Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-23T12:23:11.175Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical study of parapharyngeal space tumours

Published online by Cambridge University Press:  22 May 2009

H Chijiwa ,
T Mihoki ,
B Shin ,
K Sakamoto ,
H Umeno  and
T Nakashima
H Chijiwa*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
T Mihoki
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
B Shin
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
K Sakamoto
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
H Umeno
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
T Nakashima
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
*
Address for correspondence: Dr Hideki Chijiwa, Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. Fax: +81 942 37 1200 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

This study reviewed 24 cases of parapharyngeal space tumour treated at Kurume University Hospital between 1990 and 2007. Histological diagnoses were generally obtained from the excised tumour (22/24). Seventy-seven per cent of the parapharyngeal space tumours were benign and 23 per cent were malignant. Thirty-eight per cent (eight of 22) of these tumours were pleomorphic adenomas and 23 per cent (five of 22) were schwannomas. A transparotidectomy and transcervical approach were used in 88 per cent (15/17) of benign tumours. A mandibular swing approach was used for one malignant tumour. Post-operative complications were identified in 16 of 22 patients. The most common complication, facial nerve paralysis, was identified in eight patients, and seven of these patients demonstrated first bite syndrome. In consideration of the high incidence of post-operative complications, the surgical approach should therefore be carefully selected when treating patients with parapharyngeal space tumours.

Keywords

Parapharyngeal Space TumourHistological DiagnosisSurgical ApproachPostoperative Complication
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Supplement S31 , May 2009 , pp. 100 - 103
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Carrau, RL, Myers, EN, Johnson, JT. Management of tumors arising in the parapharyngeal space. Laryngoscope 1990;100:583–9CrossRefGoogle ScholarPubMed
2Kawahori, S, Arakawa, T, Tanaka, K, Nonaka, S. Clinical anatomy of the parapharyngeal space. Nippon Jibiinkoka Gakkai Kaiho 1994;87:809–15Google Scholar
3Takahashi, M. Benign tumor of the parapharyngeal space. Journal of Otolaryngology, Head and Neck Surgery 1993;9:110–15Google Scholar
4Work, W, Hybels, RL. A study of tumors of the parapharyngeal space. Laryngoscope 1974;84:1748–55CrossRefGoogle ScholarPubMed
5Batsakis, JG, Neige, N. Parapharyngeal and retropharyngeal space disease. Ann Otol Rhinol Laryngol 1989;98:320–1CrossRefGoogle Scholar
6Tomita, T, Ogawa, k, Tagawa, T, Fujii, M, Nameki, H. Surgical management of parapharyngeal space tumors. Nippon Jibiinkoka Gakkai Kaiho 2006;109:88–95CrossRefGoogle ScholarPubMed
7Kashio, A, Nakao, K, Mochiki, M, Nito, T, Sugasawa, M. Clinical study of parapharyngeal space tumors. Jpn J Otorhinolaryngol 2004;107:1053–9Google ScholarPubMed
8Tsuji, H, Yagi, M, Minamino, M, Nagata, M, Yukawa, H, Minami, T et al. Clinical study of parapharyngeal space tumors. Practica Oto-Rhino-Laryngologica 2006;99:481–90CrossRefGoogle Scholar
9Som, PM, Biller, HF, Lawson, W. Tumors of the parapharyngeal space: preoperative evaluation, diagnosis and surgical approaches. Ann Otol Rhinol Laryngol 1981;90:3–15CrossRefGoogle ScholarPubMed
10Sumi, T, Kishimoto, S. Tumors of the parapharyngeal space. Journal of Otolaryngology, Head and Neck Surgery 2004;20:1403–6Google Scholar
11Yoshihara, T. Tumors of the parapharyngeal space. Journal of Japan Society for Head and Neck Surgery 2002;12:21–6CrossRefGoogle Scholar
12Chiu, AG, Cohen, JI, Burningham, AR, Anderson, PE, Dabidson, BJ. First bite syndrome: a complication of surgery involving the parapharyngeal space. Head Neck 2002;24:996–9CrossRefGoogle ScholarPubMed
13Netterville, JL, Jackson, CG, Miller, FR. Vagal paraganglioma: a review of 46 patients treated during a 20-year period. Arch Otolaryngol Head Neck Surg 1998;124:1133–40CrossRefGoogle Scholar