Title : Outpatient biopsy of upper aerodigestive tract lesion: Has it made a difference to the patient pathway
Abstract:
Introduction: This retrospective audit evaluated the impact of local anaesthetic (LA) biopsies of upper aerodigestive tract lesions on diagnostic adequacy and patient pathway outcomes.
Methods: A 12-month review of 47 patients undergoing LA biopsies for suspected head and neck lesions was performed. Diagnostic adequacy, patient cohort, and the need for conversion to general anaesthetic (GA) were analysed.
Results: LA biopsies yielded adequate histology in all cases (100%). Two patients required GA for diagnosis due to clinical suspicion. Thirty biopsies were performed using a side-channelled video scope, including 13 incidental findings detected during PET scans for cancer workup. Seventeen tonsil biopsies were undertaken using snare forceps.
Conclusion: LA biopsies are diagnostically robust, without compromising histological accuracy. Early diagnosis reduces patient anxiety and shortens waiting times for definitive management.
Recommendation: Experience of the surgeon, careful patient selection, and ongoing service evaluation will further improve patient outcomes and experience.
