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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: [email protected]
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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 

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Footnotes

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

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