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

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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

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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
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