Quatela Olivia, Self Quinn, Herrington Heather, Brundage William, Silverman Damon, Sajisevi Mirabelle
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.
OTO Open. 2022 Aug 26;6(3):2473974X221117545. doi: 10.1177/2473974X221117545. eCollection 2022 Jul-Sep.
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.
传统上，喉部肿物是在全身麻醉下通过直接喉镜检查并活检来诊断的。经颈超声引导下细针穿刺用于诊断舌根病变、甲状腺结节和颈部淋巴结转移已有充分文献记载，近年来其在喉部肿物诊断中的应用也有所增加。我们报告一种在门诊进行经颈超声引导下对无颈部转移（N0）的喉部肿物进行细针穿刺的技术，并给出6例患者的结果。这种方法的优点包括副作用有限、在门诊快速诊断、在新冠疫情期间避免产生气溶胶的操作以及避免气管切开术。
