Computed tomography-guided transfacial buccal space core biopsy of deep head and neck space lesions: our experience
Autor: | R. Ali, M. Couzins, J. Bekker, P.A. Brennan, O.R. Mitchell |
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Rok vydání: | 2021 |
Předmět: |
Image-Guided Biopsy
medicine.medical_specialty Percutaneous Computed tomography 03 medical and health sciences Standard anatomical position 0302 clinical medicine Biopsy medicine Humans Head and neck Retrospective Studies medicine.diagnostic_test business.industry Tissue acquisition Otorhinolaryngology 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Biopsy Large-Core Needle Radiology Oral Surgery Buccal space Tomography X-Ray Computed business Core biopsy |
Zdroj: | British Journal of Oral and Maxillofacial Surgery. 59:1238-1242 |
ISSN: | 0266-4356 |
DOI: | 10.1016/j.bjoms.2021.04.009 |
Popis: | Deep head and neck space lesions can present a number of diagnostic challenges due to their deep anatomical position and difficult access for diagnostic tissue sampling. We describe a series of percutaneous ‘transfacial’ buccal space computed tomography (CT)-guided core biopsies of these lesions and subsequent histological findings. Six patients underwent CT-guided core biopsy of deep parotid, parapharyngeal, or masticator space lesions over a 30-month period. We describe our biopsy technique and correlate our histological findings with subsequent surgical resection where performed. Five of six of CT-guided biopsies obtained sufficient tissue for histological interpretation with varying findings, including salivary gland tumours and squamous cell carcinoma confirmed on subsequent resection. One patient was treated palliatively following core biopsy. No biopsy-related complications were observed. In our small series, percutaneous CT-guided transfacial biopsy via the buccal space has proved an excellent option for the minimally invasive tissue acquisition of deep head and neck space lesions. |
Databáze: | OpenAIRE |
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