JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (5): 53-55.doi: 10.6040/j.issn.1673-3770.0.2014.018

Previous Articles     Next Articles

Analysis of clinical manifestations and misdiagnosis of jugular phelebectasia in children

SUN Chang-zhi, LUO Ren-zhong, LIU Wen-long, LI Yan, HOU Chao   

  1. Department of Otolaryngology, Guangzhou Women and Children's Hospital, Guangzhou 510623, Guangdong, China
  • Received:2014-01-11 Published:2014-10-16

PDF (PC)

702

Abstract: Objective To analyze the clinical manifestations and the cause of misdiagnosis of jugular phelebectasia in children. Methods From January 2006 to June 2013, 21 cases of jugular phelebectasia in children were collected and reviewed. Their clinical manifestation, diagnostic methods and the cause of misdiagnosis were analyzed. 21 children without jugular phelebectasia were selected as control group. Results Their clinical manifestations showed a soft cystic cervical mass during Valsalva manoeuvre or loud speaking. All the cases visited other hospital 2.4 times averagely and received imaging exams 1.9 times averagely before final diagnosis. There was no significant difference in the diameter of jugular vein between jugular phelebectasia patients and the control group during the resting state(P>0.05), however, the diameter of jugular vein were larger in jugular phelebectasia patients during Valsalva manoeuvre or load speaking(P<0.05). All the jugular phelebectasia were diagnosed by color Doppler ultrasonography. Conclusion The manifestation of jugular phelebectasia is typical. The effective method to diagnose jugular phelebectasia is color Doppler ultrasonography. Deepening the understanding of jugular phelebectasia could decrease the misdiagnosis.

Key words: Jugular phelebectasia, Child, Ultrasonography

CLC Number: 

  • R543.4
[1] Harris R I.Congenital venous syst of mediastinum[J]. Ann Surg, 1928, 88:953-956.
[2] Gurpinar A, Kiristioglw I, Dogruyol H. Jugular phlebectasia[J]. Eur J Pediatr Surg, 1999, 9(3):182-183.
[3] Sander S, Elicevik M, Vnal M, et al. Jugular phlebectasia in children:is it rare or ignored[J] J Pediatr Surg, 1999, 34(12):1829-1832.
[4] Paleri V, Gopalakrishnan S. Jugular phlebectasia:theory of pathogenesis and review of literature[J]. Int J Pediatr Otorhinolaryngol, 2001, 57(2):155-159.
[5] Xiang Liu, Changzhi Sun, Hua Zou, et al.Jugular vein phlebectasia in paediatric with vocal fold nodules[J].Eur J Pediatr, 2013, 172(8):1085-1088.
[6] 刘红真,李爱武,张强业,等.多点环箍术治疗小儿颈内静脉扩张症[J].山东大学耳鼻喉眼学报,2012, 26(3)：54-56. LIU Hongzhen, LI Aiwu, ZHANG Qiangye, et al. Multipoint hoop to treat internal jugular phlebectasia in children[J]. J Otolaryngol Ophthalmol Shandong University, 2012, 26(3)：54-56.
[7] El Fakiri M M, Hassani R, Aderdour L, et al. Congenital internal jugular phlebectasia[J]. Eur Amm Otorhinolaryngol Head Neck Dis, 2011, 128(6):324-326.
[8] Jeon C W, Choo M J, Bae I H, et al. Diagnostic criteria of internal jugular phlebectasia in Korean children[J]. Yonsei Med J, 2002, 43(3):329-334.
[9] Karazincir S, Akoglu E, Balci A, et al. Dimensions of internal jugular veins in Turkish children aged between 0 and 6 years in resting state and during Valsalva maneuver[J]. Int J Pediatr Otorhinolaryngol, 2007, 71(8):1247-1250.
[10] Yildirim I, Yüksel M, Okur N, et al.The sizes of internal jugular veins in Turkish children aged between 7 and 12 years[J]. Int J Pediatr Otorhinolaryngol, 2004, 68(8)1059-1062.
[11] Hung T, Campbell A I. Surgical repair of left internal jugular phlebectasia[J]. J Vasc Surg, 2008, 47(6):1337-1338.
[12] Fitoz S, Atasoy C, Yagmurlu A, et al. Gadolinium-enhanced three-dimensional MR angiography in jugular phlebectasia and aneurysm[J]. Clin Imaging, 2001, 25(5):323-326.
[1] LIU Bing, LI Bei, ZHANG Li, CHEN Min, ZHANG Jie. Clinical Analysis of Benign Paroxysmal Vertigo in preschool and school-age children [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 58-60.
[2] XU Ming, LUO Xinggu, TANG Hongbo, JIANG Qingshan. Clinical characteristics and prognostic factors for sudden idiopathic sensorineural hearing loss in children [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 41-44.
[3] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[4] XU Hongming, GU Meizhen, CHEN Fang, JIANG Yugang, LI Xiaoyan. Establishment of a three-dimensional pediatric larynx finite element model [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 82-85.
[5] LIU Dabo. Evaluation of sleep structure disorder in children with obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 6-8.
[6] LI Yanzhong, ZHANG Tai. Problems we face in children with obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 1-5.
[7] XU Zhifei, NI Xin. Post-surgery management in children with obstructive sleep apnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 9-13.
[8] WANG Yan, SHI Xiaoli. The relationship between allergic reaction and children obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 14-18.
[9] YANG Wei, ZHENG Li, XU Zhifei. Long-term follow-up study on non-invasive ventilation in children with moderate to severe [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 19-24.
[10] QIU Shuyao, LIU Dabo, ZHONG Jianwen, YANG Liqiang. Analysis of coblation complications in children with obstructive sleep apnea-hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 34-37.
[11] ZHONG Jianwen, LIU Dabo, LUO Xiangqian, HUANG Zhenyun, QIU Shuyao, CHENG Chao, YANG Liqiang, YI Xinhua, ZENG Jinhong. The application of wearable devices in the diagnosis of children obstructive sleep apnea [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 30-33.
[12] GAO Jinliang, NIAN Wanqing, LI Shuo. Evaluation of the clinical curative effect of nose surgery in combination with nasal corticosteroids in [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 38-42.
[13] SUN Guochen, SUN Yan, ZHANG Hong, WANG Baowei. Clinical characteristics and treatment of differentiated thyroid carcinoma in children. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 25-28.
[14] PAN Yongjie, PANG Wenhui, SUN Guochen, SUN Yan, ZHANG Hong. Expression and clinical significance of Heparanase and D2-40 in pediatric thyroid carcinoma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 29-32.
[15] XU Shuhang, LI Chunrui, LIU Chao. Optimal management of differentiated thyroid carcinoma in children. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 12-15.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd