1,109 results match your criteria Parapharyngeal Space Tumors


Transoral robotic surgery for the parapharyngeal space: expanding the transoral corridor.

J Robot Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Otolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Teaching Block, 4th, Floor, New Delhi, 110029, India.

To analyze the feasibility, surgical outcomes and possible risks and complications encountered during transoral robotic surgery (TORS) for approaching parapharyngeal space (PPS) tumours, a retrospective cohort study was conducted. Out of 108 TORS procedures performed, 5 PPS tumours were identified from May 2011- November 2017. This study included 2 retrostyloid (benign nerve sheath tumour) and 3 prestyloid tumours (pleomorphic adenoma), of which one patient had previously undergone a transcervical approach for deep lobe of parotid pleomorphic adenoma. Read More

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http://link.springer.com/10.1007/s11701-019-00932-3
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http://dx.doi.org/10.1007/s11701-019-00932-3DOI Listing
February 2019
4 Reads

[Clinical analysis and surgical treatment evaluation of 23 cases with primary parapharyngeal space tumors].

Zhonghua Kou Qiang Yi Xue Za Zhi 2019 Feb;54(2):107-111

Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China.

To analyze the clinical characters and surgical treatment of primary parapharyngeal space (PPS) tumors. A total of 23 cases of primary PPS tumors which were treated from November 2011 to December 2017 were included for the retrospective analysis in this study. Twenty-three cases of patients with primary PPS tumors were analyzed in this study. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1002-0098.2019.02.006DOI Listing
February 2019
1 Read

A novel combined transoral and transcervical surgical approach for recurrent metastatic medullary thyroid cancer to the parapharyngeal space.

J Robot Surg 2019 Jan 28. Epub 2019 Jan 28.

Otolaryngology Head and Neck Surgery Department, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.

Medullary thyroid cancer (MTC) represents less than 1% of all thyroid cancers. Complete surgical resection remains the mainstay of treatment for locoregional disease. Unfortunately, patients with recurrence may present with metastasis to challenging anatomic locations. Read More

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http://dx.doi.org/10.1007/s11701-019-00930-5DOI Listing
January 2019

Recurrent Desmoid Tumor of the Neck: A Case Report of a Benign Disease with Aggressive Behavior.

Case Rep Otolaryngol 2018 28;2018:6573587. Epub 2018 Nov 28.

Department of Otorhinolaryngology, University of Crete Medical School, Heraklion, Crete, Greece.

We present a case of a desmoid tumor recurrence in a patient with a history of a resected desmoid tumor of the right neck area with free surgical margins six months earlier. The neoplasm was found to invade the parapharyngeal space, and wide excision was performed including most of the sternocleidomastoid muscle (SCM), the thrombosed internal jugular vein (IJV), and the infiltrated spinal accessory nerve (SAN). The histopathologic findings displayed free microscopic margins, with close margins at the site of the parapharyngeal space extension. Read More

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https://www.hindawi.com/journals/criot/2018/6573587/
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http://dx.doi.org/10.1155/2018/6573587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304189PMC
November 2018
1 Read

Radiotherapy for parapharyngeal space tumors.

Am J Otolaryngol 2018 Dec 21. Epub 2018 Dec 21.

Coordinator of the International Head and Neck Scientific Group, Padua, Italy.

A wide variety of tumors, both benign and malignant, occur in the parapharyngeal space. Depending on histology and extent, treatment may include surgery and/or radiotherapy (RT). Herein we discuss the role of RT in the management of some of the more commonly encountered neoplasms, including salivary gland tumors, paragangliomas, schwannomas, and soft-tissue sarcomas. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.12.010DOI Listing
December 2018
1 Read

Classification of tumors by imaging diagnosis and preoperative fine-needle aspiration cytology in 120 patients with tumors in the parapharyngeal space.

Head Neck 2019 Jan 8. Epub 2019 Jan 8.

Otorhinolaryngology and Head and Neck Surgery, Kitasato University, Kanagawa, Japan.

Background: Tumors in the parapharyngeal space are rare, and preoperative diagnosis is difficult because of anatomical and histological complexity.

Methods: To evaluate the usefulness of preoperative diagnosis, we compared the classification of tumor localization in the prestyloid and retrostyloid compartments by imaging and preoperative cytological diagnosis by fine-needle aspiration cytology with the postoperative histopathological diagnosis in 120 patients with tumors in the parapharyngeal space.

