Head and Neck Surgery - Coastal ENT
                     Know More About 
Head and  Neck 
The surgeons Sat Cuoarstagl Eear,r Nyose and Throat are  
highly experienced and trained in all facets of head 
and  neck conditions. Our physician, Dr. Kenneth 
Newkirk,  is board certified in adult and pediatric 
otolaryngology,  and is also a fellowship trained Head 
and Neck Cancer  Surgeon. Dr. Newkirk is the 
Medical Director of Head  and Neck Cancer at Jersey 
Shore University Medical  Center and works with 
team of experts to provide  patients with a multi-
disciplinary approach to head and  neck disorders.
Cont....
Know About Bell's Palsy & 
Facial  Paralysis
Disorders of the facial nerve can occur to men, women, and children, but 
they  are more prominent among men and women over 40 years of age, 
people with  diabetes, upper respiratory ailments, weak immune systems, 
or pregnant  women. Cases of facial paralysis can be permanent or 
temporary, but in all  circumstances there are treatments designed to 
improve facial function.
What are the common signs or symptoms?
Twitching
Weakness or paralysis of 
face  Dryness of the eye or 
mouth  Disturbance or loss 
of taste
Drooping eyelid or corner of the 
mouth  Difficulty in speaking
Dribbling when drinking or after cleaning 
teeth  Ear pain
Symptoms of Head and Neck 
Cancer
A lump in the neck... Cancers that begin in the head or neck usually spread 
to  lymph nodes in the neck before they spread elsewhere. A lump in the 
neck that  lasts more than two weeks should be seen by a physician as soon 
as possible. Of  course, not all lumps are cancer. But a lump (or lumps) in the 
neck can be the  first sign of cancer of the mouth, throat, voicebox (larynx), 
thyroid gland, or of  certain lymphomas and blood cancers. Such lumps are 
generally painless and  continue to enlarge steadily.
Change in the voice... Most cancers in the larynx cause some changes in 
voice.  An otolaryngologist is a head and neck specialist who can examine 
your vocal  cords easily and painlessly. While most voice changes are not 
caused by cancer,  you shouldn’t take chances. If you are hoarse or notice 
voice changes for more  than two weeks, see your doctor.
Cont....
Symptoms of Head and Neck 
A gCrowath nin tche emoruth... Most cancers of the mouth or tongue cause a sore or 
swelling  that doesn’t go away. These sores and swellings may be painless unless they 
 become  infected. Bleeding may occur, but often not until late in the disease. If an 
ulcer or  swelling is accompanied by lumps in the neck, be concerned. Your dentist 
or doctor  can determine if a biopsy (tissue sample test) is needed and can refer you 
to a head and  neck surgeon who can perform this procedure.
Bringing up blood... This is often caused by something other than cancer. 
However,  tumors in the nose, mouth, throat, or lungs can cause bleeding. If blood 
appears in  your saliva or phlegm for more than a few days, you should see your 
physician.
Swallowing problems... Cancer of the throat or esophagus (swallowing tube)  
may make swallowing solid foods difficult. Sometimes liquids can also be  
troublesome. The food may “stick” at a certain point and then either go 
through  to the stomach or come back up. If you have trouble almost every 
time you try to  swallow something, you should be examined by a physician. 
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Symptoms of Head and Neck 
Cancer
Changes in the skin... The most common head and neck cancer is basal cell 
cancer  of the skin. Fortunately, this is rarely serious if treated early. Basal cell 
cancers  appear most often on sun- exposed areas like the forehead, face, and 
ears, but can  occur almost anywhere on the skin. Basal cell cancer often begins 
as a small, pale  patch that enlarges slowly, producing a central “dimple” and 
eventually an ulcer.
Parts of the ulcer may heal, but the major portion remains ulcerated.
Persistent earache... Constant pain in or around the ear when you swallow can 
be a  sign of infection or tumor growth in the throat. This is particularly serious 
if it is  associated with difficulty in swallowing, hoarseness or a lump in the neck. 
These  symptoms should be evaluated by an otolaryngologist.
Know About Laryngeal 
Tumors &  
Cancer
Laryngeal cancer is not as well known by the general public 
as  some other types of cancer, yet it is not a rare disease. 
The  American Cancer Society estimates that in 2005 almost 
10,000  new cases of laryngeal cancer will be diagnosed, and 
close to  3,800 people will die from laryngeal cancer in the 
United  States. Even for survivors, the consequences of 
laryngeal  cancer can be severe with respect to voice, 
breathing, or  swallowing. It is fundamentally a preventable 
disease though,  since the primary risk factors for laryngeal 
cancer are  associated with modifiable behaviors.
Know About Neck 
Masses
Neck masses in children are most often benign. One of the most  
commonly diagnosed benign neck masses is an enlarged lymph 
node.  Lymph nodes help to fight infection, so they will often swell 
up during  an upper respiratory infection. Usually, these “swollen 
glands” are  tender during the course of the infection. Most of the 
time, they will  shrink down as the infection resolves. On occasion, 
enlarged lymph  node(s) can become an abscess (collection of pus) 
which requires  intravenous antibiotics and surgery.
