OBJECTIVE: To evaluate transcutaneous fine needle aspiration biopsy of the
preepiglottic space for staging supraglottic squamous cell carcinoma.
STUDY DESIGN: We studied 28 patients who underwent total or horizontal supr
aglottic laryngectomy as their main therapy modality due to supraglottic sq
uamous cell carcinoma, followed in some cases by adjustment radiation thera
py. All the patients underwent transcutaneous fine needle aspiration.
RESULTS: The cytopathologic examination of the material obtained by aspirat
ion was compared to the histopathologic analysis of the laryngectomy specim
ens; the efficiency was 96.4%. The method dill not cause lilly morbidity.
CONCLUSION: Transcutaneous fine needle aspiration biopsy of the preepiglott
ic space is useful for preepiglottic space evaluation, with a high correlat
ion with histopathologic results and no morbidity.