Parapharyngeal space tumors: 61 case reviews

Dimitrijević, Mirjana; Jesić, S; Mikić, Aleksandar; Arsović, Nenad; Tomanović, Nada

doi:10.1016/j.ijom.2010.06.005

Cited by 80 publications

(117 citation statements)

References 23 publications

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“…MRI is particularly useful for determining the tumor localization and distinguishing the tumor origin. Assignment of the tumor to the prestyloid or poststyloid compartment depending on its localization provides a potential diagnosis (1,(10)(11)(12). If a paraganglioma is suspected, in which the tumor is located around the bifurcation of the carotid artery, an angiography or CT angiography is recommended (6,7,10).…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of parapharyngeal space tumors: A report of 29 cases

Ijichi

Murakami

2017

Oncology Letters

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Abstract. The present study aimed to establish a strategy for parapharyngeal space (PPS) tumor surgery based on preoperative symptoms, clinical signs, imaging and histological examination. A retrospective cohort study was conducted with 29 adult patients who underwent surgery for primary PPS tumors from 2008-2015. The following data was obtained: Preoperative symptoms of the patient, histological type of the tumor, surgical approach and complications. Of the 29 patients who underwent surgery to remove a PPS tumor, 16 presented with neurogenic tumors and 13 with salivary gland tumors. The most common symptom was the presence of a neck mass. Preoperative computed tomography and magnetic resonance imaging were performed to evaluate the size and location of the tumors. The majority of the salivary gland tumors were located in the prestyloid space, whereas all neurogenic tumor cases were poststyloid. A total of 21 of the 29 patients (72.4%) underwent a preoperative fine needle aspiration (FNAC) examination. FNAC contributed to preoperative diagnosis in 9 of these cases (42.9%). In parotid tumors of the prestyloid space, facial nerve palsy was a common postoperative complication. In the case of neurogenic tumors, a common complication was the postoperative palsy of the nerve of tumor origin. The strategy for PPS surgery, from the preoperative diagnosis to the operative method, remains controversial. The data on pre-and postoperative symptoms, imaging and histological diagnosis, and the selection of surgical method depending on a neurogenic or salivary tumor origin in the present study indicated that improving the method of examination, carefully selecting the method of approach and accurately managing surgery leads to complete tumor removal, and that the use of nerve-preserving techniques may reduce the likelihood of complications.

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Section: Introductionmentioning

confidence: 99%

Surgical treatment of parapharyngeal space tumors: A report of 29 cases

Ijichi

Murakami

2017

Oncology Letters

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“…Fine needle aspiration cytology is one of options for obtaining biopsy sample for diagnosis [17]. Literature shows that peroral or transcervical fine needle aspiration, performed under CT or ultrasound-guidance, is accurate in 90-95% of cases [16].…”

Section: Discussionmentioning

confidence: 99%

Prieryklinio tarpo navikų diagnostikos ypatybės ir sunkumai

Senkus¹,

Gibavičienė²,

Čepulis³

2016

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ĮžangaPrieryklinio tarpo navikai, dažniausiai nepiktybiniai, sudaro apie 0,5 % galvos ir kaklo srities navikų. Jie yra reti, todėl daugelis gydytojų per savo praktiką su šia patologija susiduria nedažnai. Svarbu išskirti kelis prieryklinio tarpo navikų diagnostikos ypatumus: simptomai yra įvairūs ir nespecifiški, o objektyvūs požymiai pasireiškia, kai navikas yra vėlesnės stadijos.Medžiaga ir metodaiŠiame straipsnyje apibendrinami retrospektyviosios šešių prieryklinio tarpo navikų atvejų analizės diagnostiniai aspektai. Visi aptariami pacientai buvo gydyti Nacionaliniame vėžio institute nuo 2004 iki 2016 metų. Straipsnyje apžvelgiame mokslinę literatūrą ir nagrinėjame diagnostikos seką, atkreipdami dėmesį į prieryklinio tarpo navikų diagnozavimo ypatumus bei sunkumus.RezultataiBuvo diagnozuoti trys gerybiniai ir trys piktybiniai navikai. Pacientai skundėsi įvairiais, daugiausia nespecifiniais, simptomais.Daugumai pacientų buvo atlikta priešoperacinė aspiracinė biopsija plona adata, visiems – priešoperacinis radiologinis tyrimas (kompiuterinė tomografija ir (ar) magnetinio rezonanso tomografija.IšvadosVisi gydytojai, susiduriantys su šia patologija, turėtų atkreipti dėmesį, kad prieryklinio tarpo navikų simptomai dažniausiai būna nespecifiniai, o objektyvūs požymiai pasireiškia navikui jau pažengus. Kalbant apie diagnostikos seką, aspiracinė biopsija plona adata yra būtinas tyrimas, siekiant išvengti histologinių netikėtumų. Radiologinis tyrimas, ypač magnetinio rezonanso tomografija, yra naudingas vertinant naviko kilmę, dydį, iš dalies ir tipą.

