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Paramaxillary CT-guided fine needle aspiration of head and neck lesions: technique, diagnostic yield, and safety profile

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Abstract

Summary

Computed tomography (CT)-guided percutaneous biopsy of deep-seated head and neck lesions can be a less invasive and equally effective alternative to surgical techniques. There are multiple approaches for needle biopsy that target varying spaces within the head and neck while successfully avoiding critical anatomy. In the paramaxillary approach, the needle is advanced through the infrazygomatic buccal space, in between the maxilla and mandible. In this study, we examine the safety and diagnostic yield of FNA without core needle biopsy performed via the paramaxillary approach in 19 patients yielding 20 fine needle aspirates between 2014 and 2022. Of the fine needle aspirates, 85.0% (17/20) were diagnostic. Concordant histopathologic diagnosis was obtained in 100% (17/17) diagnostic fine needle aspirates. There were no postprocedural complications.

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Funding

This study received no funding.

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Authors and Affiliations

  1. Department of Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 1300 York Ave, New York, NY, 10021, USA

    Daiqi Wang, C. Douglas Phillips & Sara B. Strauss

  2. Department of Radiology, Hospital for Special Surgery, New York, NY, USA

    J. Levi Chazen

  3. Department of Otolaryngology-Head and Neck Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA

    David I. Kutler & Andrew B. Tassler

Authors
  1. Daiqi Wang
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  2. J. Levi Chazen
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  3. David I. Kutler
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  4. Andrew B. Tassler
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  5. C. Douglas Phillips
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  6. Sara B. Strauss
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Corresponding author

Correspondence to Daiqi Wang.

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Ethics approval

This study was approved by the Institutional Review Board (IRB) at Weill Cornell Medicine (protocol 9–08020630).

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Informed consent was obtained from all individual participants within the study.

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Wang, D., Chazen, J.L., Kutler, D.I. et al. Paramaxillary CT-guided fine needle aspiration of head and neck lesions: technique, diagnostic yield, and safety profile. Neuroradiology 64, 2207–2211 (2022). https://doi.org/10.1007/s00234-022-03037-1

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  • DOI: https://doi.org/10.1007/s00234-022-03037-1

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