Abstract| Volume 60, ISSUE 10, e9-e10, December 2022

5. Temporal Artery Biopsy with a Pre-auricular Incision- A 3rd Audit Cycle

      Temporal/Giant cell arteritis can cause critical ischaemia and should be treated as a medical emergency. Visual loss occurs in up to 20% of patients; early recognition and prompt treatment is essential to minimise complications. The Royal College of Physicians (RCP) guidelines advise high-dose glucocorticoid prescription on suspicion of the condition, the gold standard for diagnosis is a Temporal Artery Biopsy (TAB) with (in-vivo) specimen length of >1cm with the biopsy performed within 4-6 weeks of commencing treatment. This audit assesses whether or not we have met best practice guidelines, and evaluates if the pre-auricular biopsy technique (vs. Gillies’ temporal technique) improves diagnostic yield and biopsy length.
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