Results: Tumors were located in the prestyloid and retrostyloid compartments in 68 and 52 patients, respectively. Read More

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http://doi.wiley.com/10.1002/hed.25552
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http://dx.doi.org/10.1002/hed.25552DOI Listing
January 2019
7 Reads

Oral core-needle biopsy in the diagnosis of malignant parapharyngeal space tumors.

Am J Otolaryngol 2018 Nov 22. Epub 2018 Nov 22.

Department of Otolaryngology-Head and Neck, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Objective: To confirm the pre-treatment diagnosis of parapharyngeal space malignancy could aid the treatment plan.

Methods: For patients with suspected malignant parapharyngeal space tumors following preoperative imaging, oral biopsy was conducted for pathological diagnosis with the use of 22-G biopsy needles.

Results: A total of 11 patients were enrolled. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.11.005DOI Listing
November 2018
2 Reads

[The surgical management of upper parapharyngeal regions].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(23):1804-1809

Department of Otorhinolaryngology, the First Affiliated Hospital, Bengbu Medical College, Bengbu, 233004, China.

To find proper the surgical approval and evaluate clinical efficacy to treat the tumor of upper parapharyngeal space involving the base of skull and intracranial skull. The data of 9 cases from June 2013 and June 2018 were analyzed retrospectively including schwannoma in 6 cases, pleomorphic adenoma in 2 cases and hemangioma in 1 case. All cases received preoperative high resolution CT and MRI, some cases also did the DSA examination. Read More

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http://www.cnki.net/kcms/doi/10.13201/j.issn.1001-1781.2018.
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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.23.009DOI Listing
December 2018
11 Reads

Contemporary management of primary parapharyngeal space tumors.

Head Neck 2019 Feb 14;41(2):522-535. Epub 2018 Dec 14.

Coordinator of the International Head and Neck Scientific Group.

The parapharyngeal space is a complex anatomical area. Primary parapharyngeal tumors are rare tumors and 80% of them are benign. A variety of tumor types can develop in this location; most common are salivary gland neoplasm and neurogenic tumors. Read More

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http://dx.doi.org/10.1002/hed.25439DOI Listing
February 2019

Excision of tumors in the parapharyngeal space using an endoscopically assisted transoral approach: a case series and literature review.

J Int Med Res 2018 Dec 11:300060518816190. Epub 2018 Dec 11.

2 Department of Radiology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.

Objective: Magnetic resonance imaging (MRI) provides important information regarding tumors in the parapharyngeal space (PPS), revealing their origin, whether they are benign or malignant, and their relationships with surrounding structures.

Methods: Twelve tumors in the PPS were completely excised using an endoscopically assisted transoral approach (EATA). The MRI features were analyzed. Read More

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http://dx.doi.org/10.1177/0300060518816190DOI Listing
December 2018
3 Reads

Mesenchymal chondrosarcoma of the parapharyngeal space.

J Cancer Res Ther 2018 Oct-Dec;14(6):1446-1448

Department of Surgical Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, India.

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http://www.cancerjournal.net/preprintarticle.asp?id=231354
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http://dx.doi.org/10.4103/jcrt.JCRT_404_16DOI Listing
February 2019
3 Reads

Surgical Management of Parapharyngeal Space Tumours in a Single Tertiary Care Center.

Indian J Otolaryngol Head Neck Surg 2018 Dec 13;70(4):531-537. Epub 2018 Jul 13.

Department of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha 751019 India.

Because of the inaccessibility and overcrowding of the vital neurovascular structures, management of the parapharyngeal space (PPS) tumour is always a challenge to the surgeons. Here we have discussed the clinical findings and management of the PPS tumours with special concern to the surgical approaches. It is a retrospective study containing 14 patients of PPS tumour from June 2015 to January 2018 in the department of Otorhinolaryngology and Head Neck Surgery in a tertiary care referral hospital. Read More

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http://dx.doi.org/10.1007/s12070-018-1447-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224836PMC
December 2018
9 Reads

Image-guided transnasal endoscopic fine needle aspiration or biopsy of parapharyngeal space tumours.

J Laryngol Otol 2018 Nov 1;132(11):1026-1028. Epub 2018 Nov 1.

