Neck Swelling: When to See an ENT or Surgeon - Otolaryngology

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When it comes to neck swelling, particularly in the context of previously identified lymph nodes and recent imaging studies, it is essential to approach the situation with caution and a thorough understanding of the potential underlying causes. In your case, you have a history of enlarged lymph nodes, a benign lymph node excision from the groin, and recent imaging that has not indicated any abnormalities. However, the new swelling you have noticed in the right side of your neck, particularly around the splenius capitis muscle, raises some questions.

Firstly, it is important to clarify that the splenius capitis muscle is located in the posterior neck and is responsible for the movement of the head. Swelling in this area could potentially be related to various conditions, including muscular strain, inflammation, or even lymphadenopathy (swelling of lymph nodes). Given your history of lymphadenopathy, it is reasonable to consider that the swelling could be related to lymph nodes, especially if they are reactive due to an ongoing infection or inflammation.

In terms of when to seek medical attention, there are several factors to consider. If the swelling persists, increases in size, or is accompanied by other symptoms such as fever, night sweats, unexplained weight loss, or difficulty swallowing, it is advisable to consult a healthcare professional. Additionally, since you have a history of lung nodules, it is prudent to monitor any changes in your neck closely, as these could be related to systemic conditions.

Regarding which specialist to see, both an Ear, Nose, and Throat (ENT) specialist and a surgeon could be appropriate, depending on the specific characteristics of the swelling and your overall health history. An ENT specialist would be well-equipped to evaluate any potential issues related to the throat, neck, and surrounding structures, including lymph nodes. They can perform a thorough examination and may recommend imaging studies or a biopsy if necessary. On the other hand, a surgeon, particularly one specializing in head and neck surgery, could provide insight into whether surgical intervention is warranted, especially if there is a concern about malignancy or if the lymph nodes need to be excised for further evaluation.

In conclusion, while the swelling you are experiencing may not be immediately alarming, it is essential to remain vigilant and seek medical advice, especially given your medical history. A thorough evaluation by either an ENT specialist or a surgeon will help determine the nature of the swelling and the appropriate course of action. It is always better to err on the side of caution when it comes to changes in your health, particularly in areas with a history of lymphadenopathy.