Head and neck UltrasonograpHy essential and extended applications second edition Head and neck UltrasonograpHy essential and extended applications second edition lisa a. orloff, Md, Facs, Face 5521 Ruffin Road San Diego, CA 92123 e-mail: [email protected] Website: http://www.pluralpublishing.com Copyright © 2017 by Plural Publishing, Inc. Typeset in 10½/13 Garamond Book by Flanagan’s Publishing Services, Inc. Printed in Korea by Four Colour Print Group All rights, including that of translation, reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording, or other- wise, including photocopying, recording, taping, Web distribution, or information storage and retrieval systems without the prior written consent of the publisher. 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The diagnostic and remediation protocols and the medications described do not necessarily have specific approval by the Food and Drug administration for use in the disorders and/or diseases and dosages for which they are recommended. Application of this information in a particular situation remains the professional responsibility of the practitioner. Because standards of practice and usage change, it is the responsibility of the practitioner to keep abreast of revised recommendations, dosages, and procedures. Library of Congress Cataloging-in-Publication Data Names: Orloff, Lisa A., editor. Title: Head and neck ultrasonography : essential and extended applications / [edited by] Lisa A. Orloff. Description: Second edition. | San Diego, CA : Plural Publishing, [2017] | Includes bibliographical references and index. Identifiers: LCCN 2016056763| ISBN 9781597568586 (alk. paper) | ISBN 1597568589 (alk. paper) Subjects: | MESH: Head — diagnostic imaging | Ultrasonography | Neck — diagnostic imaging Classification: LCC RF48 | NLM WE 700 | DDC 617.5/10754 — dc23 LC record available at https://lccn.loc.gov/2016056763 contents Preface vii Acknowledgments ix Contributors xi 1 The History of Head and Neck Ultrasonography 1 William B. Armstrong and Yarah M. Haidar 2 Essential Physics of Ultrasound 13 Marc D. Coltrera 3 Ultrasound Equipment, Techniques, and Advances 31 Kevin T. Brumund 4 Normal Head and Neck Ultrasound Anatomy 45 Russell B. Smith and Lisa A. Orloff 5 Thyroid Ultrasonography 81 Jennifer A. Sipos and Lisa A. Orloff 6 Parathyroid Ultrasonography 137 Maisie Shindo 7 Salivary Gland Ultrasonography 155 Peter Jecker, Urban W. Geisthoff, Jens E. Meyer, and Lisa A. Orloff 8 Ultrasonography of Neck Masses 189 Hans J. Welkoborsky 9 Laryngeal Ultrasonography 227 Timothy J. Beale, Lisa A. Orloff, and John S. Rubin 10 Transesophageal Endosonography 249 Michael Mello and Thomas J. Savides 11 Endobronchial Ultrasound 273 Mihir S. Parikh and Ganesh Krishna v vi Head and neck UltrasonograpHy 12 Airway Ultrasonography and Its Clinical Application to Airway Management 283 Lena Scotto, Lynn Cintron, Fredrick G. Mihm, and Vladimir Nekhendzy 13 Head and Neck Ultrasound in the Pediatric Population 305 Veronica J. Rooks and Benjamin B. Cable 14 Ultrasonography of the Face, Paranasal Sinuses, and Ear 323 Peter Jecker 15 Interventional Ultrasonography 343 Vinay T. Fernandes and Lisa A. Orloff 16 The Science and Art of Optimal Fine Needle Biopsy and Smear Making 365 John Stephen Abele 17 Office-Based Ultrasonography: Documentation and Reporting 389 Ilya Likhterov, Meghan E. Rowe, and Mark L. Urken 18 Vascular Ultrasound, Carotid, and Transcranial Doppler Imaging 395 Tatjana Rundek, Marialaura Simonetto, Nelly Campo, and Digna E. Cabral 19 Ultrasound Surveillance of the Neck in Head and Neck Cancer 459 Michiel W.M. van den Brekel and Jonas A. Castelijns 20 Head and Neck Ultrasonography in Global Health 481 Merry E. Sebelik 21 Head and Neck Ultrasound: Certification and Accreditation 497 Lisa A. Orloff Index 501 preFace Head and Neck Ultrasonography: Essential and ultrasound in airway management, global health, Extended Applications, Second Edition is a com- pediatrics, endobronchial procedures, plus special prehensive textbook of office-based and intra- chapters on fine-needle aspiration, documenta- operative ultrasonography for clinicians, and tion, and accreditation. especially surgeons, who manage patients with This textbook is unique both in its thorough- head and neck disorders. Since the first edition ness and in its relevance to the clinical setting, of this book was published, ultrasonography has where ultrasonographic examination is a dynamic continued