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    Temporal Artery Biopsy

    Editors' Choice
    Neuro-Ophthalmology/Orbit, Oculoplastics/Orbit

    In this clinical video, Dr. Julian Perry demonstrates his technique for performing a temporal artery biopsy. First, the area over the vessel is marked, making sure the length is adequate for obtaining a 4-cm specimen. After injecting a local anesthetic in the subcutaneous plane, he makes an incision and extends it into the subcutaneous fat, taking care to avoid the artery. Once the vessel is exposed, Wescott scissors are used to incise the fascia on either side of the vessel. Ligation sutures are placed on both ends of the specimen, and the vessel is excised. Finally, he uses polyglactin sutures to close the tissue, and absorbable sutures for the skin. 

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