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Ultrasound-guided wire localisation to facilitate removal of an abnormal neck lymph node – a technical note

  • J Golding (a1), P Kirkland (a1) and D Howlett (a2)
Abstract Background:

Ultrasound-guided wire localisation is a technique that is well established in breast surgery, but is not well described in head and neck practice. It can be used to locate impalpable lesions for surgical removal, without the need for more extensive surgery.


This paper describes a case where the technique was used to assist in the removal of an impalpable but radiologically abnormal lymph node.


The technique offers a safe and effective method for removing lesions within the head and neck.

Corresponding author
Address for correspondence: Dr Jonathan Golding, Department of ENT, Eastbourne District General Hospital, King's Drive, Eastbourne BN21 2UD, UK E-mail:
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1 Volders, J, Haloua, M, Krekel, N, Meijer, S, van den Tol, P. Current status of ultrasound-guided surgery in the treatment of breast cancer. World J Clin Oncol 2016;7:4453
2 Breeze, J, Williams, M, Howlett, D. Ultrasound guided localisation during the excision of an impalpable branchial cyst. Br J Oral Maxillofac Surg 2008;46:686–7
3 Nakano, N, Miyauchi, K, Imagawa, H, Kawachi, K. Immediate localization using ultrasound-guided hookwire marking of peripheral lung tumours in the operating room. Interact Cardiovasc Thorac Surg 2004;3:104–6
4 Chettiar, K, Sriskandan, N, Thiagaraj, S, Desai, A, Ross, K, Howlett, D. The use of ultrasound-guided localisation in orthopaedics. J Bone Joint Surg Br 2009;91:659–61
5 Woodhouse, N, Williams, M, Saha, S, Howlett, D. Ultrasound guided wire localisation to aid surgical biopsy of impalpable parotid oncocytoma. Int J Oral Maxillofac Surg 2011;40:427–9
6 Purayidathil, M, Manjaly, G, Howlett, D. Removal of an impalpable thyroglossal cyst using ultrasound-guided wire localisation – a technical note. Clin Otolaryngol 2007;32:141–2
7 Christodoulou, D, Bajwa, J, Gok, G, Thomas, R, Howlett, D. Application of ultrasound-guided wire placement in head and neck cancer biopsy: where are we now? Imaging Med 2011;3:725–30
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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