We evaluate and treat a variety of head and neck surgical problems.
These problems include:
1. Neck masses
A mass is a general term for a lump in the neck. There is a wide variety of things that can cause a perceived lump in the neck, including normal anatomic structures like salivary glands. Although many patients are worried about cancers, most neck masses are benign. Dr. Evans is able to evaluate and if necessary order tests to figure out what is causing your neck mass
2. Enlarged lymph nodes in the head and neck
A common reason for a mass in the neck is enlarged lymph nodes. Lymph nodes are normal parts of the body, and all of us have dozens of them on both sides of our neck. Sometimes one or more lymph nodes can get larger and/or firmer, and are then noticeable to the patient. Lymph nodes that are over 1 cm in diameter are considered abnormally enlarged. Any lymph node smaller is normal, even if it is palpable through the skin. Many different things can cause lymph nodes to enlarge, and Dr. Evans will help to determine what is causing this issue.
3. Thyroid nodules and cysts (benign or cancerous)
A nodule is the name for a solid lump or mass growing inside the thyroid gland in the lower neck. A cyst is a fluid filled mass. Approximately 80-90% of thyroid nodules are benign. Dr. Evans is able to do surgery for benign thyroid nodules that are causing symptoms like pressure/discomfort, trouble swallowing, or voice change. Dr. Evans also does surgery for early stage thyroid cancers, and can refer out more advanced cancers to a head and neck cancer specialist.
4. Parathyroid adenomas
There are 4 small parathyroid glands that are located behind the thyroid gland, 2 on each side of the neck. Sometimes, a benign tumor called an adenoma can grow inside of one or more parathyroid glands that causes excess production of parathyroid hormone. This excess can causes a number of issues, including high levels of calcium in the blood. Dr. Evans performs surgery to remove these benign parathyroid tumors.
5. Salivary gland infections and masses
We treat acute and chronic infections of the major salivary glands, including the parotid glands in front of the ears and the submandibular glands under the jaw. For masses within the salivary glands, we are able to help diagnose and surgically remove these lesions if necessary.
6. Sebaceous cysts
These cysts are also called epidermal inclusion cysts, and occur when skin cells get trapped within/under the main skin layer. The cyst fills with exfoliated skin layers and oily debris, and there is usually a small pinpoint opening to the skin surface, called the punctum. Smaller sebaceous cysts can usually be removed under local anesthesia in the office, while larger ones may need to go to the operating room for removal.
7. Thyroglossal duct cysts
These cysts are located in the front of the neck, at or near the midline. They are remnants from development, though they can present in adulthood. The thyroid gland initially develops at the base of the tongue and then descends into the lower neck along a tract called the thyroglossal duct during fetal development. Sometimes, this tract remains and can form into a fluid-filled cyst. Thyroglossal duct cysts can be removed in an outpatient surgery.
8. Biopsies in the mouth, nose, and throat
Dr. Evans can perform biopsies of any abnormal lumps or lesions in the nose, mouth, ears, or throat. Most of these can be easily done in the office, but most biopsies of the larynx or back of the throat must be done in the operating room under anesthesia.
9. Diagnosis and post treatment surveillance for mouth, nose, ear, and throat cancers
Dr. Evans is able to diagnose and coordinate treatment for patients with head and neck cancers. He also helps to provide local follow-up for cancer surveillance after patients complete treatment elsewhere. If you are diagnosed with a head and neck cancer that requires major surgery, we will assist you with a referral to a dedicated head and neck cancer specialist for further treatment. These specialists are available in Austin, San Antonio, and Houston.
Please call 512-550-0321 to schedule an appointment or request an appointment online today.