Another common neck mass is a cyst, which is filled with fluid. 
Many  cysts in the head and neck are congenital, that is, they have 
been  present since birth. Despite their presence in the neck, an 
actual lump  may not appear until much later in life. In fact, some 
congenital neck  cysts do not get diagnosed until adulthood.
What is 
Hyperparathyroidism?
The parathyroid glands are four small glands in the neck that are part of 
the  endocrine system. They produce parathyroid hormone (PTH), which  
maintains calcium and phosphorus levels in the blood.
The most common disease associated with the parathyroid glands is  
overproduction of PTH, known as hyperparathyroidism. Uncontrolled  
hyperparathyroidism may lead to hypercalcemia or elevated blood 
calcium  levels. Twice as many women as men suffer from this condition 
and the  risk of developing hyperparathyroidism increases with age.
Hyperparathyroidism is more common in patients over the age of 60. 
Risk  factors for hyperparathyroidism include having had radiation 
treatment to  the head or neck. Rarely, cancer may be the cause of the 
condition.
Know About Salivary 
TheD glaindss oarer fodunde inr asnd around your mouth and throat. We call the 
 major salivary glands the parotid, submandibular, and sublingual 
glands.
They all secrete saliva into your mouth, the parotid through tubes that  
drain saliva, called salivary ducts, near your upper teeth, 
submandibular  under your tongue, and the sublingual through many 
ducts in the floor of  your mouth.
Besides these glands, there are many tiny glands called minor 
salivary  glands located in your lips, inner cheek area (buccal 
mucosa), and  extensively in other linings of your mouth and throat. 
Salivary glands  produce the saliva used to moisten your mouth, 
initiate digestion, and  help protect your teeth from decay.
As a good health measure, it is important to drink lots of liquids 
daily.  Dehydration is a risk factor for salivary gland disease.
Know More About Salivary 
Theure amre thoreer psaired sets of salivary glands in the head and neck region.  
These include the ones in front of the ears (parotid), below the jaw  
(submandibular), and underneath the tongue (sublingual). Additionally, 
there  are numerous very small salivary glands throughout the mouth and 
throat.
Primary benign and malignant salivary gland tumors usually show up as  
painless enlargements of these glands. Tumors rarely involve more than one 
 gland and are detected as a growth in the parotid, submandibular area, on 
the  palate, floor of mouth, cheeks, or lips. An otolaryngologist-head and 
neck  surgeon should check these enlargements.
Malignant tumors of the major salivary glands can grow quickly, may be  
painful, and can cause loss of movement of part or all of the affected side of 
the  face. These symptoms should be immediately investigated.
Know About Nasal Cavity and 
Sinus  Tumors
The nasal cavity and surrounding sinuses assist in maintaining the functionality and structure of the head 
annecdk area.
Most tumors of the sinuses are benign, but may result in troubling  
symptoms such as nasal obstruction, facial pain, visual difficulties, sleep  
apnea, snoring and chronic sinus infections. Sinus tumors may be 
diagnosed  through endoscopic examination through the nose, or through 
imaging  techniques such as X-rays, CT scans or MRI scans.
When small benign tumors are present, particularly if they are not 
interfering  with the patient's quality of life, they may only necessitate 
ongoing  observation by the physician. In a small number of cases the 
mucosa lining of  the nose and sinuses can be susceptible to abnormal cell 
development, which  can lead to the formation of cancerous tumors. 
Malignant cancers of the nose  and sinuses are, however, quite rare. When 
they do occur, they are most  often composed of squamous cells, and do not 
often metastasize.
Nonetheless, any malignant growth in the nose or sinuses must be removed.
Thyroid Disorders & 
Your thyroid gland is oneS of uthe rengdocerinre gylands that makes hormones to regulate physiological functions in 
your  body, like metabolism. Other endocrine glands are the pancreas, the pituitary, the adrenal glands, and 
the  parathyroid glands.
The thyroid gland is located in the middle of the lower neck, below the larynx (voice box) and wraps around the  
front half of the trachea (windpipe). It is shaped like a bow tie, just above the collarbones, having two halves 
(lobes)  which are joined by a small tissue bar (isthmus.). You can’t always feel a normal thyroid gland.
Contact 
Us
Coastal Ear, Nose Coastal Ear, Nose Coastal Ear, Nose 
and and and
Throat  Throat  Throat  
Address: 3700 Route Address: 1301 Route Address: 100 
33 72 Commons
Neptune, NJ Unit 340 Way #210
07753 Manahawkin, Holmdel, NJ 
(732) 280-7855 NJ 08050 07733
(main) For Mor(e6 0D9e) t9a78il-s Visit Us: (732) 280-7855
(732) 280-7815 0590
https://coastalearnoseandthroat.com/servic(7e3s2/h)-e2a8d0--7815
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