Navigation-Supported and Sonographically-Controlled Fine-Needle Puncture in Soft Tissues of the Neck

Helbig, M.; Krysztoforski, K.; Kroll, Tobias; Kucharski, J.; Popek, Michał; Helbig, Silke; Gstœttner, Wolfgang; May, A.; Kozák, Josef

doi:10.1016/j.ultrasmedbio.2008.09.015

Cited by 3 publications

(1 citation statement)

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“…Generally, two preoperative biopsy techniques are utilised: the FNAB or the open (incisional or excisional) biopsy. The FNAB technique has been used widely as a diagnostic tool for many soft tissue masses in the head and neck region including salivary glands, lymph nodes and thyroid. Because of thinning of the bony cortex, radiolucent jaw lesions are sometimes amenable to FNAB, with several authors accurately diagnosing intraosseous odontogenic lesions such as KCOT and ameloblastoma.…”

Section: Introductionmentioning

confidence: 99%

The impact of intrabony lesion size on biopsy preference among oral and maxillofacial surgeons

et al. 2012

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Aim The management of intrabony lesions of the jaws may be markedly different depending on the exact nature of the pathology. The precise role of a biopsy prior to surgical treatment of mandibular radiolucencies remains controversial. This study aims to document the biopsy practice of oral and maxillofacial surgeons for intrabony lesions of the jaws. Materials and methods A survey was mailed to all Australian full or associate members of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons. The first part asked questions in relation to demographic data. The second part asked members to examine orthopantomograms of two different lesions and which, if any, biopsy technique would be used prior to management. Data were analysed using a chi‐square test. Results Eighty six of 136 (63.2%) surveys were returned. Only 10.0% of respondents indicated that they would perform a diagnostic incisional biopsy prior to removing the smaller lesion compared with 88.0% of respondents for the larger lesion (P‐value < 0.01). Fine needle aspiration biopsy was only used to exclude vascular lesions by a minority of members. Further investigations would be requested by more than 80.0% of surgeons, with the most popular being three‐dimensional imaging such as computed tomography or cone beam computed tomography. Conclusion The use of a preoperative biopsy is not consistent between lesions of different sizes, with the use of fine needle aspiration biopsy continuing to be advocated to exclude vascular lesions. This is despite the widely different management required for various lesions of the jaws that may be identical on imaging.

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Section: Introductionmentioning

confidence: 99%

The impact of intrabony lesion size on biopsy preference among oral and maxillofacial surgeons

et al. 2012

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Neue Entwicklungen in der computerassistierten Chirurgie

Federspil

2009

HNO

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Ever faster processor capacity is having an impact on computer-assisted or computer-aided surgery (CAS). The fusion of different imaging modalities enables functional data such as PET-CT, for example, to be available in image-guided surgery. Referencing of image data is the key to precise navigation. Intraoperative data acquisition is a new approach to improving accuracy. Thus, intraoperative CT conducted under navigational support enables automatic referencing of up-to-date image data. Alternatively, intraoperative magnetic resonance imaging or intraoperative sonography can be performed. Ultrasound systems have already been successfully integrated in existing navigational systems to compensate for intraoperative tissue shifting. Ultrasound systems may play a role in the future as a single modality in image-guided surgery in soft tissue of the neck and skull bone.

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