03) :279-292
[10]   MR imaging and CT of orbital infections and complications in acute rhinosinusitis [J].
Eustis, HS ;
Mafee, MF ;
Walton, C ;
Mondonca, J .
RADIOLOGIC CLINICS OF NORTH AMERICA, 1998, 36 (06) :1165-+