Endoscope-assisted transoral approach to parapharyngeal space tumors

Head & Neck ◽  
2014 ◽  
Vol 37 (2) ◽  
pp. 243-248 ◽  
Author(s):  
Mete Iseri ◽  
Murat Ozturk ◽  
Ahmet Kara ◽  
Selcuk Ucar ◽  
Omer Aydin ◽  
...  
Keyword(s):  
Parapharyngeal Space ◽  
Transoral Approach ◽  
Parapharyngeal Space Tumors

Endoscopic transoral approach for resection of retrostyloid parapharyngeal space tumors: Retrospective analysis of 16 patients

Head & Neck ◽  
2020 ◽  
Vol 42 (12) ◽  
pp. 3531-3537
Author(s):  
Lifeng Li ◽  
Nyall R. London ◽  
Yanyong Gao ◽  
Ricardo L. Carrau ◽  
Xiaohong Chen
Keyword(s):  
Retrospective Analysis ◽  
Parapharyngeal Space ◽  
Transoral Approach ◽  
Parapharyngeal Space Tumors

scholarly journals Transoral Excision of Parapharyngeal Tumors

2020 ◽  
pp. 014556132092317 ◽  
Author(s):  
Wilson P. Lao ◽  
Peter S. Han ◽  
Nathan H. Lee ◽  
Jason E. Gilde ◽  
Jared C. Inman
Keyword(s):  
Parapharyngeal Space ◽  
Transoral Approach ◽  
Direct Access ◽  
Nerve Injuries ◽  
Blunt Dissection ◽  
Tumor Capsule ◽  
Parapharyngeal Space Tumors ◽  
Parapharyngeal Tumors ◽  
Tumor Delivery ◽  
Parapharyngeal Tumor

Objectives: The transoral approach for parapharyngeal space tumors has been criticized due to its restrictive exposure and increased rate of vascular and nerve injuries. However, for certain tumors—namely those that are prestyloid, benign, and well-encapsulated—the transoral approach reduces overall morbidity while providing direct access. Transoral surgeons can rely on this approach for select tumors seen clearly on intraoral examination in the bulging lateral pharynx. In this article and with a supplemental operative technique video, we demonstrate our transoral approach in these select patients. Methods: We reviewed our 26 cases using this approach and chose a representative case of a 50-year-old man who presented with a large, prestyloid, encapsulated parapharyngeal mass affecting his voice and swallowing. A transoral approach to the parapharyngeal tumor is illustrated. Results: A vertical curvilinear incision is completed from the hamulus to below the inferior extent of the tumor. Blunt dissection of the tumor capsule proceeds inferiorly. Controlled violation of the tumor capsule can aid in visualization. After tumor delivery, the wound is irrigated and closed. Conclusions: In our experience, the transoral approach is an effective method to access well-encapsulated, prestyloid parapharyngeal space tumors. Patient selection is important when considering a transoral approach.

Endoscopic Transnasal Combined Transoral Approach for Giant Parapharyngeal Space Tumors

2020 ◽  
Author(s):  
Xicai Sun ◽  
Huan Wang ◽  
Quan Liu ◽  
Weidong Zhao ◽  
Yurong Gu ◽  
...  
Keyword(s):  
Parapharyngeal Space ◽  
Transoral Approach ◽  
Parapharyngeal Space Tumors

scholarly journals Surgical approach to parapharyngeal space tumors

2011 ◽  
Vol 58 (4) ◽  
pp. 61-66 ◽  
Author(s):  
Milovan Dimitrijevic ◽  
Snezana Jesic ◽  
Aleksandar Krstic ◽  
Goran Bjelogrlic ◽  
Goran Stojkovic
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Computerized Tomography ◽  
Surgical Approach ◽  
Parapharyngeal Space ◽  
Transoral Approach ◽  
Diagnostic Methods ◽  
Resonance Imaging ◽  
Parapharyngeal Space Tumors ◽  
Adjacent Structures

Introduction: Parapharyngeal space tumors are very rare comprising 0,5% of head and neck tumors. Tumors of this region are significant diagnostic problem due to scanty symptomatology as well as considerable surgical issue owing to inaccessibility. Patients and Methods: Retrospective twenty-year study of patients with parapharyngeal space tumors included 69 patients. Data were obtained from medical records, and were pointed to diagnostic procedures, surgical approach and pathohistological findings. Symptoms and clinical signs were also investigated. Results: Preoperative diagnostics is very important for precise tumor localization and relation to adjacent structures. Computerized tomography was the most common method used, and recently, magnetic resonance imaging and indication-based contrast angiography have been applied. All of 69 patients with parapharyngeal space tumors were treated surgically. The most often approach to this tumor was transcervical (62%), then transoral approach and combination transcervical transoral approach. Pathohistological examination verified that most of the tumors were benign (75%) and origin of these tumors was most frequently salivary (42%). Conclusion: For making a decision on surgical approach, diagnostic methods, other than thorough examination, such as computerized tomography(CT) and/or magnetic resonance imaging (MR), are necessary to be applied.