Department of Otolaryngology,Royal Preston Hospital,UK.

Background: Parapharyngeal space biopsy is an important investigation in the management of parapharyngeal space tumours. These tumours are relatively rare and the surgeon is often faced with a wide range of differential diagnoses. There are several ways to access the parapharyngeal space, with varying degrees of associated morbidity. Read More

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https://www.cambridge.org/core/product/identifier/S002221511
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http://dx.doi.org/10.1017/S0022215118001834DOI Listing
November 2018
2 Reads

[The advantage and disadvantage of transoral orbotic surgery for parapharyngeal tumors: a systemic review].

Authors:
B Xu Y Y Bao S H Zhou

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Oct;53(10):794-797

Department of Otorhinolaryngology, the First Affliated Hospital of Zhejiang University, Hangzhou 310003, China.

Parapharyngeal space tumors are rare. According to the size, location, relationship with the vascular nerves, benign and malignant tumors, different surgical approaches are used. This article reviews surgical techniques, indications, complications and current advantages and disadvantages of transoral robotic surgery (TORS) for resection of parapharyngeal space tumors. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2018.10.016DOI Listing
October 2018
8 Reads

Parapharyngeal Space Tumor: Submandibular Approach Without Mandibulotomy.

J Maxillofac Oral Surg 2018 Dec 27;17(4):616-624. Epub 2018 Jun 27.

Department of Head and Neck Surgery, Instituto Nacional de Cancerologia, Av. San Fernando #22, Col. Sección XVI, Tlalpan, 14080 Mexico, D.F. Mexico.

Introduction: Among all head and neck tumors, only 0.5% occur in the parapharyngeal space and 80% are benign tumors. Surgery is the cornerstone of treatment. Read More

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http://link.springer.com/10.1007/s12663-018-1133-0
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http://dx.doi.org/10.1007/s12663-018-1133-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181834PMC
December 2018
10 Reads

Styloglossus muscle: a critical landmark in head and neck oncology.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Dec 16;135(6):421-425. Epub 2018 Oct 16.

Department of otolaryngology, school of medicine, Stanford University, 875 Blake Wilbur Drive, 94305-5820 Palo Alto, CA, USA.

Goal: To document the role of the styloglossus muscle (SG) in head and neck oncology and at the time of surgical treatment and mandibular preservation surgery for squamous cell carcinoma of the lateral oropharynx (SCCLO).

Method: Based on a search conducted within the Pubmed, Embase, and Cochrane databases, using the key words SG muscle, parapharyngeal space and oropharynx, the authors discuss the embryology, physiology, anatomy and radiology of this muscle as well as its role in the oncologic staging surgery of SCCLO.

Results: The most specific radiologic exam to evaluate the involvement of SG muscle in SCCLO is magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1016/j.anorl.2017.11.012DOI Listing
December 2018
2 Reads

[Analysis and surgical treatment of 72 cases of parapharyngeal space tumors].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(17):1343-1347

Department of Otorhinolaryngology Head and Neck Surgery, the First Hospital of Peking University,Beijing,100034,China.

To summarize and analyze the clinical features, diagnosis methods, surgical approaches and treatment outcomes of patients with parapharygeal space tumors.A retrospective review of 72 cases with parapharygeal space tumors treated from March 1994 to June 2017 was performed. The data on presentation, surgical approach, histological diagnosis and postoperative complications were reviewed. Read More

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http://www.cnki.net/kcms/doi/10.13201/j.issn.1001-1781.2018.
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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.17.012DOI Listing
September 2018
4 Reads

Volumetric Analysis of Endoscopic and Maxillary Swing Surgical Approaches for Nasopharyngectomy.

J Neurol Surg B Skull Base 2018 Oct 19;79(5):466-474. Epub 2018 Jan 19.

TECHNA Institute, University Health Network, Toronto, Ontario, Canada.

 The endoscopic endonasal approach (EEA) for nasopharyngectomy is an alternative to the maxillary swing approach (MSA) for selected recurrent nasopharyngeal carcinomas (NPC). We compare the access between these approaches.  Three cadaver specimens were used to compare access volumes of the EEA and MSA. Read More

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http://dx.doi.org/10.1055/s-0037-1617432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133661PMC
October 2018
1 Read

Surgical treatment results of parapharyngeal space tumors: a report of 22 cases.

