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Transoral and endoscope-assisted transoral approaches to resecting benign tumours of the parapharyngeal space located in the medial portion of the carotid sheaths and extending toward the skull base: our experience

Published online by Cambridge University Press:  12 July 2018

Y Liu
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China
H-J Yu
Affiliation:
Department of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China
H-T Zhen*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China
*
Author for correspondence: Dr Hongtao Zhen, Department of Otolaryngology – Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan 430030, PR China E-mail: [email protected]

Abstract

Objective

Various surgical approaches have been described to remove tumours in the parapharyngeal space. This study investigated the feasibility of a transoral approach in the surgical management of parapharyngeal space benign tumours located in the medial portion of the carotid sheaths and extending toward the skull base.

Methods

Thirty-two patients were selected and underwent a transoral or an endoscope-assisted transoral approach in the surgical management of parapharyngeal space benign tumours located in the medial portion of the carotid sheaths. Medical photographs were used.

Results

All patients underwent complete resection of their lesions via a transoral or endoscope-assisted transoral approach. None of the patients demonstrated residual or recurrent neoplasms, either clinically or radiographically, during their follow up.

Conclusion

Based on our studies, we assert that transoral and endoscope-assisted transoral approaches are suitable in managing parapharyngeal space benign tumours located in the medial portion of the carotid sheaths and extending toward the skull base.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr H-T Zhen takes responsibility for the integrity of the content of the paper

Y Liu and H-J Yu contributed equally to the article

References

1Presutti, L, Molteni, G, Malvè, L, Marchioni, D, Ghidini, A, Tassi, S et al. Parapharyngeal space tumors without mandibulotomy: our experience. Eur Arch Otorhinolaryngol 2012;269:265–73Google Scholar
2Servadei, F, Romano, A, Ferri, A, Magri, AS, Sesenna, E. Giant trigeminal schwannoma with parapharyngeal extension: report of a case. J Craniomaxillofac Surg 2012;40:e15–18Google Scholar
3Bradley, PJ, Bradley, PT, Olsen, KD. Update on management of parapharyngeal tumors. Curr Opin Otolaryngol Head Neck Surg 2011;19:92–8Google Scholar
4Cohen, SM, Burkey, BB, Netterville, JL. Surgical management of parapharyngeal space masses. Head Neck 2005;27:669–75Google Scholar
5Khafif, A, Segev, Y, Kaplan, DM, Gil, Z, Fliss, DM. Surgical management of parapharyngeal space tumors: a 10-year review. Otolaryngol Head Neck Surg 2005;132:401–6Google Scholar
6Ducic, Y, Oxford, L, Pontius, AT. Transoral approach to the superomedial parapharyngeal space. Otolaryngol Head Neck Surg 2006;134:466–70Google Scholar
7Lee, HS, Kim, J, Lee, HJ, Koh, YW, Choi, EC. Transoral robotic surgery for neurogenic tumors of the prestyloid parapharyngeal space. Auris Nasus Larynx 2012;39:434–7Google Scholar
8Chen, WL, Wang, YY, Zhang, DM, Huang, ZQ. Endoscopy-assisted transoral resection of large benign parapharyngeal space tumors. Br J Oral Maxillofac Surg 2014;52:970–3Google Scholar
9Som, PM, Biller, HF, Lawson, W. Parapharyngeal space masses: an update protocol based upon 104 cases. Radiology 1984;153:149–56Google Scholar
10Morfit, HM. Retromandibular parotid tumors; their surgical treatment and mode of origin. AMA Arch Surg 1955;70:906–13Google Scholar
11Bozza, F, Vigili, MG, Ruscito, P, Marzetti, A, Marzetti, F. Surgical management of parapharyngeal space tumours: results of 10-year follow-up. Acta Otorhinolaryngol Ital 2009;29:1015Google Scholar
12Douville, NJ, Bradford, CR. Comparison of ultrasound-guided core biopsy versus fine-needle aspiration biopsy in the evaluation of salivary gland lesions. Head Neck 2013;35:1657–61Google Scholar
13Allison, RS, Van der Waal, I, Snow, GB. Parapharyngeal tumors: a review of 23 cases. Clin Otolaryngol Allied Sci 1989;14:199203Google Scholar
14Guntinas-Lichius, O. Editorial to: “Transoral resection of large parapharyngeal space tumors” by Hussain et al. Eur Arch Otorhinolaryngol 2014;271:423–4Google Scholar