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Anil Kamath, MCh; Ganesh Nagarajan, MS; Aniruddha V. Kulkarni, MD; Suyash Kulkarni, DNB; Mandar S. Deshpande, MS; Anil D’cruz, MS
Tata Memorial Hospital, Mumbai, India  

Arch Otolaryngol Head Neck Surg. 2008;134(4):443.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 34-year-old man presented with carcinoma of the glottis, stage T4N1M0, and underwent a total laryngectomy with bilateral selective neck dissection. His postoperative recovery was uneventful, and he had resumed full oral intake by postoperative day 8. Six weeks after surgery, a painless swelling developed in the right submandibular region. Physical examination revealed a firm, nonpulsatile 3x2-cm mass with restricted mobility. The scar had healed well and the tracheal stoma site was healthy. The findings of the rest of the physical examination were normal.

Fine-needle aspiration cytology of the swelling was performed because residual nodal disease was suspected. The procedure yielded only blood, and the results were inconclusive. An ultrasound scan of the neck showed a thick-walled cystic lesion with swirling echoes in the right submandibular region. A . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2008;134(4):445.
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