Otolaryngol Pol 2018 May;72(4):9-16

Medical University of Warsaw Otolaryngology Depatment.

Introduction: Parapharyngeal space (PPS) is the anatomical area lateral to the upper pharynx and clinically important due to PPS tumors. They account for less than 1% of head and neck neoplasms. Both benign and malignant neoplasms may arise there and typical for this localization is diversity of histological origin. Read More

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http://dx.doi.org/10.5604/01.3001.0012.0485DOI Listing
May 2018
16 Reads

Basal cell adenoma in the parapharyngeal space resected via trans-oral approach aided by endoscopy: Case series and a review of the literature.

Medicine (Baltimore) 2018 Aug;97(34):e11837

Department of Otolaryngology, The First Affiliated Hospital, Zhejiang University, Hangzhou City, Zhejiang Province, China.

Rationale: Basal cell adenoma (BCA) is a rare benign salivary gland tumor. It is difficult to be completely resected when arising in parapharyngeal space. A contemporary trend is to develop minimally invasive approaches on the premises of safety and complete resection. Read More

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http://dx.doi.org/10.1097/MD.0000000000011837DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113027PMC
August 2018
9 Reads

Paediatric parapharyngeal ganglioneuroma.

BMJ Case Rep 2018 Aug 20;2018. Epub 2018 Aug 20.

Internal Medicine, Hurley Medical Center, Flint, Michigan, USA.

A 17-year-old man initially presented to his primary care physician with throat pain for 1 week and was started on amoxicillin. After four additional days of ongoing pain and difficulty swallowing with decreased oral intake, he presented to the emergency department. Exam showed fullness to the right posterior oropharynx and palpable mass in the right neck without stridor. Read More

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http://dx.doi.org/10.1136/bcr-2018-225763DOI Listing
August 2018
2 Reads

[Exploration of feasibility and safety of transoral robotic surgery in pharyngolaryngeal tumors].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jul;53(7):512-518

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

To investigate the indication, feasibility, and safety of da Vinci robotic surgical system in pharyngolaryngeal tumor resection. Thirty patients were diagnosed with pharyngolaryngeal tumors and treated with a transoral robotic surgery (TORS) in Beijing Anzhen Hospital from June 1, 2016 through November 30, 2017. Inclusion criteria included lesions of the oropharynx (=13), parapharyngeal space (=7), larynx (=6) and hypopharynx (=4). Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2018.07.006DOI Listing
July 2018
4 Reads

Endoscopic Transvestibular Transmandibular Approach for Trigeminal Schwannoma in Infratemporal Fossa and Parapharyngeal Space.

World Neurosurg 2018 Oct 18;118:172-176. Epub 2018 Jul 18.

Department of Neurosurgery, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. Electronic address:

Background: Schwannomas that involve the mandibular division of the trigeminal nerve and localize exclusively in the parapharyngeal space (PPS) and infratemporal fossa (ITF) are extremely rare, and a surgical approach to treat such tumors has not been well established.

Case Description: We present our experience in the treatment of a giant trigeminal schwannoma with wide extension in the ITF and PPS using an endoscopic transvestibular transmandibular approach. The clinical and radiologic findings, preoperative planning, advantages of the surgical approach, and clinical outcome are discussed. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.07.087DOI Listing
October 2018
4 Reads

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.

Authors:
Y Liu H-J Yu H-T Zhen

J Laryngol Otol 2018 Aug 12;132(8):748-752. Epub 2018 Jul 12.

Department of Otolaryngology - Head and Neck Surgery,Tongji Hospital, Tongji Medical College,Huazhong University of Science and Technology,Wuhan,PR China.

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. Read More

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http://dx.doi.org/10.1017/S0022215118001184DOI Listing
August 2018
7 Reads

Transoral robotic resection of a retropharyngeal parathyroid adenoma: a case report.

J Robot Surg 2018 Jul 9. Epub 2018 Jul 9.

Department of Otolaryngology - Head and Neck Surgery, Wayne State University, Detroit, MI, USA.

