Abstract
Objectives/Hypothesis: 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. Study Design: Case series and review of literature. Methods: Description of surgical technique with analysis of four cases and literature review. Results: 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. Conclusions: 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.
Original language | English (US) |
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Pages (from-to) | 1072-1078 |
Number of pages | 7 |
Journal | Laryngoscope |
Volume | 122 |
Issue number | 5 |
DOIs | |
State | Published - May 2012 |
Keywords
- Head and neck
- endoscopic
- parapharyngeal space
- pleomorphic adenoma
- rhabdomyoma
- skull base
- technique
- tumor
- video-assisted