Occasionally, intraoral, intrafacial, and intraneck soft tissue can present with swellings or lesions, and sometimes these abnormalities can be found within the osseous structures of the jaw and face. After evaluations by a specialist in the field of jaw and facial surgery, the decision regarding the surgical excision of these lesions or the need for sampling and biopsy is determined.
If you are currently experiencing such cases or have been referred to a specialist in jaw and facial surgery for lesion sampling, we kindly encourage you to contact our clinic to arrange a visit and consultation. Furthermore, if you have previously undergone lesion sampling within another facility in the head and neck region and require additional consultation and a more precise treatment plan, our reception staff will be delighted to assist you in scheduling a visit with the specialist in jaw and facial surgery.
Sampling or biopsy is a surgical procedure performed to procure a sample from a lesion site for further examination and determination of its nature, whether benign or malignant.
The excised tissue is sent to a specialized maxillofacial pathology laboratory, where a pathology expert analyzes the lesion type using microscopic evaluation or chemical agents. This surgical procedure exhibits a remarkable level of precision and sensitivity while boasting concise treatment duration.
In the majority of cases, general anesthesia is not required, and the procedure can be performed under local anesthesia, resembling the process of tooth extraction. However, in situations where accessing the lesion is challenging, there is a heightened risk of bleeding, or patients present with uncontrolled underlying conditions, the biopsy is conducted under general anesthesia.
The surgeon creates a concise incision within the oral cavity, dissects the soft tissue, gains access to the lesion, removes it for pathological analysis, and concludes the procedure by applying a brief suture to the surgical site.
In certain scenarios, your symptoms may resolve within a two-week timeframe. However, the symptoms may reoccur in the same area over the course of months or years. In such instances, a comprehensive reassessment and the acquisition of new radiographs or MRI studies become imperative. If deemed necessary, a new sampling and biopsy procedure will be conducted in the respective area to explore the cause of lesion recurrence and determine its nature.
Incisional biopsy :
During this sampling procedure, a selective excision of a portion or small fragment of the lesion is conducted to be sent for analysis to specialized maxillofacial pathology for the examination of its precise type and nature.
Excisional biopsy :
In this sampling technique, the entire tissue encompassing the lesion is surgically removed and forwarded to specialized maxillofacial pathology for a comprehensive assessment of its specific type and nature.
FNA :
This sampling method is commonly employed for lymph nodes, the thyroid, major salivary glands, and neck lesions. Using specialized syringes, the sample is obtained by carefully entering the lesion, node, or lymph glands and transferring the sample into the syringe. It is subsequently dispatched to specialized oral and maxillofacial pathology for diagnostic evaluation. For deep-seated samples, this procedure is performed under ultrasound guidance in collaboration with radiology colleagues.
Core needle biopsy :
This biopsy approach involves extracting a sample from the central core of the lesion, enabling the collection of a more substantial specimen compared to FNA. The excision of the lesion is executed using specialized syringes and needles. It is imperative for examining lymph nodes prior to commencing further intervention.
If you have a lesion located in the head, face, jaw, or neck region that requires biopsy or sampling, please do not hesitate to contact us to arrange a consultation with a specialist in the field of oral and maxillofacial oncology.
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No, the biopsy or sampling of a lesion does not incite stimulation, spread, or malignancy of the lesion. Scientific studies have failed to provide evidence that the excision of soft or hard tissue, or even the presence of lesions or cancer cells, promotes their proliferation following biopsy. On the contrary, the removal of soft and hard tissue lesions may be warranted if they meet the specified criteria. Nonetheless, it is crucial to adhere to the surgeon’s instructions and comply with post-biopsy surgical and care protocols to prevent complications and subsequent injuries.
Aspiration entails the sampling of fluid accumulation beneath the mucosa, skin, or within the lesion itself. The extracted sample is then forwarded to specialized maxillofacial pathology for determination of its type and nature, contributing to the final diagnosis.
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