JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (5): 85-90.doi: 10.6040/j.issn.1673-3770.0.2014.159

Previous Articles     Next Articles

Diagnosis and treatment of parapharyngeal space neoplasms

HU Juan-juan, HONG Yu-ming   

  1. Department of Otorhinolaryngology, the Second Clinical Medical College, Fujian Medical University, Quanzhou 362000, Fujian, China
  • Received:2014-05-12 Published:2014-10-16

Abstract: Anatomy of parapharyneal space is very complicated. Many types of parapharyngeal space neoplasms can occur, and all of them demonstrate different clinical manifestations. Therefore, it is more difficult to diagnose and treat the parapharyngeal space neoplasms than other head and neck neoplasms. Common diagnostics methods include bimanual examination, imaging studies, cytopathology, transoral and transcervical biopsy. All these methods can help doctor determine the nature and blood supply of tumors and understand the relationship between neoplasms and adjacent structure, which provide a reliable basis for the ensuing treatment. This paper aims to state the diagnosis and treatment of parapharyngeal space neoplasms, especially how to select surgical procedures.

Key words: Diagnosis, Treatment, Parapharyngeal space, Head and neck tumours

CLC Number: 

  • R762
[1] Almela Cortés R, Aldasoro Martín J, Gozalbo Navarro J M. Parapharyngeal space tumours: Presentation of three cases and literature review[J]. An Otorrinolaringol Ibero Am, 2003, 30(3):265-275.
[2] Curtin H D. Separation of the masticator space from the parapharyngeal space[J]. Radiology, 1987, 163(1):195-204.
[3] Chong V F, Fan Y F. Radiology of the parapharyngeal space[J]. Aust Rodio, 1998, 42(3):278-283.
[4] 刘方舟,董明敏,张园,等.咽旁间隙原发肿瘤69例临床病理与解剖分析[J].临床耳鼻咽喉头颈外科杂志,2009,2(3):113-118. LIU Fangzhou, DONG Mingmin, ZHANG Yuan, et al. Clinical pathology and anatomy features of parapharyngeal region neoplasms:a report of 69 cases[J]. J Clin Otolaryngol Head Neck Surgery, 2009, 2 (3):113-118.
[5] Batsakis J G, Sneige N. Parapharyngeal and retropharyngeal space diseases[J]. Ann Otol Rhinol Laryngol, 1989, 98(4 Pt 1):320-321.
[6] Pensak M L, Gluckman J L, Shumrick K A. Parapharyngeal space tumors: an algorithm for evaluation and management[J]. Laryngoscope, 1994, 104(9):1170-1173.
[7] Carrau R L, Johnson J T, Myers E N. Management of tumors of the parapharyngeal space[J]. Oncology, 1997, 11(5):633-640.
[8] Cohen S M, Burkey B B, Netterville J L. Surgical management of parapharyngeal space masses[J]. Head Neck, 2005, 27(8):669-675.
[9] Shahab R, Heliwell T, Jones A S. How we do it: a series of 114 primary pharyngeal space neoplasms[J]. Clin Otolaryngol, 2005, 30(4):364-367.
[10] Luna-Ortiz K, Navarrete-Alemán J E, Granados-García M, et al. Primary parapharyngeal space tumors in a Mexican cancer center[J]. Otolaryngol Head Neck Surg, 2005, 132(4):587-591.
[11] Shahab R, Heliwell T, Jones A S. How we do it: a series of 114 primary pharyngeal space neoplasms[J].Clin 0tolaryngol, 2005, 30(4):364-367.
[12] Patetsios P, Gable D R, Garrett W V, et al. Management of carotid body paraganglioma and review of a 30-year experience[J]. Ann Vasc surg, 2002, 16(3):331-338.
[13] Farrag T Y, Lin F R, Koch W M, et al. The role of pre-operative CT-guided FNAB for parapharyngeal space tumors[J]. Otolaryngol Head Neck Surg, 2007, 136(3):411-414.
[14] 刘绍严.颈部肿瘤[M]//屠规益,徐国镇.头颈恶性肿瘤的规范性治疗.北京:人民卫生出版社,2003:246-241.
[15] Gupta A, Chazen J L, Phillips C D. Imaging evaluation of the parapharyngeal space[J]. Otolaryngol Clin North Am, 2012, 45(6):1223-1232.
[16] Saito D M, Glastonbury C M, El-Sayed I H, et al. Parapharyngeal space schwannomas:preoperative imaging determination of the nerve of origin[J]. ArchOtotolaryngol Head Neck Surg, 2007, 133(7):662-667.
