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Ultrasound with Elastography of the Head and Neck

The Clinic has available the latest technology Siemens Acouson Redwood Ultrasound with Linear 10L4 transducer, Color Doppler and Elastography: Virtual Touch™ IQ fourth generation

Ultrasound allows for the direct investigation of diseases of the salivary glands, thyroid, and cervical lymph nodes.

In addition, it allows for ultrasound-guided fine needle aspiration (FNA) for cytological examination of tumors and cysts of all the above organs. 

In difficult diagnostic cases, ultrasound-guided Core needle biopsy with local anesthesia is required for better patient cooperation. For more information, click here..

υπέρηχος θυρεοειδή

In June 2019, two months after his return from Germany, Mr. Psychogios became the first hospital physician in Greece to obtain the right to perform and teach Head and Neck Ultrasound to Otolaryngologists in our country, after passing exams at the Ministry of Health. Since then, he has trained many new colleagues in ENT Ultrasound and has organized many Head and Neck Ultrasound Seminars with a nationwide response.

Ultrasound is a very important tool for the Otolaryngologist that expands his diagnostic and therapeutic abilities. In Germany, it is a standard equipment of every ENT Clinic and Practice. The doctor holds the highest level of trainer (DEGUM III) in Head and Neck Ultrasound in Germany.

The elastography is a relatively new ultrasound method, which allows the measurement of the elasticity and hardness of tissues.

Elastography takes advantage of the fact that malignant tissues are harder than benign or normal ones, and as a result can give us very important information about the severity of a tumor. The application of elastography is most effective for superficial organs, such as the thyroid, cervical lymph nodes, parotid gland and submandibular gland.

Proper evaluation of elastographic imaging requires very good training in ultrasound and good knowledge of anatomy, especially in the complex region of the head and neck.

Personally, I am one of the few Doctors who have extensive clinical experience and research involvement in the subject. Pubmed

ColorDoppleris a very important ultrasound technique that provides important information about the vascularity of the structures being examined. Based on this information, an evaluation of the vessels of the cervix and the nature of the formations can be made.

Mapping of cervical lymph nodes:

Cervical lymph node mapping is very important in the evaluation and surgical planning of patients with tumors of the thyroid, parotid gland, and larynx/pharynx.

It is an ultrasound technique that provides a detailed record of the number, dimensions and location of the cervical lymph nodes. They are then recorded on a special diagram.

Mr. Psychogios, having extensive experience in both ultrasound and surgical oncology of the cervix, can perform the mapping of the cervical lymph nodes, provide appropriate information, and safely perform the surgical removal of the cervical lymph nodes with the most appropriate surgical technique.

Preoperative and intraoperative Ultrasound:

Accurately locating the location of a lesion can significantly help reduce surgical time and potential complications, especially in the cervix, which contains many vessels and nerves.

The doctor uses preoperative ultrasound in most cases of tumors of the parotid gland (determining the extent of parotidectomy), thyroid (determining the extent and ideal technique), submandibular gland, and cervical lymph nodes.

This technique is particularly important in the surgical removal of parathyroid adenomas and isolated cervical lymph nodes.

In parathyroid adenoma, preoperative ultrasound allows for the precise correlation of the adenoma with adjacent structures for safer intraoperative localization, which could otherwise be a problem.

With the proper use of preoperative ultrasound, cases of difficulty finding a mass during surgery are minimized.

In the rare cases where this occurs, the use of intraoperative ultrasound with a sterile ultrasound head allows for the safe and accurate localization of the lesion.

Intraoperative ultrasound is most often useful in deep cervical abscesses that require emergency surgical treatment and helps in the safe localization and complete drainage of all small cavities of the abscess.

υπέρηχος σιελογόνοι αδένες

Last updated: March, 2025.