Transoral robotic surgery (TORS) has become an increasingly popular option for early malignancies of the oropharynx. It offers superior visualization and has been proven to have acceptable functional and oncologic outcomes. Additionally, indications in head neck have expanded to manage tumors of the thyroid, neck, parapharyngeal space and salivary glands. Read More

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http://dx.doi.org/10.1007/s11701-018-0843-0DOI Listing
July 2018
6 Reads

Early experience in endoscopic transoral resection for parapharyngeal space tumors.

Ear Nose Throat J 2018 Apr-May;97(4-5):E5-E9

Department of Otolaryngology-Head and Neck Surgery, Beijing Anzhen Hospital, Beijing, PR China.

The purpose of this study was to investigate the feasibility, safety, and efficacy of the resection of parapharyngeal space (PPS) tumors via an endoscopic transoral approach. We reviewed 9 patients who were diagnosed with PPS tumors and who were treated with an endoscopic transoral approach. PPS tumors ranging from 2. Read More

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November 2018
7 Reads

Robotic Head and Neck Surgery: History, Technical Evolution and the Future.

ORL J Otorhinolaryngol Relat Spec 2018 20;80(3-4):117-124. Epub 2018 Jun 20.

Department of Otorhinolaryngology and Head and Neck Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.

The first application of robotic technology in surgery was described in 1985 when a robot was used to define the trajectory for a stereotactic brain biopsy. Following its successful application in a variety of surgical operations, the da Vinci® robot, the most widely used surgical robot at present, made its clinical debut in otorhinolaryngology and head and neck surgery in 2005 when the first transoral robotic surgery (TORS) resections of base of tongue neoplasms were reported. Subsequently, the indications for TORS rapidly expanded, and they now include tumours of the oropharynx, hypopharynx, parapharyngeal space, and supraglottic larynx, as well as obstructive sleep apnoea (OSA). Read More

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http://dx.doi.org/10.1159/000489464DOI Listing
June 2018
15 Reads

Parapharyngeal space lipoma, resection under transmandibular approach

Rev Med Inst Mex Seguro Soc 2018 Mar-Apr;56(2):194-197

Lipoma is a benign entity with a poor incidence in craniofacial region. The most frequent tumors in the maxillo pharyngeal space are those that occur in the major and minor salivary glands, with a higher incidence of pleomorphic adenoma, also consider a benign entity. The transmandibular approach offers a great advantage in terms of visibility during the surgery. Read More

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November 2018
18 Reads

Glottic neurogenic tumor: A highly uncommon site for schwannomas.

J Cancer Res Ther 2018 Apr-Jun;14(3):687-689

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

Schwannomas are benign encapsulated neurogenic tumors, arising from Schwann cells embedded in neurilemal sheath as multinucleated syncytial network. Head and neck schwannomas account for 25%-45% of all schwannomas, majority developing in parapharyngeal space. Laryngeal schwannoma in itself is a rarity, and a glottic origin further complicates its diagnosis. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_878_14DOI Listing
November 2018
2 Reads

[Endoscopic transoral resection the tumors of the higher position in parapharyngeal space: a retrospective case-control study].

Authors:
Z Yang X H Chen

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Aug;31(15):1187-1190

Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.

To analysis the indication and security of the endoscopic resection of transoarl and pterygoid process approach of neoplasms in elevatus parapharyngeal space.A retrospective case-control study were carried out in 22 patients with parapharyngeal space tumors.In the observation group (11 patients), tumors were endoscopic resected by transoral and pterygoid process approach. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2017.15.011DOI Listing

Surgeon-performed ultrasound for the assessment of parotid masses.

Am J Otolaryngol 2018 Sep - Oct;39(5):467-471. Epub 2018 Apr 16.

Division of Head and Neck Oncologic and Endocrine Surgery, Salivary Gland Center, Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, CA, United States. Electronic address:

Background: Studies on parotid gland ultrasound assessments performed specifically by surgeons are seldom reported.

Methods: Retrospective series of a single academic surgeon experience, analyzing 70 new parotid masses with evaluable preoperative SP-US characteristics, location measurements, and perioperative events.

Results: 31/70 masses were malignant. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.04.011DOI Listing
December 2018
5 Reads

[Pharyngeal space carcinoma ex pleomorphic adenoma:a case report].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 May;32(9):710-712

Carcinoma ex pleomorphic adenoma is an epithelial malignant tumor of pleomorphic adenoma. This may be due to the accumulation of genetic instability caused by long-term pleomorphic adenomas. There are few reports of parapharyngeal space carcinoma ex pleomorphic adenoma in the literature study both at home and abroad. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.09.017DOI Listing
May 2018
5 Reads

Minimally Invasive Surgery for Resection of Parapharyngeal Space Tumors.

