Patient Positioning for Shave Biopsy of the Left Cheek
Position the patient supine (lying flat on their back) or in a semi-reclined position with the head comfortably supported, ensuring optimal access to the left cheek while maintaining patient comfort and procedural safety.
Recommended Positioning Approach
Primary Position: Supine or Semi-Reclined
- Place the patient supine or in a semi-reclined position on the examination table with appropriate head support 1
- The patient's head should be turned slightly to the right to provide better exposure of the left cheek
- Ensure the patient is comfortable and can maintain this position throughout the procedure 1
Key Positioning Principles
Avoid seated positioning for any biopsy procedure due to the risk of vasovagal syncope (fainting) during the procedure 1
Maintain stable positioning throughout the procedure:
- The supine or semi-reclined position allows the patient to remain stable and comfortable 1
- This positioning minimizes patient movement during the biopsy
- Provides optimal operator access to the facial area
Procedural Considerations
Patient Preparation
- Explain the procedure beforehand to reduce anxiety and ensure patient cooperation 1
- The shave biopsy technique is appropriate for superficial skin lesions on the face 2, 3
- Local anesthetic should be administered prior to the procedure for patient comfort, though some superficial shave biopsies can be performed without anesthesia with minimal discomfort 4
Safety Considerations
- The supine position provides safety in case of unexpected vasovagal response or patient discomfort 1
- Resuscitation facilities should be readily available, though complications from facial shave biopsies are rare 1
Post-Procedure Positioning
After completing the shave biopsy:
- The patient can remain supine briefly for observation
- No specific post-biopsy positioning is required for facial shave biopsies (unlike lung biopsies where lateral positioning may be beneficial) 5
Common Pitfalls to Avoid
- Do not perform the biopsy with the patient seated upright due to syncope risk 1
- Avoid positioning that causes patient discomfort or inability to maintain stability
- Ensure adequate lighting and access to the left cheek without compromising patient safety