How accurate are in-office biopsies compared to direct microlaryngoscopy, and what is their diagnostic value?
Background: Advances in flexible laryngoscopy, imaging technology, instrument miniaturization, and procedure reimbursement changes have led to an increase in office-based laryngology management, obtaining tissue for pathology during an outpatient office visit using topical anesthesia. Office biopsy alone has been proposed as sufficient for several conditions, but the literature lacks data evaluating its accuracy compared with histologic diagnosis at operation.
Explore this issue:April 2015
Study design: Retrospective chart review of 76 patients who underwent office-based current procedural terminology code 31576 and were taken to the operating room for direct microlaryngoscopy with biopsy/excision from Jan. 1, 2010, through July 31, 2013.
Setting: Department of Otolaryngology, Icahn School of Medicine, Mount Sinai Hospital, New York City.| | | Next → | Single Page