Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-19T00:43:05.343Z Has data issue: false hasContentIssue false
  • English
  • Français

Image-guided transnasal endoscopic fine needle aspiration or biopsy of parapharyngeal space tumours

Published online by Cambridge University Press:  01 November 2018

J R Abbas ,
J R Abbas ,
K E L Hamlett  and
J de Carpentier
J R Abbas
Affiliation:
Department of Medicine, University of Glasgow, Scotland
J R Abbas
Affiliation:
Department of Otolaryngology, Royal Preston Hospital, UK
K E L Hamlett*
Affiliation:
Department of Otolaryngology, Royal Preston Hospital, UK
J de Carpentier
Affiliation:
Department of Otolaryngology, Royal Preston Hospital, UK
*
Author for correspondence: Miss Katharine Hamlett, 14 Queens Road, Hale, Altrincham WA15 9HF, UK E-mail: kelhamlett@doctors.org.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Parapharyngeal space biopsy is an important investigation in the management of parapharyngeal space tumours. These tumours are relatively rare and the surgeon is often faced with a wide range of differential diagnoses. There are several ways to access the parapharyngeal space, with varying degrees of associated morbidity.

Methods

This paper describes a seldom used, but a simple and safe, image-guided endoscopic approach to parapharyngeal space biopsy that enables tissue to be obtained transnasally. The procedure is conducted under general anaesthesia using computed tomography image guidance via the LandmarX system, with transnasal access to the parapharyngeal space achieved using a sampling needle.

Results

This procedure is relatively simple, safe and reproducible. It is a less invasive approach to parapharyngeal space biopsy, and one which has been successfully used by the senior author for years without any significant morbidity.

Conclusion

Transnasal image-guided endoscopic aspiration or biopsy of the parapharyngeal space is a novel technique that has not been previously described.

Keywords

EndoscopyMalignancyBiopsyPharynx
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 11 , November 2018 , pp. 1026 - 1028
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Miss K Hamlett takes responsibility for the integrity of the content of the paper

References

1Riffat, F, Dwivedi, R, Palme, C, Fish, B, Jani, P. A systematic review of 1143 parapharyngeal space tumors reported over 20 years. Oral Oncol 2014;50:421–30Google Scholar
2Shabab, R, Heliwell, T, Jones, A. How we do it: a series of 114 primary pharyngeal space neoplasms. Clin Otolaryngol 2005;30:364–7Google Scholar
3Arnason, T, Hart, R, Taylor, S, Trites, J, Nasser, J, Bullock, M. Diagnostic accuracy and safety of fine-needle aspiration biopsy of the parapharyngeal space. Diagn Cytopathol 2012;40:118–23Google Scholar
4Su, Y, Zhao, C, Li, W, Deng, X, Zeng, R, Cui, N et al. CT-guided needle biopsy through mandibular area for the diagnosis of nasopharyngeal carcinoma in the parapharyngeal space. Chin J Cancer 2010;29:768–73Google Scholar
5Yousem, D, Sack, M, Scanlan, K. Biopsy of parapharyngeal space lesions. Radiology 1994;193:619–22Google Scholar
6Tu, A, Geyer, C, Mancall, A, Baker, R. The buccal space: a doorway for percutaneous CT-guided biopsy of the parapharyngeal region. AJNR Am J Neuroradiol 1998;19:728–31Google Scholar
7Abrahams, JJ. Mandibular sigmoid notch: a window for CT guided biopsies of lesions in the peripharyngeal and skull base regions. Radiology 1998;208:695–9Google Scholar
8DelGaudio, JM, Dillard, DG, Albritton, FD. Computed tomography guided needle biopsy of head and neck lesions. Arch Otolaryngol Head Neck Surg 200;126:366–70Google Scholar
9Gupta, S, Henningsen, JA, Wallace, MJ. Percutaneous biopsy of head and neck lesions with CT guidance: various approaches and relevant anatomic and technical considerations. Radiographics 2007;27:371–90Google Scholar
10Castelli, M, Gattuso, P, Reyes, C, Solens, EP. Fine needle aspiration biopsy of intraoral and parapharyngeal lesions. Acta Cytol 1993;37:448–50Google Scholar