Thimble-Enhanced Fine Needle Aspiration of the Submandibular Triangle

Objective: 1) Learn a method to enhance the yield in diagnosing masses in the submandibular triangle via Fine Needle Aspiration (FNA). 2) Learn how to enhance the technique of FNA using an inexpensive sewing thimble. Method: In patients with submandibular triangle masses, a thimble is placed over the surgeons index finger and gloved. The index finger is placed intraorally and the contents of the submandibular triangle are displaced inferiorly and laterally. Using the contralateral hand or a “two-person” technique, the FNA is then completed. Results: This simple refinement has aided in the successful completion of FNA for masses located in the submandibular triangle. Conclusion: The use of an inexpensive sewing thimble is a helpful adjunct in the successful completion of FNA in masses located in the submandibular triangle.