JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (4): 56-58.doi: 10.6040/j.issn.1673-3770.0.2013.291

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Surgical treatment of parapharyngeal space tumors via endoscopic transoral approach:a retrospective analyses of 5 cases

LUO Xing-gu1,2, LU Yong-tian1, WANG Xiao-bin1   

  1. 1. Department of Otolaryngology, Shenzhen Second People's Hospital, Shenzhen 518035, Guangdong, China;
    2. Graduate School of Guangzhou Medical University, Guangzhou 510450, Guangdong, China
  • Received:2013-10-15 Online:2014-08-16 Published:2014-08-16

Abstract: Objective To investigate the surgical indications, technique, and advantages of resection of parapharyngeal space(PPS) tumors through endoscopic transoral approach. Method Retrospective analysis were carried out in 5 parapharyngeal space tumors patients who received endoscopic transoral approach surgery. Results All the tumors were completely removed and the intraoperative blood loss was 20~60 mL. No serious complications occured and all the patiens were discharged in 5 days after the operation. No recurrence was found in a 1-2 years follow-up. Conclusion Preoperative CT and MRI provide useful clinical informations for surgical planning, such as tumor's location, size, state of invasion, the relationship with adjacent structures, and the likely origin. The endoscopic transoral approach is a good procedure to remove the tumors located anteromedially to the carotid sheath, with minimal invasiveness, no scar in the neck and few complication. However, it is not applicable for PPS tumors encasing the internal carotid arteries or located posterior or posterolateral to the carotid sheath, operative

Key words: Parapharyngeal space tumors, Surgical procedures, operative, Transoral approach with endoscopy

CLC Number: 

  • R739.63
[1] Singh M, Gupta S C, Singla A. Our experiences with parapharyngeal space tumors and systematic review of the literature[J]. Indian J Otolaryngol Head Neck Surg, 2009, 61(2):112-119.
[2] Starek I, Mihal V, Novak Z, et al. Pediatric tumors of the parapharyngeal space. Three case reports and a literature review[J]. Int J Pediatr Otorhinolaryngol, 2004, 68(5):601-606.
[3] Cassoni A, Terenzi V, Della M M, et al. Parapharyngeal space benign tumours: our experience[J]. J Craniomaxillofac Surg, 2013.
[4] Oliai B R, Sheth S, Burroughs F H, et al. Parapharyngeal space tumors: a cytopathological study of 24 cases on fine-needle aspiration[J]. Diagn Cytopathol, 2005, 32(1):11-15.
[5] Gadre P K, Gadre K S, Halli R C, et al. Mandibular subsigmoid access osteotomy in the management of parapharyngeal space tumors[J]. J Craniofac Surg, 2013, 24(2):579-582.
[6] Chang S S, Goldenberg D, Koch W M. Transcervical approach to benign parapharyngeal space tumors[J]. Ann Otol Rhinol Laryngol, 2012, 121(9):620-624.
[7] Dimitrijević M V, Jesić S D, Krstić A M, et al. Surgical approach to parapharyngeal space tumors[J]. Acta Chir Iugosl, 2011, 58(4):61-66.
[8] Ahn J Y, Kang S Y, Lee C H, et al. Parapharyngeal branchial cleft cyst extending to the skull base: a lateral transzygomatic-transtemporal approach to the parapharyngealspace[J]. Neurosurg Rev, 2005, 28(1):73-76.
[9] 侯敏, 柳春明, 步荣发, 等. 不同类型下颌骨截骨在咽旁肿瘤切除术中的应用[J]. 中国耳鼻咽喉颅底外科杂志, 2005, 11(2):109-111.
[10] Diaz-Gonzalez F J, Padron A, Foncea A M, et al. A new transfacial approach for lesions of the clivus and parapharyngeal space: the partial segmented Le Fort I osteotomy[J]. Plast Reconstr Surg, 1999, 103(3):955-959.
[11] Goodwin W J, Chandler J R. Transoral excision of lateral parapharyngeal space tumors presenting intraorally[J]. Laryngoscope, 1988, 98(3):266-269.
[12] Ducic Y, Pontius A T. Transoral approach to the superomedial parapharyngeal space[J]. Otolaryngol Head Neck Surgery, 2006, 134(3):466-470.
[13] 张庆泉, 栾建刚, 朱宇宏, 等. 侵及颅底的咽旁间隙肿瘤的手术治疗[J]. 山东医大基础医学院学报, 2000, 14(1):10-11.
[14] 田文栋, 李湘平, 李丹凤, 等. 咽旁间隙良性肿瘤的影像学特征及经口手术进路分析[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(21):983-986.
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