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National survey sampling exercise on current practice in channelled local anaesthetic biopsy in suspected head and neck cancer

Published online by Cambridge University Press:  31 August 2023

Alison E Lim Open the ORCID record for Alison E Lim [Opens in a new window] ,
Christy M Moen Open the ORCID record for Christy M Moen [Opens in a new window]  and
Jenny Montgomery Open the ORCID record for Jenny Montgomery [Opens in a new window]
Alison E Lim*
Affiliation:
Department of Otolaryngology, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK
Christy M Moen
Affiliation:
Department of Otolaryngology, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK
Jenny Montgomery
Affiliation:
Department of Otolaryngology, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK
*
Corresponding author: Alison E Lim; Email: alison.lim3@nhs.scot
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Abstract

Objective

Out-patient channelled endoscopic local anaesthetic biopsy reduces the time to diagnosis and wider use may improve cancer pathway times. This study aimed to assess the practice of ENT surgeons using channelled local anaesthetic biopsy.

Method

A survey was distributed nationally, containing questions about out-patient local anaesthetic biopsy.

Results

In total, 58 responses were returned; only 12 per cent of respondents (n = 7) used general anaesthetic biopsy. The advantages of local anaesthetic biopsy were: the avoidance of general anaesthetic for patients with poor performance scores (95 per cent, n = 55) and faster cancer pathway times (91 per cent, n = 53). Disadvantages were: clinics running late (29 per cent, n = 17) and complications (24 per cent, n = 14). The main barrier to using local anaesthetic was access to channelled flexible endoscopy (38 per cent, n = 22), with 43 per cent (n = 25) reporting they were not using out-patient channelled endoscopes but would be interested in using them.

Conclusion

Surgeons are interested in using channelled endoscopic local anaesthetic biopsy, but they are limited by access to equipment. Increased use of channelled endoscopes may improve national cancer pathway times and avoid challenging general anaesthetics.

Keywords

Head and neck neoplasmsbiopsydiagnosis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 3 , March 2024 , pp. 338 - 340
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Alison E Lim takes responsibility for the integrity of the content of the paper

References

Cancer Research UK. Cancer Statistics for the UK. In: https://www.cancerresearchuk.org/health-professional/cancer-statistics-for-the-uk [7 October 2022]Google Scholar
NICE. Suspected cancer: recognition and referral. NICE guideline [NG12]. In: https://www.nice.org.uk/guidance/ng12 [7 October 2023]Google Scholar
Scottish Referral Guidelines for Suspected Cancer. In: https://www.cancerreferral.scot.nhs.uk/ [7 October 2023]Google Scholar
NHS England. Cancer Waiting Times. In: https://www.england.nhs.uk/statistics/statistical-work-areas/cancer-waiting-times/ [1 October 2023]Google Scholar
Office for National Statistics. Population estimates for the UK, England and Wales, Scotland and Northern Ireland: mid-2021. In: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/bulletins/annualmidyearpopulationestimates/mid2021 [1 October 2023]Google Scholar
Pitchers, M, Martin, C. Delay in referral of oropharyngeal squamous cell carcinoma to secondary care correlates with a more advanced stage at presentation, and is associated with poorer survival. Br J Cancer 2006;94:955–8CrossRefGoogle ScholarPubMed
Lim, A, Zahra, B, Moen, C, Montgomery, J. The effect of local anaesthetic biopsy in head and neck cancer on cancer pathway waiting times. Ann R Coll Surg Engl 2023;105:331–5CrossRefGoogle ScholarPubMed
Lim, AE, Rogers, ADG, Owusu-Ayim, M, Ranjan, S, Manickavasagam, J, Montgomery, J. A systematic review: impact of in-office biopsy on safety and waiting times in head and neck cancer. J Laryngol Otol 2022;136:909–16CrossRefGoogle ScholarPubMed
Naidu, H, Noordzij, JP, Samim, A, Jalisi, S, Grillone, GA. Comparison of efficacy, safety, and cost-effectiveness of in-office cup forcep biopsies versus operating room biopsies for laryngopharyngeal tumors. J Voice 2012;26:604–6CrossRefGoogle ScholarPubMed
Mayland, CR, Ho, QM, Doughty, HC, Rogers, SN, Peddinti, P, Chada, P et al. The palliative care needs and experiences of people with advanced head and neck cancer: a scoping review. Palliat Med 2021;35:27–44CrossRefGoogle ScholarPubMed
Nagarkar, R, Kokane, G, Wagh, A, Kulkarni, N, Roy, S, Tandale, R, et al. Airway management techniques in head and neck cancer surgeries: a retrospective analysis. Oral Maxillofac Surg 2019;23:311–15CrossRefGoogle ScholarPubMed
Schwartz, LH, Ozsahin, M, Zhang, GN, Touboul, E, De Vataire, F, Andolenko, P et al. Synchronous and metachronous head and neck carcinomas. Cancer 1994;74:1933–83.0.CO;2-X>CrossRefGoogle ScholarPubMed
Jain, R, Ikenberry, SO, Anderson, MA, Appalaneni, V, Ben-Menachem, T, Decker, GA et al. Minimum staffing requirements for the performance of GI endoscopy. Gastrointest Endosc 2010;72:469–70CrossRefGoogle ScholarPubMed
Abou-Nader, L, Wilson, JA, Paleri, V. Transnasal oesophagoscopy: diagnostic and management outcomes in a prospective cohort of 257 consecutive cases and practice implications Clin Otolaryngol 2014;39:108–13CrossRefGoogle Scholar
NHS England. Delivering a ‘Net Zero’ National Health Service. Report No. B1728. In: https://www.england.nhs.uk/greenernhs/wp-content/uploads/sites/51/2022/07/B1728-delivering-a-net-zero-nhs-july-2022.pdf [22 October 2022]Google Scholar
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