[17] 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.
[18] Ducic Y, Oxford L, Pontius A T. Transoral approach to the superomedial parapharyngeal space[J]. Otolaryngol Head Neck Surg, 2006, 134(3):466-470.
[19] Hart D M, Ferlito A, Silver C E, et al. Milimally invasive tecniques for head and neck malignancies: Current indictions,outco mes and future directions[J]. Eur Arch Otorhinolaryngol, 2011, 268(9):1249-1257.
[20] Rigby M H,Taytor S M. Review of transoral laser microsurgery for cancer of the uper aerodigestive tract[J]. J Otolaryngol Head Neck Surg, 2011, 40(2):113-121.
[21] Arshad H, Durmus K, Ozer E. Transoral robotic resection of selected parapharyngeal space tumors[J]. Eur Arch Otorhinolaryngol, 2013, 270(5):1737-1740.
[22] Lee H S, Kim J, Lee H J, et al. Transoral robotic surgery for neurogenic tumorsof the prestyloid parapharyngeal space[J]. Auris Nasus Larynx, 2012, 39(4):434-437.
[23] De Virgilio A, Park Y M, Kim W S, et al. Transoral robotic surgery for the resection of parapharyngeal tumour:our experience in ten patients[J]. Clin Otolaryngol, 2012, 37(6):483-486.
[24] Betka J, Chovanec M, Klozar J, et al.Transoral and combined transoral-transcervical approach in the surgery of parapharyngeal tumors[J]. Eur Arch Otorhinolaryngol, 2010, 267(5):765-772.
[25] 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.
[26] Papadogeorgakis N 1, Petsinis V, Goutzanis L, et al. Parapharyngeal space tumors:Surgical approaches in a series of 13 cases[J]. Int J Oral Maxillofac Surg, 2010, 39(3):243-250.
[27] 张俊毅,谢志海,章华,等.经茎突隔膜入路切除咽旁间隙肿瘤[J].中华耳鼻咽喉头颈外科杂志,2013,48(8):654-657. ZHANG Junyi, XIE Zhihai, ZHANG Hua, et al. Resection of parapharyngeal neoplasms via styloid diaphragm approach[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2013, 48(8):654-657.
[28] Hughes K V, Olsen K D, Mc Caffrey T V. Parapharyngeal space neoplasms[J]. Head Neck, 1995, 17(2):124-130.
[29] Miller F R, Wanamaker J R, Lavertu P, et al. Magnetic resonance imaging and the management of parapharyngeal space tumors[J]. Head Neck, 1996, 18(1):67-77.
[30] 陈雷,王刚,王荣光.鼻内镜下颅底占位性病变的微创手术[J].中华耳鼻咽喉头颈外科杂志,2007,42(5):341-344. CHEN Lei, WANG Gang, WANG Rongguang. Endoscopic surgery in occupation lesions of the skull base[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2007, 42 (5):341-344.
[31] 刘善,杜伟,冯露,等.咽旁间隙肿瘤的影像学诊断与手术入路的选择[J].中华口腔医学杂志,2013,45(5):308-320. LIU Shan, DU Wei, FENG Lu, et al. Diagnosis and operation approach of parapharyngeal space tumor[J]. Chin J Stomatol, 2013, 45(5):308-320.
[32] Jungehuelsing M, Guntinas-Lichius O, Klussmann J P, et al. Modifications of the midline mandibulotomy for access to the parapharyngeal space[J]. Laryngoscope, 2010, 120(8):1557-1562.
[33] Bozza F, Vigili M G, Ruscito P, et al. Surgical management of parapharyngeal space tumours: results of 10-year follow-up[J]. Acta Otorhinolaryngol Ital, 2009, 29(1):10-15.
[34] Zhi K, Ren W, Zhou H, et al. Management of parapharyngeal-space tumors[J]. J Oral Maxillofac Surg, 2009, 67(6):1239-1244.
[35] Senft C, Franz K, Blasel S, et al. Influence of iMRI-guidance on the extent of resection and survival of patients with glioblastoma multiforme[J]. Technol Cancer Res Treat, 2010, 9(4):339-346.
[36] Chicoinc M R, Lim C C, Evans J A, et al. Implementation and preliminary clinical experience with the use of ceiling mounted mobile high field intraoprative magnetic renonance imaging between two operating rooms[J]. Acta Neurochir Suppl, 2011, 109:97-102.
[37] Ganly I, Patel S G, Sinsh B, et al. Craniofacial resection for Malignant tumors involving the skull base in the elderly: an intenational collaborative study[J]. Cancer, 2011, 117(3):563-571.