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“…An isolated unilateral vagal injury is usually well tolerated in the otherwise healthy patient, but a high vagal injury or a vagal injury combined with injury to cranial nerve (CN) IX -n.glossopharyngeus and CN XIIn.hypoglossus, may result in significant problems with swallowing and aspiration. Patients should be carefully evaluated prior to the institution of oral feedings, and an alternate method of feeding (nasogastric tube, gastric tube) should be instituted if necessary (6,7). Elderly patients and/or patients with multiple CN deficits are expected to have greater difficulty with swallowing, and medialization as well as cricopharyngeal myotomy should be performed concomitant with resection.…”

Section: Discussionmentioning

confidence: 99%

“…Many surgical approaches have been reported in the literature (1,4,5,8,9) but in overall, transcervical and transparotid approach are the main two. They have also been used with mandibulotomy to increase exposure during surgery (1,4,7 12.2006 were included in this study. Patients were divided into four groups according to the type of PPS pathology: group A (n=22) -benign salivary gland tumors; group B (n=5) -malignant salivary gland tumors; group C (n=4) -neurogenic tumors; group D (n=1) -miscellaneous tumors.…”

Section: Introductionmentioning

confidence: 99%

Surgical Approaches and Postoperative Complcations of Parapharyngeal Space Tumours

Ivanova¹,

Tars²,

Groma³

2012

Acta Chirurgica Latviensis

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In this study we paid a special attention to analysis of surgical interventions conducted using transcervical, transparotid and transoral approach for neoplasm removal and revise complications arising in postoperative period in various types of PPS tumors. Results. The largest number of patients presented with benign salivary gland tumors 22 (68.7%), followed by malignant salivary gland neoplasms 5 (18.5%), neurogenic tumors 4 (12.5%), and miscellaneous tumors 1 (0.3%). Postoperative complications for malignant salivary gland surgeries occurred at the highest rate (42%), whereas, for benign -at the lowest (5%). Transcervicalsubmandibular, transparotid, and transoral approach was used in 56, 25, and 1% of surgeries, accordingly, whereas, mandibulotomy applied in 17%. "First bite syndrome" was noticed in 30% of the cases, cranial nerve palsies -in 20%, temporary, permanent facial nerve and accessorial nerve injury in 4, 1 and 15% of surgical interventions, accordingly. Vascular trunks damage occurred at 9%, and, mostly, for poststyloid lesions. Conclusions. Heterogeneous PPS tumors show a wide spectrum of postoperative complications and require a selective approach for optimization of surgical intervention and treatment strategy. MATERIALS AND METHODS

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Parapharyngeal space tumors: 61 case reviews

Cited by 80 publications

References 23 publications

Surgical treatment of parapharyngeal space tumors: A report of 29 cases

Surgical treatment of parapharyngeal space tumors: A report of 29 cases

Prieryklinio tarpo navikų diagnostikos ypatybės ir sunkumai

Surgical Approaches and Postoperative Complcations of Parapharyngeal Space Tumours

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