J Neurol Surg B Skull Base 2018 Jun 13;79(3):250-256. Epub 2017 Oct 13.

The Head and Neck Center, Rambam Health Care Campus, Haifa, Israel.

 Surgical removal of parapharyngeal space tumors (PPST) poses challenges due to the complex anatomy of the region. PPSTs are routinely resected by a transcervical approach using blind finger dissection. Large PPSTs or those located high at the skull base, often require transmandibular or infratemporal fossa approaches, associated with considerable morbidity. Read More

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http://dx.doi.org/10.1055/s-0037-1607315DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951708PMC
June 2018
6 Reads

A Comparative Analysis of Endoscopic-Assisted Transoral and Transnasal Approaches to Parapharyngeal Space: A Cadaveric Study.

J Neurol Surg B Skull Base 2018 Jun 14;79(3):229-240. Epub 2017 Sep 14.

Surgical Neuroanatomy Lab, Center for Cranial Base Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States.

 Surgical resection of parapharyngeal space (PPS) tumors is very challenging. An endoscopic-assisted surgical approach to this region requires detailed and precise anatomic knowledge. The main purpose of this study is to describe and compare the detailed anatomy of the PPS via transnasal transpterygoid (TP) and endoscopic-assisted transoral (TO) approaches. Read More

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http://dx.doi.org/10.1055/s-0037-1606551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951712PMC
June 2018
8 Reads

[Retrospective analysis of 188 cases of parapharyngeal space tumors].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jan;32(2):129-133

Department of Otorhinolaryngology Head and Neck Surgery,Fudan University Affiliated Eye,Ear,Nose and Throat Hospital Shanghai,200031,China.

To explore the diagnosis,treatment,surgical approach and prognosis of parapharyngeal space tumors.The clinical data of 188 patients with parapharyngeal space tumor who were treated from January 2007 to December 2016 were analyzed retrospectively.All patients underwent imaging examination before operation. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.02.013DOI Listing
January 2018
6 Reads

Transoral robotic resection of benign tumors of the upper aerodigestive tract: Experience of the French group of GETTEC.

Head Neck 2018 Sep 26;40(9):2043-2049. Epub 2018 Apr 26.

Department of Ear, Nose, and Throat - Head and Neck Surgery, Georges Pompidou European Hospital, Paris, France.

Background: The purpose of this study was to assess the current use of transoral robotic surgery (TORS) in benign tumors of the upper aerodigestive tract through a case series and a literature review.

Methods: This multicentric retrospective study was conducted in 6 French centers between November 2009 and July 2017.

Results: Twenty-one patients had a TORS resection of a tumor at varied locations with differing histopathologic characteristics. Read More

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http://dx.doi.org/10.1002/hed.25197DOI Listing
September 2018
2 Reads

Transoral resection of extensive pediatric supraglottic neurofibroma.

Laryngoscope 2018 Nov 30;128(11):2525-2528. Epub 2018 Mar 30.

Upstate Medical University, Dept of Otolaryngology and Communication Sciences, Syracuse, New York, U.S.A.

This case report describes the novel use of transoral robotic surgery (TORS) with delayed transoral laser microsurgery (TLM) for residual disease in the resection of a pediatric neurofibroma with supraglottic and parapharyngeal space extension. Postoperatively, the patient had excellent functional outcomes. This case demonstrates that pediatric TORS is feasible, safe, and complementary to TLM. Read More

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http://dx.doi.org/10.1002/lary.27186DOI Listing
November 2018
3 Reads

The multiplanar analysis of the retromandibular vein in surgical planning for parotid gland tumors.

Eur Arch Otorhinolaryngol 2018 Jun 27;275(6):1587-1593. Epub 2018 Mar 27.

Otorhinolaryngology Department, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Objective: To analyze the effectiveness of the multiplanar analysis of the retromandibular vein in establishing the position of the parotid gland tumor and its relationship with the facial nerve, together with the most common radiological criteria (facial nerve line, Utrecht line, retromandibular vein and parapharyngeal space variations) using the magnetic resonance imaging.

