Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (2): 26-32.doi: 10.6040/j.issn.1673-3770.0.2022.066

• 论著 • Previous Articles    

Clinical analysis of three endoscopy-assisted transoral approaches in the operative management of parapharyngeal space tumors

CHEN Minghao1, ZHANG Qiuhang2, HOU Jiameng3, TIAN Xiufen1   

  1. 1. Departmnt of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China;
    2. Department of Otorhinolaryngology Head and Neck Surgery, Xuanwu Hospital Capital Medical University, Beijing 100053, China;
    3. Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China
  • Published:2023-03-30

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Abstract: Objective To investigate the transoral approaches selection factors of parapharyngeal space(PPS)tumors assisted by endoscope and low-temperature plasma radiofrequency ablation. Methods We retrospectively collected the data of 56 patients who underwent surgical removal of PPS tumors at The First Affiliated Hospital, between March 2015 and December 2021. The patients were divided into two groups based on the technique used: the endoscopr-assisted transoral approach(EATA)group(n=24)and the external approach(EA)group(n=32). Results Total tumor resection was achieved in all the cases. We designed three kinds of transoral approaches: posterior pharyngeal wall approach(n=12), lateral pharyngeal wall approach(n=7), and soft palate approach(n=5). Postoperative pathology examination confirmed benign tumors in 54(96.4%)cases and malignant tumor in 2(3.6%)cases. The operation time and the bleeding volume in the EATA group were significantly less than those in the EA group. Postoperative complications were noted in 7 cases in the EA group and in 3 cases in the EATA(P=0.489). The mean follow-up time was(46.04±27.88)months. There was only one case of recurrence in the EATA group. Conclusion The transoral approach can provide the same or even better therapeutic effect as the external approach, such as the amount of operative blood loss, operation time, no neck scars and so on, but it is also a challenging operation and needs to be improved.

Key words: Parapharyngeal space tumor, Transoral approach, Radiofrequency ablation, Endoscope

CLC Number: 

  • R739
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