Frequently, sonography of the head and neck serves only for assessment
of the thyroid and arteriosclerotic lesions of the extracranial vesse
ls. This article gives a review of ultrasound of the remaining cervica
l structures, particularly space-occupying lesions. The differentiatio
n between malignant and benign lymphadenopathy or between intraglandul
ar and extraglandular abnormalities of the salivary glands is possible
with an accuracy between 90 and 95%. Limitations of the method lie in
the difficult access to the skull basis as well as the retropharyngea
l and retrotracheal space.