Study Design: Retrospective study SETTING: Tertiary Academic Hospital SUBJECTS AND METHODS: 128 preoperative magnetic resonances were analyzed to study preoperative tumor location (medial or lateral to the expected course of the facial nerve) based on comparison between the radiological criteria and the surgical findings.

Results: FN line had the lowest accuracy at 77%, whereas the retromandibular vein achieved 85% accuracy and the UT line achieved accuracy of 93%. Read More

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http://dx.doi.org/10.1007/s00405-018-4953-0DOI Listing
June 2018
3 Reads

The "Flap Suture Anchoring" Technique for Safe Oral Floor Reconstruction With Preservation of Alveolar Process.

J Craniofac Surg 2018 Jul;29(5):1300-1304

State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, Xi'an, Shaanxi, China.

Flaps-based microsurgery is routinely applied to reconstruct oral floor defects caused by oncologic resection. To prevent orocutaneous fistulae, flaps are frequently sutured with buccal vestibule mucosa after sacrificing the alveolar process. The patients suffered denture loss and irreversible structural damage. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004533DOI Listing
July 2018
6 Reads

Primary cervical ganglioneuroblastoma: A case report.

Medicine (Baltimore) 2018 Mar;97(12):e0090

Department of Otorhinolaryngology, Head & Neck Surgery, West China Hospital.

Rationale: Ganglioneuroblastoma is usually located in the adrenal gland, retroperitoneal ganglia, or posterior mediastinum, but rarely occurs in the parapharyngeal space.

Patient Concerns: A 4-year-old girl presented with complaint of progressive inspiratory dyspnea and dysphagia, accompanying left-side Horner's syndrome.

Diagnose: Computed tomography (CT) scan revealed a giant mass with irregular low density in left oropharyngeal and posterior pharyngeal wall. Read More

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http://dx.doi.org/10.1097/MD.0000000000010090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895351PMC
March 2018
7 Reads

Syncope caused by a pleomorphic adenoma: Case report and literature review.

Ear Nose Throat J 2018 Jan-Feb;97(1-2):E23-E26

Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, PO Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA.

Pleomorphic adenomas are considered the most common salivary gland tumors, although they rarely occur in the parapharyngeal space. To the best of our knowledge, this is the first case report of a parapharyngeal parotid pleomorphic adenoma causing syncope. A 57-year-old man was admitted for left-sided blurred vision, left-sided weakness, dysarthria, lightheadedness, and syncope. Read More

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September 2018
6 Reads

Tumors of the parapharyngeal space: the VU University Medical Center experience over a 20-year period.

Eur Arch Otorhinolaryngol 2018 Apr 7;275(4):967-972. Epub 2018 Feb 7.

Department of Otolaryngology and Head and Neck Surgery, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.

Background: Tumors of the parapharyngeal space (PPS) are rare, accounting for 0.5-1.5% of all head and neck tumors. Read More

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http://dx.doi.org/10.1007/s00405-018-4891-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838131PMC
April 2018
5 Reads

Transoral robotic surgery of parapharyngeal space tumours: a series of four cases.

Int J Oral Maxillofac Surg 2018 Aug 12;47(8):971-975. Epub 2018 Feb 12.

Maxillofacial-ENT Surgery Unit, Istituto Nazionale Tumori "Fondazione G. Pascale" - IRCCS, Napoli, Italy.

Tumours arising from the parapharyngeal space (PPS) represent less than 1% of all head and neck tumours. Salivary gland tumours account for 40-50% of PPS lesions and are located in the pre-styloid parapharyngeal space. Pleomorphic adenomas represent 80-90% of salivary tumours in the PPS. Read More

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http://dx.doi.org/10.1016/j.ijom.2018.01.008DOI Listing
August 2018
2 Reads

Giant Parapharyngeal Space Lipoma Extending to the Pterygoid Region (Anterior Skull Base).

J Craniofac Surg 2018 Mar;29(2):e149-e150

Department of Obstetrics and Gynecology. Apollo Institute of Medical Sciences, Hyderabad, India.

