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Presurgical, ultrasound-guided anchor-wire marking of impalpable cervical lymph nodes

Published online by Cambridge University Press:  08 March 2006

J A Bryant ,
N J Siddiqi ,
E J Loveday  and
G H Irvine
J A Bryant
Affiliation:
Department of Oral & Maxillofacial Surgery, Southmead Hospital, Bristol, UK
N J Siddiqi
Affiliation:
Department of Oral & Maxillofacial Surgery, Southmead Hospital, Bristol, UK
E J Loveday
Affiliation:
Department of Radiology, Southmead Hospital, Bristol, UK
G H Irvine
Affiliation:
Department of Oral & Maxillofacial Surgery, Southmead Hospital, Bristol, UK
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Abstract

This case illustrates the surgical use of wire localization, a well tried technique from a different field of surgery, in the removal of an ultrasound-detected, impalpable deep lower cervical lymph node in a high-risk patient. A localization needle with an echogenic tip was placed freehand under ultrasound guidance, immediately before surgery. The imaging and marking of the impalpable cervical lymph node resulted in a precise surgical dissection and a reduction in operating time whilst minimizing risks to the patient and staff.

Keywords

Lymph Node ExcisionNeedleCytologyUltrasonography
Type
Brief Report
Information
The Journal of Laryngology & Otology , Volume 119 , Issue 8 , August 2005 , pp. 627 - 628
Copyright
© 2005 Royal Society of Medicine Press

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