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HEAD AND NECK DISEASES: SALIVARY GLAND DISEASES (PAROTID, SUBMANDIBULAR GLAND) NECK LYMPH NODES SWELLING (CERVICAL LYMPHADENOPATHY) SYMPTOMS: 1. Mass in the front of the ear (parotid gland), neck (submandibular gland, cervical lymph nodes) 2. Compressive symptoms (progressive difficulty in swallowing, breathing) 3. Change of voice, hoarseness 4. Pain in the area where the mass is located 5. Cranial nerve palsies (eg. facial nerve palsy, deviated tongue protrusion) SERVICES/TREATMENT AVAILABLE:   Video examination of the upper aerodigestive tract (rigid and/or flexible nasoendoscopy)  -ear, nose, sinus, throat, bronchus, esophagus  Screening and biopsy for cancer  (sinus, tongue, tonsils and voice box) Narrow Band Imaging (NBI) endoscopy Fine needle aspiration cytology (FNAC) or TruCut biopsy with or without Ultrasound guidance Removal (excision biopsy) of lymph nodes under Local Anaesthesia (LA)/General Anaesthesia (GA) Neck lymphatic clearance (neck dissection) in cancer cases Surgery for  removal of thyroid lump/mass  Surgery for  removal of parotid or submandibular gland lump/mass  (submandibulectomy, parotidectomy) Surgery for total removal of the voice box (total laryngectomy) Rehabilitation of voice post total laryngectomy -voice prosthesis Neck lymphatic chain resection (neck dissection) Plastic and reconstructive surgery following major head and neck resection
An inflammed swelling from the salivary(parotid) gland
A recurrent swelling from the salivary(parotid) gland
A tumour of the salivary (submandibular) gland
Neck swelling arising from the lymph nodes
A clinical examination of the neck
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Vincent’s S.C.A.N.S 
Ear, Nose and Throat (ENT), Head and Neck Surgery
Specialist Clinic
Copyright Vincent Specialist Solutions Sdn Bhd 2016. All rights reserved
Last update:  10/1/13 
An ultrasound of the neck in progress, with the red arrow showing the probe
© Vincent Tan ENT Ultrasound-guided Fine-needle aspiration cytology (FNAC) of a thyroid gland mass (red arrow) Ultrasound-guidance showing the tip of the needle (red arrow) in the mass in question confirming accurate targeting Ultrasound-guidance showing the shaft of the needle (red arrow) in the mass in question confirming accurate targeting
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D R. V INCENT T AN Consultant Ear, Nose and Throat, Head and Neck Surgeon, MD (UKM), MS ORL-HNS (UKM), DOHNS RCS Edinburgh (UK), MRCS Edinburgh (UK), Postgrad. Allergy (UK), A.M. (Mal), Fellowship in Rhinology (Singapore) Fellowship in Head and Neck Oncology & Surgery (Amsterdam)
+603-3377 7864  +6012-3760 728