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School of Medicine
Surgical Removal and Medical Treatment of Head and Neck Masses/Lesions
If your child is diagnosed with a head or neck mass or nasal obstruction, your doctor will obtain a complete medical history and will perform a thorough physical examination. Tests may be ordered, including imaging studies, lab tests and detailed physical examinations.
These may include:
- Endoscopy to examine the inside of your child’s nose and throat. This is performed by inserting a small, flexible or rigid tube inside your child’s nose. This can often be carried out in the clinic. However, if your child needs to be sedated for this procedure, the pediatric anesthesiologists at Johns Hopkins are available and experienced in comfortably managing your child.
- CT scan or MRI, to determine the size and extent of the nasal tumor.
- Blood tests when helpful
- Biopsy of the mass (a piece is removed and sent to be evaluated by an experienced pathologist)
- Allergy evaluation may be recommended
Head and Neck Mass Treatment
Treatment depends on the type of head and neck mass found. Benign (non-cancerous) masses may be treated with medications or your doctor may recommend surgery to remove them. Cancerous masses may require surgery and/or radiation treatment. Your pediatric ENT may also consult with pediatric neurosurgeons and reconstructive facial plastic surgeons if necessary to assure that we are removing the mass in the safest and most effective manner.
Nasal Obstruction Treatment
Nasal obstruction is often initially treated with medications, some of which may address underlying allergy or other reversible causes of nasal swelling. Your doctor may prescribe a nasal steroid spray to decrease inflammation of the nose and turbinates. Surgery to shrink the turbinates may be required if there is no improvement with medications. There are several new surgical techniques that can be used to shrink turbinates, including use of radiofrequency energy or a small tissue-shaving device.
Request an Appointment
Please call us at 443-997-6467 (443-997-OHNS) to make an appointment at any of our three locations.