A technique for <i>trans</i>‐lingual biopsy of the tongue base

Hans, Parveen; Rasul, Z.N.; Carpentier, J.-P.

doi:10.1111/j.1749-4486.2007.01539.x

Cited by 3 publications

(4 citation statements)

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“…The procedures can be difficult due to the lack of anatomical access to the area, the fact the malignancy is often submucosal and the potential for overlying slough from previous treatment. 3,5 In addition, the lesions may often only be palpated and not visualised. 3 The consequence of these complexities is that samples may be too small and superficial to be diagnostic.…”

Section: Discussionmentioning

confidence: 99%

“…3,5 In addition, the lesions may often only be palpated and not visualised. 3 The consequence of these complexities is that samples may be too small and superficial to be diagnostic.…”

Section: Discussionmentioning

confidence: 99%

“…1 Despite it being a common procedure it is considered to be one of the most difficult areas of the upper aerodigestive tract to access. [1][2][3][4] The difficulty is owing to a variety of factors. The commonest method of accessing the tongue base for biopsy is during a panendocsopy procedure under a general anaesthetic using a pharyngoscope.…”

Section: Introductionmentioning

confidence: 99%

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Trans-lingual biopsy of the tongue base under local anaesthetic – a new technique

Abbas¹,

Abbas²,

Hans³

et al. 2018

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Aim: The tongue base is an important anatomical area to biopsy when searching for an unknown head and neck primary malignancy. Additionally biopsies must be taken when a clinically apparent tongue base lesion is present and malignancy is suspected. It can be extremely challenging to obtain a meaningful biopsy result for a variety of reasons. Patients who present with head and neck malignancy often come with an array of medical co-morbidities and therefore subjecting them to the risks of a general anaesthetic may not be appropriate. Materials and methods:We present a novel technique of tongue base biopsy which can be performed under local anaesthetic. Alongside this we present a case in which this technique has been utilized by the senior author.Results: The patient presented above had multiple inadequate conventional tonguebase biopsies. Our novel technique yielded a positive result allowing the patient to continue treatment of his recurrent disease. Conclusion:The trans-lingual biopsy of the tongue base under local anaesthetic is a simple, safe and cost effective way to obtain a tissue diagnosis in tongue base malignancy. We believe it to be reproducible and easy to teach.

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Section: Discussionmentioning

confidence: 99%

“…3,5 In addition, the lesions may often only be palpated and not visualised. 3 The consequence of these complexities is that samples may be too small and superficial to be diagnostic.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trans-lingual biopsy of the tongue base under local anaesthetic – a new technique

Abbas¹,

Abbas²,

Hans³

et al. 2018

JOENTR

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“…We read with interest the letter by Hans et al. , 1 however, we feel that the technique is not without serious risks of adverse oncological consequences. The methodology as described is simple and is reminiscent of the techniques described in older surgical texts for cervical lymph node biopsy of the neck.…”

mentioning

confidence: 93%