Transoral Robotic Surgery for Parapharyngeal Space Tumors

ORL ◽  
2010 ◽  
Vol 72 (6) ◽  
pp. 332-336 ◽  
Author(s):  
Bert W. O’Malley Jr. ◽  
Harry Quon ◽  
Fernando D. Leonhardt ◽  
Ara A. Chalian ◽  
Gregory S. Weinstein
Keyword(s):  
Robotic Surgery ◽  
Parapharyngeal Space ◽  
Transoral Robotic Surgery ◽  
Parapharyngeal Space Tumors

scholarly journals Clinical Study of Parapharyngeal Space Tumors

2004 ◽  
Vol 107 (12) ◽  
pp. 1053-1059 ◽  
Author(s):  
Akinori Kashio ◽  
Kazunari Nakao ◽  
Masato Machiki ◽  
Takaharu Nito ◽  
Masashi Sugasawa
Keyword(s):  
Clinical Study ◽  
Parapharyngeal Space ◽  
Parapharyngeal Space Tumors

scholarly journals A Site of Origin Histopathological Study on Parapharyngeal Space Tumors. A Review of 76 Cases.

2013 ◽  
Vol 116 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Isaku Okamoto ◽  
Shinetsu Kamata ◽  
Kouki Miura ◽  
Yuichirou Tada ◽  
Tatsuo masubuchi ◽  
...  
Keyword(s):  
Parapharyngeal Space ◽  
Histopathological Study ◽  
Parapharyngeal Space Tumors ◽  
A Site

scholarly journals A comparative study of parapharyngeal space tumors over a 7 year period experience in tertiary care hospital

2018 ◽  
Vol 4 (5) ◽  
pp. 1167
Author(s):  
Athiyaman K. ◽  
Gowri Shankar M. ◽  
Suresh V. ◽  
Natarajan S. ◽  
Malarvizhi R.
Keyword(s):  
Parapharyngeal Space ◽  
Malignant Tumors ◽  
Tertiary Care ◽  
Direct Access ◽  
Vascular Lesions ◽  
Care Hospital ◽  
Neurogenic Tumors ◽  
Parapharyngeal Space Tumors ◽  
First Choice ◽  
Cervical Approach

<p class="abstract"><strong>Background:</strong> Tumors of the parapharyngeal space (PPS) are rare, accounting for 0.5–1.5% of all head and neck tumors. The<strong> </strong>anatomy of the PPS is responsible for a wide variety of tumors arising from the PPS. Our series of 10 PPS tumors provides an overview of the clinical course and management of PPS tumors.</p><p class="abstract"><strong>Methods:</strong> This retrospective study included clinical data from patients treated for PPS tumors from 2011 to<strong> </strong>2018 at the Stanley medical college hospital, Chennai.  </p><p class="abstract"><strong>Results:</strong> After careful analysis of the outcome of the study, we have found out that there was no local recurrence in any patient during the follow-up period. Though few approaches are advised in the literature, In our study transoral approach may be advocated as the first choice for excision of parapharyngeal space tumors, except for malignant tumors and neurogenic tumor. Trans cervical approach is used for malignant and neurogenic tumors, considering its advantages of providing direct access to the neoplasm, adequate control of neurovascular structures from the neck.</p><p class="abstract"><strong>Conclusions:</strong> In our study, middle aged male population was most commonly affected. Pleomorphic adenoma is the most common PPS tumor; prestyloid compartment is mostly affected by these tumors. As per the previous studies, trans cervical approach is first choice for excision of parapharyngeal space tumors. In our study, trans oral approach is also a suitable, safe approach for pre styloid non vascular lesions and trancervical approach can be reserved for postsyloid and malignant lesions.</p>

Sign in / Sign up

Export Citation Format

Share Document