This 78-years old man came for a nasopharyngeal mass biopsy to get material for microbiology. The head and neck surgeon was not comfortable doing this biopsy and so the infectious disease physician asked for a CT guided biopsy.
At the time of the biopsy, the scan showed necrosis / collection anteriorly.
Which route will you take?
These are the typical routes available for reference
These are some of the previous head and neck biopsies discussed on the site for reference.
What would you do?
The discussion video follows.