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. 2021 Feb;69(2):157-168.
doi: 10.1007/s00106-020-00981-3.

[Ultrasound-guided minimally invasive diagnostics and treatment in the head and neck area]

[Article in German]
A Bozzato  1 , C Neubert  2 , Y Yeter  2
Affiliations

[Ultrasound-guided minimally invasive diagnostics and treatment in the head and neck area]

[Article in German]
A Bozzato et al. HNO. 2021 Feb.

Abstract
in English, German

Tumoral lesions in the head and neck region represent a diagnostic and therapeutic challenge in otorhinolaryngologic routine. High-resolution ultrasound is usually able to guide diagnosis. Nevertheless, a definite differentiation between benign and malignant lesions can only be achieved by tissue biopsy. The various options for obtaining samples for histopathological or cytological examination-from minimally invasive ultrasound-guided fine-needle biopsy to punch biopsy and open surgical biopsy-will be discussed in the first part along with the associated advantages and disadvantages. In the second part of this CME article, minimally invasive ultrasound-guided therapeutic options in the head and neck region which can be performed on an outpatient basis are depicted.

Raumforderungen im Kopf-Hals-Bereich stellen mitunter eine diagnostische und therapeutische Herausforderung im HNO-Alltag dar. Die hochauflösende Ultraschalldiagnostik ist hierbei i. d. R. wegweisend. Eine sichere Unterscheidung zwischen Benignität und Malignität gelingt final nur über die bioptische Sicherung. Die verschiedenen Möglichkeiten der Probengewinnung einer sonographiegesteuerten Feinnadelbiopsie, Stanzbiopsie bzw. offenen chirurgischen Biopsie werden im ersten Teil der Arbeit mit den einhergehenden Vor- und Nachteilen erörtert. Im zweiten Teil des Weiterbildungsartikels werden minimal-invasive sonographiegesteuerte Therapiemöglichkeiten im Kopf-Hals-Bereich, welche ambulant durchgeführt werden können, vorgestellt.

Keywords: Ablation techniques; Botulinum toxins; Core needle biopsy; Lymphangioma; Neoplasms.

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References

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