Department of Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 1300 York Ave, New York, NY, 10021, USA.
Department of Radiology, Hospital for Special Surgery, New York, NY, USA.
Neuroradiology. 2022 Nov;64(11):2207-2211. doi: 10.1007/s00234-022-03037-1. Epub 2022 Aug 15.
Computed tomography (CT)-guided percutaneous biopsy of deep-seated head and neck lesions can be a less invasive and equally effective alternative to surgical techniques. There are multiple approaches for needle biopsy that target varying spaces within the head and neck while successfully avoiding critical anatomy. In the paramaxillary approach, the needle is advanced through the infrazygomatic buccal space, in between the maxilla and mandible. In this study, we examine the safety and diagnostic yield of FNA without core needle biopsy performed via the paramaxillary approach in 19 patients yielding 20 fine needle aspirates between 2014 and 2022. Of the fine needle aspirates, 85.0% (17/20) were diagnostic. Concordant histopathologic diagnosis was obtained in 100% (17/17) diagnostic fine needle aspirates. There were no postprocedural complications.
计算机断层扫描（CT）引导下经皮深部头颈部病变活检是一种侵袭性较小且同样有效的替代手术技术的方法。有多种针对头颈部不同部位的针吸活检方法，同时成功避免了关键解剖结构。在颌下颊间隙入路中，将针穿过颧下颊间隙，位于上颌骨和下颌骨之间。在这项研究中，我们检查了 19 例患者通过颌下颊间隙入路进行的 FNA（不进行核心针活检）的安全性和诊断率，该方法在 2014 年至 2022 年期间共进行了 20 次细针抽吸。在 20 次细针抽吸中，85.0%（17/20）为诊断性抽吸。100%（17/17）的诊断性细针抽吸获得了一致的组织病理学诊断。术后无并发症。