to experience an explosion in inter- and interactive process between physician and est and application within nearly every medical patient. Although numerous examples of still subspecialty. The anatomy of the head and neck ultrasound images are necessary and invaluable is particularly accessible and amenable to ultra- (and are the traditional format of ultrasound text- sound examination, and otolaryngologists/head books), this book also takes advantage of dynamic and neck surgeons and endocrine surgeons are video clips that can be viewed online to best increasingly incorporating ultrasonography into illustrate both the process and the interpretation their clinical practices. There is an ever expand- of specific examinations and procedures. Both ing body of journal literature citing the utility and standard B-mode (gray-scale) and color Doppler advantages of neck ultrasonography, especially in sonography images are included. the management of thyroid disease, head and neck Head and Neck Ultrasonography is organized cancer, and benign neoplasms and masses in the into chapters written by individuals with particular head and neck. There are evolving applications to expertise in the given topic. Contributors include active processes such as swallowing, sleep dynam- predominantly surgeons but also authorities from ics, and speech. The publication of this complete the fields of radiology, endocrinology, gastroen- textbook of head and neck ultrasonography is the terology, neurology, anesthesiology, pulmonology, ideal complement to this surge in appreciation and pathology. I have had the privilege of learn- and utilization of ultrasonography. ing from and collaborating with these experts in Head and Neck Ultrasonography covers the head and neck ultrasonography who are helping fundamentals of ultrasound physics, equipment, to move the applications of this powerful tool for- normal head and neck ultrasound anatomy, and ward. To the clinician caring for head and neck technique. Individual chapters cover specific anat- disorders, I hope that this book will be a useful omy and pathology. Interventional ultrasonogra- resource for trainees and experienced practitioners phy and dynamic ultrasonography are included. alike and will provide stimulation for new applica- New chapters since the first edition focus on tions of ultrasonography within the region. vii acknowledgMents As a true sign that rightness can prevail, one of thank each of them sufficiently. I know that they the chapters herein was contributed by an author derive the same gratification I do from sharing from the very department that rejected my incor- their ultrasonography passion and insights with porating ultrasound into my practice when I was others. Still, I would like to give special thanks first getting started. Thankfully, the wisdom of to the following individuals: to all of my contrib- utilizing ultrasonography in the office to provide uting authors for their hard work and commit- optimal care for patients with diseases of the head ment to educating the readers of this book about and neck speaks for itself. Since the first edition the infinite benefits of clinical ultrasonography; of this textbook was published, there has evolved to Hans Welkoborsky, Urban Geisthoff, and Jens a critical mass of authorities who are eager to Meyer, my enduring partners who have co-taught practice, demonstrate, teach, and write about the annual introductory ultrasound courses, creat- benefits of ultrasound, ensuring that head and ing that epiphany for the newly exposed, year neck ultrasonography in the clinical realm is here after year; to my patients, who recognized long to stay. There is ever-growing demand and inter- before the medical community did that point- est in ultrasound education. Hence this updated of-care ultrasound had obvious advantages over second edition, which features more numerous, ultrasound dissociated from clinical care; and to more accessible, and more high-resolution images the late Senator J. William Fulbright for having and video clips than in the first edition, represent- established a program that sponsors cultural and ing the next best thing to real-time, interactive scientific exchange and mutual understanding, ultrasonography. enabling individuals like me to meet and learn Many people have contributed to bringing about amazing people and ideas such as those this second edition to fruition, and I can never represented by this book. ix