Although lipoma is frequently seen in the head and neck region, but occurrence of the lipoma in the parapharyngeal space is rare. It is extremely rare for a parapharyngeal lipoma to extent to the pterygoid region (ie, anterior skull base). Management of giant parapharyngeal space lipoma with skull base extension and proximity to the vital neurovascular structures poses a challenge to surgeon. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004384DOI Listing
March 2018
4 Reads

Metastatic Renal Cell Carcinoma of the Head and Neck: A Case Series.

W V Med J 2017 Mar-Apr;113(2):48-51

Background: Renal cell carcinoma (RCC) accounts for over 80% of malignant tumors arising from the kidney. However, metastatic RCC to the head and neck is a relatively rare entity.

Case Presentation: We describe three patients with metastatic RCC to the head and neck with the involvement of the parapharyngeal space, the level V region of the neck, and the maxillary sinus. Read More

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February 2018
16 Reads

[Use of transmandibular approach for resection of a relapse pleomorphic adenoma on the parapharyngeal space].

Rev Med Inst Mex Seguro Soc 2017 Nov-Dec;55(6):801-803

Servicio de Cirugía Maxilofacial, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Chihuahua, México

In this review of a clinical case we study the most frequent benign neoplasia of the main salivary glands. We present the case of a four-year relapse of a patient post-operated of a conservative total parotidectomy. We expose different opinions about this neoplasia, and the clinical case of a 50-year old female patient that presents a relapse to the parapharyngeal space, for which we used a trans-mandibular approach. Read More

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July 2018
6 Reads

Nasopharyngeal carcinoma: relationship between invasion of the prevertebral space and distant metastases.

Eur Arch Otorhinolaryngol 2018 Feb 29;275(2):497-505. Epub 2017 Nov 29.

Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.

Purpose: To identify primary sites of nasopharyngeal carcinoma (NPC) invasion on the staging head and neck magnetic resonance imaging (MRI) that correlate with distant metastases (DM).

Materials And Methods: Staging head and neck MRI examinations of 579 NPC patients were assessed for primary tumour invasion into 16 individual sites, primary stage (T) and nodal stage (N). Results were correlated with distant metastasis-free survival (DMFS) using the Cox regression, and the diagnostic performance of significant independent markers for DM was calculated. Read More

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http://dx.doi.org/10.1007/s00405-017-4825-zDOI Listing
February 2018
5 Reads

[Lipoma of the deep lobe of the parotid gland].

Pan Afr Med J 2017 20;28:47. Epub 2017 Sep 20.

Service d'Otorhinolaryngologie et Chirurgie Cervico-faciale, Hôpital Militaire Moulay Ismaïl, Meknès, Maroc.

Lipomas of the parotid gland are benign tumors developing from the fatty tissue in the gland. They are rare, accounting for 0.6-4. Read More

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http://dx.doi.org/10.11604/pamj.2017.28.47.13000DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697986PMC
December 2017
37 Reads

Hypoglossal Schwannoma of Neck: Case Report and Review of Literature.

World Neurosurg 2018 Feb 22;110:240-243. Epub 2017 Nov 22.

Department of Neurological Surgery, University of Texas Southwestern, Dallas, Texas, USA. Electronic address:

Background: Schwannomas are benign, slow-growing neoplasms of the myelin-producing Schwann cells of peripheral nervous system that most commonly affect sensory nerves. Hypoglossal schwannomas, tumors of purely motor nerves, comprise <5% of all head and neck schwannomas. Since the first description of a hypoglossal schwannoma in 1933, there have been few case reports of extracranial origins. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.11.069DOI Listing
February 2018
48 Reads

Sclerosing Mucoepidermoid Carcinoma in the Parotid Gland With CRTC1-MAML2 Fusion: A Case Report.

Int J Surg Pathol 2018 May 23;26(3):250-255. Epub 2017 Nov 23.

1 University of Occupational and Environmental Health, Kitakyushu, Japan.

In this article, we report a case of sclerosing mucoepidermoid carcinoma (MEC) arising in the parotid gland, with CRTC1-MAML2 gene fusion. A 73-year-old woman with a mass in the right parotid region was referred to our hospital. Radiological imaging tests revealed a well-defined mass, measuring 25 mm in diameter, with foci of calcification in the deep lobe of the parotid gland, extending to the parapharyngeal space. Read More

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http://dx.doi.org/10.1177/1066896917742721DOI Listing
May 2018
4 Reads