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Related Experiment Video

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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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A lean neck mass clinic model: Adding value to care.

Brittny N Tillman1, Tiffany A Glazer1, Amrita Ray1

  • 1Department of Otolaryngology-Head and Neck Surgery.

The Laryngoscope
|August 11, 2015
PubMed
Summary
This summary is machine-generated.

Ultrasound-guided fine needle aspiration (USFNA) with on-site analysis significantly improves neck mass diagnosis, reducing repeat visits and optimizing patient care. This efficient model enhances the quality of care for patients with neck masses.

Keywords:
Neck massfine needle aspirationultrasound

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Area of Science:

  • Otolaryngology
  • Diagnostic Cytopathology
  • Medical Imaging

Background:

  • Neck masses are a common and stressful presentation in otolaryngology.
  • Timely and accurate diagnosis is critical for effective patient management.
  • Traditional diagnostic pathways may involve delays and repeat procedures.

Purpose of the Study:

  • To evaluate the efficacy of ultrasound-guided fine needle aspiration (USFNA) with on-site cytopathologic analysis.
  • To demonstrate the potential of this approach to eliminate unnecessary diagnostic testing and repeat visits.
  • To optimize the quality of care for patients presenting with neck masses.

Main Methods:

  • Retrospective cohort study of 61 new patients with neck masses.
  • USFNA performed on masses in various neck locations, including neck levels I-VI, parotid gland, and parapharyngeal space.
  • On-site cytopathologic analysis conducted after initial passes, with additional passes if required for diagnosis.

Main Results:

  • A diagnosis was achieved in 93.4% of patients during the initial visit.
  • Over half of patients (57.4%) required additional passes, highlighting the benefit of on-site analysis to avoid repeat visits.
  • Average clinic visit time was 103 minutes, with an average round trip mileage of 127.6 miles per patient, indicating efficiency gains.

Conclusions:

  • A dedicated neck mass clinic utilizing USFNA with on-site cytopathologic analysis is an efficient model for otolaryngology practices.
  • This approach significantly improves diagnostic timeliness and accuracy, enhancing patient care.
  • The integrated model streamlines the diagnostic process, leading to better patient outcomes and reduced healthcare utilization.