VanDyke Caleb, Pasternak-Wise Olga, Michals Edward A, Abdalla Ramez N, Hurley Michael C
Department of Radiology, University of Chicago, Chicago, Illinois.
Department of Radiology, Northwestern University, Chicago, Illinois.
Semin Intervent Radiol. 2024 Dec 10;41(5):507-514. doi: 10.1055/s-0044-1792175. eCollection 2024 Oct.
Computed tomography guidance enables deep neck biopsies beyond the range of ultrasound and spares the patient more invasive open surgery. This review article describes proper patient preparation, devices, and techniques. Cases illustrate the favored access routes in the suprahyoid neck including the subzygomatic, retromandibular, transfacial, submastoid, transoral, and posterior approaches, as well as in the infrahyoid neck including the anterolateral and posterolateral approaches. A thorough understanding of the neck anatomy, assessment of prior imaging with respect to eloquent structures such as arteries and nerves, and a sound knowledge of the technique will result in an extremely low complication rate.
计算机断层扫描引导技术能够对超声检查范围之外的颈部深层病变进行活检，避免了患者接受更具侵入性的开放手术。这篇综述文章描述了正确的患者准备、设备和技术。病例展示了舌骨上颈部的常用入路，包括颧下、下颌后、经面部、乳突下、经口和后路入路，以及舌骨下颈部的入路，包括前外侧和后外侧入路。对颈部解剖结构的透彻理解、对诸如动脉和神经等重要结构的既往影像学评估以及扎实的技术知识将使并发症发生率极低。
