Minimally invasive surgery for parapharyngeal space tumors

Daniel M. Beswick, Alec Vaezi, Emiro Caicedo-Granados, Umamaheswar Duvvuri

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

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 languageEnglish (US)
Pages (from-to)1072-1078
Number of pages7
JournalLaryngoscope
Volume122
Issue number5
DOIs
StatePublished - May 1 2012

Keywords

  • Head and neck
  • endoscopic
  • parapharyngeal space
  • pleomorphic adenoma
  • rhabdomyoma
  • skull base
  • technique
  • tumor
  • video-assisted

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