[38] 张建国,张杰,宋铁砾,等.放射性粒子组织间植入治疗口腔颌面部恶性肿瘤初探[J].中华口腔医学杂志,2006,41(8):464-466. ZHANG Jianguo, ZHANG Jie, SONG Tieli, et al. Radioactive seed implantation in treatment of oral and maxillofacial malignancy[J]. Chin J Stomatol, 2006, 41 (8):464-466.
[39] Di Maio S, Temkin N, Ramanathan D, et al. Current comprehensive Management of cranialbase chordomas:10-year meta-analysis of observational studies[J]. J Neurosurg, 2011, 115(6):1094-1105.
[1] SHEN Qinfeng, SHEN Xiaoyan, ZHU Rongqiang, JIANG Feifei, LANG Juntian. Role of functional middle turbinectomy in functional endoscopic sinus surgery for chronic sinusitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 82-85.
[2] ZHU Mingjuan, XING Kai, KANG Zefeng, LIU Jian. Diagnosis and treatment of thyroid-associated ophthalmopathy [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 110-113.
[3] DAI Yacuo, LI Jing, WAN Baoluo, ZANG Yanzi, HUANG Yingming. Individualized treatment of pharyngeal and laryngeal cavernous hemangioma:a report of two cases. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 110-112.
[4] LIU Yiping, LIN Yuanchao. Use of negative pressure drainage for prevention of salivary fistula after parotidectomy: an analysis of 112 cases [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 65-67.
[5] ZHANG Guimin, LIN Peng. Endotype of chronic rhinosinusitis: from basic to clinical research [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 14-17.
[6] WANG Xian, LI Ying, ZHAO Bojun. Advances in diagnosis and treatment of polypoid choroidal vasculopathy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 103-106.
[7] ZHONG Jianwen, LIU Dabo, LUO Xiangqian, HUANG Zhenyun, QIU Shuyao, CHENG Chao, YANG Liqiang, YI Xinhua, ZENG Jinhong. The application of wearable devices in the diagnosis of children obstructive sleep apnea [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 30-33.
[8] GAO Jinliang, NIAN Wanqing, LI Shuo. Evaluation of the clinical curative effect of nose surgery in combination with nasal corticosteroids in [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 38-42.
[9] LÜ Dan, LI Mingxia, MA Lanzhi, ZHANG Xinyuan, XIAO Hao, CHEN Fei, LIU Jun, LI Zhen. Neurofibromatosis of the head and neck involving the mediastinum: two cases report [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 82-86.
[10] LI Qiaoli, LI Chao, WANG Wei, CAI Yongcong, SUN Ronghao, ZHOU Yuqiu, SHUI Chunyan, HUANG Lu, TU Jing. Primary squamous cell carcinoma of the parotid gland with recurrence and invasion of lateral skull base after radiotherapy and chemotherapy: one case report [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 87-88.
[11] CHEN Hong, CAO Huiling, DOU Xin, GAO Xia. Small cell neuroendocrine carcinoma in the right nasal cavity: a report of one case and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 89-92.
[12] WANG Zhixiang, XUE Kai, WEI Ning, HAN Shuang, JIN Chunshun.. A case of recurrent laryngeal nerve schwannoma misdiagnosed as a thyroid tumor. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 33-35.
[13] SUN Bin, GUO Bomin, KANG Jie, DENG Xianzhao, WU Bo, FAN Youben. Standardization of the diagnosis and treatment of anaplastic thyroid carcinoma. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 16-20.
[14] JING Shanglin.. Diagnosis and treatment of upper airway cough syndrome in children. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 87-91.
[15] ZHANG Yubo, YUE Liyan, YIN Xiaoyan, LÜ Zhe, SHAN Chunguang. Effect of tinnitus treatment instrument combined with Ginkgo biloba extract on hearing and hemorheology in patients with sudden deafness and tinnitus. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 50-53.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!