The authors have no funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Minimally invasive surgery for parapharyngeal space tumors†
Article first published online: 23 MAR 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 5, pages 1072–1078, May 2012
How to Cite
Beswick, D. M., Vaezi, A., Caicedo-Granados, E. and Duvvuri, U. (2012), Minimally invasive surgery for parapharyngeal space tumors. The Laryngoscope, 122: 1072–1078. doi: 10.1002/lary.23244
- Issue published online: 18 APR 2012
- Article first published online: 23 MAR 2012
- Manuscript Accepted: 19 JAN 2012
- Manuscript Revised: 19 DEC 2011
- Manuscript Received: 25 OCT 2011
- Head and neck;
- skull base;
- parapharyngeal space;
- pleomorphic adenoma;
- Level of Evidence: 4.
Parapharyngeal space (PS) tumors are surrounded by critical anatomical structures. Resection is often challenging due to limited surgical exposure. Herein, we report a novel transcervical, minimally invasive, video-assisted technique that facilitates the resection of PS lesions.
Case series and review of literature.
Description of surgical technique with analysis of four cases and literature review.
The technique combines a transcervical approach to the PS and skull base with video-assisted and image-guided dissection of tumor. Four cases of benign PS tumors resected with this technique are reported. The size of the tumor excised varied between 0.9 cm and 5 cm. Estimated blood losses were minimal. The average length of hospital stay was 1.5 days. No permanent complications were encountered.
Excision of PS tumor abutting the skull base using a novel minimally invasive, video-assisted, image-guided, transcervical approach is feasible and safe. The short hospitalization stay and low morbidity makes it well suited for the resection of benign PS lesions.