scholarly journals Transoral Robotic Surgery in Retrostyloid Parapharyngeal Space Schwannomas

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mohssen Ansarin ◽  
Marta Tagliabue ◽  
Francesco Chu ◽  
Stefano Zorzi ◽  
Michele Proh ◽  
...  

Parapharyngeal space (PPS) tumors are very rare, representing about 0.5% of head and neck neoplasms. An external surgical approach is mainly used. Several recent papers show how transoral robotic surgery (TORS) excision could be a prospective tool to remove mainly benign lesions in PPS; no cases of neurogenic tumors from the retrostyloid space treated with TORS have been reported. We present two cases which underwent TORS for schwannomas from the retrostyloid compartment of the parapharyngeal space. Clinical diagnosis of schwannoma was performed by magnetic resonance imaging (MRI). In the first case a 6 cm neurogenic tumor arose from the vagus nerve and in the second case a 5 cm mass from the sympathetic chain was observed. Both cases were treated successfully by the TORS approach using a new “J”-shaped incision through the mucosa and superior pharyngeal constrictor muscle. Left vocal cord palsy and the Claude Bernard Horner syndrome, respectively, were observed as expected postsurgical sequelae. In case 1 the first bite syndrome developed after three months, while no complications were observed in case 2. Both patients regained a normal swallowing function. TORS seems to be a feasible mini-invasive procedure for benign PPS masses including masses in the poststyloid space.

2012 ◽  
Vol 39 (4) ◽  
pp. 434-437 ◽  
Author(s):  
Hyoung Shin Lee ◽  
Jinna Kim ◽  
Hyun Jin Lee ◽  
Yoon Woo Koh ◽  
Eun Chang Choi

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Christopher Rassekh ◽  
Shayanne Lajud ◽  
Courtney Shires ◽  
Laurie Loevner ◽  
Ara Chalian ◽  
...  

2015 ◽  
Vol 76 (S 01) ◽  
Author(s):  
Christopher Rassekh ◽  
Gregory Weinstein ◽  
Laurie Loevner ◽  
Ara Chalian ◽  
Bert O'Malley

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

2019 ◽  
Vol 14 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Smriti Panda ◽  
Kapil Sikka ◽  
Alok Thakar ◽  
Suresh C. Sharma ◽  
Padmavathi Krishnamurthy

2016 ◽  
Vol 8 (1) ◽  
pp. 38-40
Author(s):  
Asif Salimov ◽  
Ahmet E Suslu ◽  
Serdar Ozer ◽  
Taner Yilmaz ◽  
Hatice IY Bajin

ABSTRACT Langerhans cell histiocytosis (LCH) is a rare disease with unknown etiology involving abnormal proliferation of histiocytes. We hereby describe an LCH that has a rare location. A 4-year-old female patient was referred to our clinic with headache lasting for 2 months. Magnetic resonance imaging (MRI) showed an expansile mass on the level of basisphenoid extended to the right parapharyngeal space with dense contrast enhancement. The patient underwent endoscopic endonasal transsphenoidal surgery for biopsy of the mass. Immunohistochemical and pathological studies confirmed LCH diagnosis. This is the first case report of LCH extended to the parapharyngeal space in the current literature. How to cite this article Salimov A, Suslu AE, Ozer S, Yilmaz T, Bajin HIY. Unusual Location for Langerhans Cell Histiocytosis: Basisphenoid extended to Parapharyngeal Space. Int J Otorhinolaryngol Clin 2016;8(1):38-40.


2020 ◽  
Vol 31 (1) ◽  
pp. 117-120 ◽  
Author(s):  
Francesco Chu ◽  
Rita De Berardinis ◽  
Marta Tagliabue ◽  
Stefano Zorzi ◽  
Francesco Bandi ◽  
...  

2013 ◽  
Vol 24 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Christopher H. Rassekh ◽  
Gregory S. Weinstein ◽  
Laurie A. Loevner ◽  
Bert W. O'Malley

2021 ◽  
pp. 019459982110574
Author(s):  
Esther Lee ◽  
Daniel Gorelik ◽  
Hannah R. Crowder ◽  
Christopher Badger ◽  
Jennifer Schottler ◽  
...  

Objective To evaluate 2-year follow-up swallowing function in patients with human papillomavirus–related oropharyngeal squamous cell carcinoma (HPV+ OPSCC) who completed neoadjuvant chemotherapy and transoral robotic surgery (NAC+S) Study Design Retrospective analysis of patients with OPSCC treated with NAC+S between 2010 and 2021. Setting A single academic institution. Methods This is a cross-sectional study of patient-reported swallowing function, assessed with the MD Anderson Dysphagia Inventory (MDADI) at least 2 years after completion of treatment. The inclusion criteria are patients with HPV+ OPSCC who underwent NAC+S at least 2 years ago. Those requiring adjuvant radiation or chemoradiation or experiencing relapse were excluded from the study. Results Completed MDADIs were received from 37 patients at a median 3.8 years posttreatment (interquartile range, 2.0-8.6 years). Of those, 94.6% (n = 35) were male and 81.1% (n = 30) were White. The median age at OPSCC diagnosis was 59.0 years (interquartile range, 41-80 years). The most frequent primary subsite of OPSCC was the base of the tongue (n = 20, 54.1%), followed by the tonsils (n = 16, 43.2%). In addition, 75.7% (n = 28) had stage IVa disease (TNM seventh edition), and 29 (78.4%) had scores ≥80, classified as optimal function. When compared with patients who received bilateral neck dissection, patients who received unilateral neck dissection were associated with an age <65 years old ( P = .036) and lower clinical TNM stage ( P = .04), as well as higher composite, emotional, functional, and physical MDADI scores ( P = .017, .046, .013, and .05, respectively). Conclusion Patients with OPSCC who were treated with NAC+S achieved satisfactory long-term swallowing outcomes. Unilateral neck dissection was significantly associated with higher MDADI scores in this patient cohort.


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