{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T15:55:53Z","timestamp":1762444553293},"reference-count":6,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,8,8]],"date-time":"2015-08-08T00:00:00Z","timestamp":1438992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,11]]},"abstract":"Objectives\/Hypothesis<\/jats:title>To demonstrate that ultrasound\u2010guided fine needle aspiration (USFNA) with on\u2010site cytopathologic analysis eliminates unnecessary diagnostic testing, return visits, and repeat procedures and optimizes quality of care.<\/jats:p><\/jats:sec>Study Design<\/jats:title>Retrospective cohort.<\/jats:p><\/jats:sec>Methods<\/jats:title>Sixty\u2010one new patients (28 female; 33 male; age range\u2009=\u200919\u201385 years) were seen in our dedicated neck mass clinic over a 1\u2010year period. All patients underwent USFNA of masses located in neck levels I\u2013VI (n\u2009=\u200940), parotid gland (n\u2009=\u200920), or parapharyngeal space (n\u2009=\u20091). Each patient underwent two USFNA passes followed by on\u2010site cytopathologic analysis with additional passes if required for diagnosis.<\/jats:p><\/jats:sec>Results<\/jats:title>Diagnosis was made in 93.4% (n\u2009=\u200957) of patients, allowing for counseling and treatment planning at the first visit. To obtain a diagnosis, more than half (57.4%, n\u2009=\u200935) of our patients required additional passes, which implies that they would have required an additional visit without on\u2010site cytopathologic analysis. Treatment included observation in 42.6% (n\u2009=\u200926) of patients, surgery in 32.8 % (n\u2009=\u200920) of patients, and nonsurgical treatment (chemotherapy, radiation, other) in 24.6% (n\u2009=\u200915) of patients. The average time from check\u2010in to checkout including the clinic visit, biopsy, and treatment counseling was 103 minutes, and the average round trip mileage traveled per patient was 127.6 miles.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The adult neck mass is a commonly encountered scenario in otolaryngology. For the patient, this can be a stressful situation in which timely and accurate diagnosis is critical. A dedicated lean neck mass clinic model with USFNA and on\u2010site cytopathologic analysis can be both an efficient part of one's practice and a valuable addition to patient care.<\/jats:p><\/jats:sec>Level of Evidence<\/jats:title>4 Laryngoscope<\/jats:italic>, 125:2509\u20132513, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25535","type":"journal-article","created":{"date-parts":[[2015,8,8]],"date-time":"2015-08-08T13:30:09Z","timestamp":1439040609000},"page":"2509-2513","source":"Crossref","is-referenced-by-count":4,"title":["A lean neck mass clinic model: Adding value to care"],"prefix":"10.1002","volume":"125","author":[{"given":"Brittny N.","family":"Tillman","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany A.","family":"Glazer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amrita","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Chad","family":"Brenner","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery"},{"name":"Comprehensive Cancer Center University of Michigan Medical School Ann Arbor Michigan U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew E.","family":"Spector","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery"},{"name":"Comprehensive Cancer Center University of Michigan Medical School Ann Arbor Michigan U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,8]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Going Lean in Healthcare","author":"Womack J","year":"2005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814528659"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.05.004"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20829"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2303.2009.00709.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21061"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25535","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25535","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T15:24:03Z","timestamp":1696605843000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,8]]},"references-count":6,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1002\/lary.25535"],"URL":"https:\/\/doi.org\/10.1002\/lary.25535","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,8]]}}}