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Quatela O, Self Q, Herrington H, Brundage W, Silverman D, Sajisevi M. Techniques in Otolaryngology: Ultrasound-Guided Transcervical Fine-Needle Aspiration of Laryngeal Masses. OTO Open 2022; 6:2473974X221117545. [PMID: 36052151 PMCID: PMC9424891 DOI: 10.1177/2473974x221117545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 06/29/2022] [Indexed: 11/16/2022] Open
Abstract
Traditionally, laryngeal masses are diagnosed with direct laryngoscopy with biopsy under general anesthesia. The use of transcervical ultrasound–guided fine-needle aspiration for the diagnosis of base of tongue lesions, thyroid nodules, and cervical lymph node metastases has been well documented, and its use in the diagnosis of laryngeal masses has increased in recent years. We report a technique for office-based transcervical ultrasound–guided fine-needle aspiration for laryngeal masses without cervical metastasis (N0), with outcomes from 6 patients. Benefits of this approach included limited side effects, rapid in-office diagnosis, avoidance of aerosolizing procedures during the COVID-19 pandemic, and avoidance of tracheostomy.
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Affiliation(s)
- Olivia Quatela
- Robert Larner, MD College of Medicine at the University of Vermont, Burlington, Vermont, USA
| | - Quinn Self
- Robert Larner, MD College of Medicine at the University of Vermont, Burlington, Vermont, USA
- Division of Otolaryngology, University of Vermont Medical Center, Burlington, Vermont, USA
| | - Heather Herrington
- Robert Larner, MD College of Medicine at the University of Vermont, Burlington, Vermont, USA
- Division of Otolaryngology, University of Vermont Medical Center, Burlington, Vermont, USA
| | - William Brundage
- Robert Larner, MD College of Medicine at the University of Vermont, Burlington, Vermont, USA
- Division of Otolaryngology, University of Vermont Medical Center, Burlington, Vermont, USA
| | - Damon Silverman
- Robert Larner, MD College of Medicine at the University of Vermont, Burlington, Vermont, USA
- Division of Otolaryngology, University of Vermont Medical Center, Burlington, Vermont, USA
| | - Mirabelle Sajisevi
- Robert Larner, MD College of Medicine at the University of Vermont, Burlington, Vermont, USA
- Division of Otolaryngology, University of Vermont Medical Center, Burlington, Vermont, USA
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