title: Presurgical, ultrasound-guided anchor-wire marking of impalpable cervical lymph nodes.
abstract: This case illustrates the surgical use of wire localization, a well tried technique from a different field of surgery, in the removal of an ultrasound-detected, impalpable deep lower cervical lymph node in a high-risk patient. A localization needle with an echogenic tip was placed freehand under ultrasound guidance, immediately before surgery. The imaging and marking of the impalpable cervical lymph node resulted in a precise surgical dissection and a reduction in operating time whilst minimizing risks to the patient and staff.
authors.affiliation: Department of Oral & Maxillofacial Surgery, Southmead Hospital, Bristol, UK.
authors.forename: J A
authors.initials: JA
authors.lastname: Bryant
authors.forename: N J
authors.initials: NJ
authors.lastname: Siddiqi
authors.forename: E J
authors.initials: EJ
authors.lastname: Loveday
authors.forename: G H
authors.initials: GH
authors.lastname: Irvine
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000000981:diagnostic imaging*; D009333:Neck; D010173:Palpation; D011300:Preoperative Care / Q000295:instrumentation / Q000379:methods*; D014463:Ultrasonography