Overview
Tonsillar biopsy is a diagnostic procedure to obtain tissue from the tonsil for histopathological examination.
Tonsillar biopsy is crucial for diagnosing malignancy, chronic infection, or other tonsillar pathology.
Learn more in our comprehensive RxDx ENT Course
Indications
Suspected malignancy
Persistent infection
Asymmetry
Persistent ulceration
Unusual tonsillar appearance
Contraindications
Absolute Contraindications
Relative Contraindications
📋 Equipment Checklist
Check off items as you gather them:
Pre-procedure Preparation
Preparation includes patient assessment, equipment setup, and understanding contraindications.Step-by-Step Procedure
Step 1: Patient Preparation
Position patient, administer anesthesia.
⚠️ Common Mistakes to Avoid:
- Poor positioning
- Inadequate anesthesia
💡 Pro Tip:
Use proper positioning.
Step 2: Mouth Gag Placement
Insert mouth gag for exposure.
⚠️ Common Mistakes to Avoid:
- Poor exposure
- Tongue injury
💡 Pro Tip:
Protect tongue and teeth.
Step 3: Biopsy
Obtain tissue sample from tonsil.
⚠️ Common Mistakes to Avoid:
- Inadequate sample
- Bleeding
💡 Pro Tip:
Use proper technique.
Step 4: Hemostasis
Control bleeding.
⚠️ Common Mistakes to Avoid:
- Inadequate hemostasis
- Post-op bleeding
💡 Pro Tip:
Ensure complete hemostasis.
Step 5: Post-procedure Care
Monitor and provide instructions.
⚠️ Common Mistakes to Avoid:
- Poor monitoring
- Inadequate instructions
💡 Pro Tip:
Provide clear instructions.
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Post-procedure Care
Post-procedure care involves monitoring for bleeding, infection, and providing biopsy results.Complications & Management
Complication | Incidence | Signs | Management | Prevention |
---|---|---|---|---|
Bleeding | 2-5% | Active bleeding | Packing, cautery | Proper hemostasis |
Infection | 1-2% | Fever, pain | Antibiotics | Sterile technique |
Pain | 5-10% | Sore throat | Analgesics | Gentle technique |
Delayed healing | 1-2% | Persistent ulcer | Observation | Proper technique |
Clinical Pearls
Use proper mouth gag positioning.
Ensure adequate tissue sample.
Ensure complete hemostasis.
Check for complications.
Document procedure details.
Provide clear post-op instructions.
Monitor for complications.