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

Geetika Khanna; Yutaka Sato; Richard J H Smith; Nancy M Bauman; Jeffrey Nerad

doi:10.1148/rg.261055050

Back

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

Journal article

Peer reviewed

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

Geetika Khanna, Yutaka Sato, Richard J H Smith, Nancy M Bauman and Jeffrey Nerad

Radiographics, Vol.26(1), pp.157-171

01/2006

DOI: 10.1148/rg.261055050

PMID: 16418250

View Online

Abstract

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.

Humans

Child, Preschool

Infant

Male

Tomography, X-Ray Computed

Otorhinolaryngologic Diseases - complications

Cranial Nerve Diseases - diagnosis

Edema - etiology

Magnetic Resonance Imaging

Cranial Nerve Diseases - complications

Adolescent

Female

Head and Neck Neoplasms - complications

Head and Neck Neoplasms - diagnosis

Face

Child

Otorhinolaryngologic Diseases - diagnosis

Details

Title: Subtitle: Causes of facial swelling in pediatric patients: correlation of clinical and radiologic findings
Creators: Geetika Khanna - Department of Radiology, University of Iowa College of Medicine, 200 Hawkins Dr, Iowa City, IA 52242, USA. geetika-khanna@uiowa.edu
Yutaka Sato
Richard J H Smith
Nancy M Bauman
Jeffrey Nerad
Resource Type: Journal article
Publication Details: Radiographics, Vol.26(1), pp.157-171
DOI: 10.1148/rg.261055050
PMID: 16418250
NLM abbreviation: Radiographics
ISSN: 1527-1323
eISSN: 1527-1323
Publisher: United States
Language: English
Date published: 01/2006
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Radiology; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Otolaryngology; Internal Medicine
Record Identifier: 9984006405802771

Metrics

33 Record Views

46 Times Cited - Web of Science

See more details