Surgical approaches to the parapharyngeal space

Raveh, Eyal; Segal, Karl; Chaimoff, Moshe; Feinmesser, Raphael

doi:10.1016/s1043-1810(96)80004-2

Cited by 9 publications

(5 citation statements)

References 10 publications

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“…Esta cirugía puede requerir una traqueotomía de cobertura, una estancia hospitalaria más prolongada y un retraso en la nutrición oral. También conlleva riesgos adicionales, como consolidación defectuosa, pseudoartrosis mandibular y/o temporomandibular, disfunción articular y pérdida de la dentición 8,18 .…”

Section: Discussionunclassified

Tumor fibroso solitario (TFS) parafaríngeo: reporte de caso y revisión de literatura

et al. 2023

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Section: Discussionunclassified

Tumor fibroso solitario (TFS) parafaríngeo: reporte de caso y revisión de literatura

et al. 2023

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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“…Some prefer the traditional transoral approach to manage select lesions in the prestyloid space. 4,32,33 However, this approach offers limited visualization of deep structures in the poststyloid space and it may also be associated with accidental injuries of vessels and nerves. Using an intraoral incision identical to that of the traditional transoral approach, this study showed that endoscopic assistance can indeed enhance visualization; therefore, assisting with extension of the dissection in the superior, inferior, and posterior directions.…”

Section: Discussionmentioning

confidence: 99%

Potential Surgical Exposure of the Parapharyngeal Internal Carotid Artery by Endonasal, Transoral, and Transcervical Approaches

et al. 2017

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Endoscopic and endoscopic-assisted approaches to the parapharyngeal space have been reported; however, their potential for vascular exposure has not been previously assessed. This study aims to compare the potential exposure and control of the parapharyngeal internal carotid artery (ppICA) via various approaches. Ten cadaveric specimens were dissected bilaterally, exposing the ppICA via endonasal, transoral, and transcervical approaches. Length of the exposed vessel and potential control were assessed (feasibility and time required to place an encircling suture). Endoscopic transoral and transcervical-transmandibular approaches expose a significantly longer segment of the ppICA (6.89 and 7.09 cm) than the transoral and endonasal approaches. Vascular control was achieved via endoscopic-endonasal, endoscopic-transoral, and open techniques in 121.6, 64.8, and 5.2 seconds, respectively. Histopathology, goals of surgery, and familiarity of the surgeon with each technique may ultimately determine the choice of approach; however, this study suggests that exposure of the ppICA by endoscopic-assisted transoral approach is comparable to that of a transcervical-transmandibular approach. Vascular control was feasible under elective circumstances. However, the difficulty varied widely, potentially reflecting the challenges of controlling an injured ppICA. However, one must note that active bleeding obscures the surgical field in ways that may impair ppICA control. Furthermore, the results may not reflect clinical scenarios where tumor distorts the surgical field. Nonetheless, the study suggests that, in properly selected patients, the endoscopic-assisted transoral approach avoids problems associated with unsightly scars, mandibular osteotomy, and facial nerve manipulation, whereas, the transcervical-transmandibular approach offers the swiftest vascular control.

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“…When considering a mandibular osteotomy procedure, complete removal of the tumor, maintenance of occlusion with acceptable temporomandibular joint function, and functional preservation of facial and inferior alveolar nerves are the major considerations to be kept in mind. The decision to perform a mandibular osteotomy is based on several factors including tumor type, location, size, and inability to access the space adequately via the transcervical-transparotid, transcervical, orbito-zygomatic middle fossa and transmandibular and infratemporal approaches and combinations thereof [38]. The final decision to perform a mandibulotomy is made once the transcervical or, transcervical-transparotid approach to the parapharyngeal space (PPS) is performed and access for total tumor removal assessed.…”

Section: Discussionmentioning

confidence: 99%

Swing Mandibulotomy Access to Deep Lobe Parotid Tumors Case Reviews

Nayyar¹

2016

MOJCR

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Introduction: To utilize Swing mandibulotomy approach for gaining access to the deep lobe parotid tumors and to evaluate the functional and esthetic results.Case series: In the present case series, two patients were selected on standard criterion based on histological type, site, age, sex, clinical features, radiological evaluation, recurrence of the parotid tumors and surgical access to these tumors. Patients selected on eligibility criteria were evaluated and underwent, further, radiological evaluation and were surgically managed. Thereafter, long term follow-up was done clinically as well as radiologically. Successful surgical outcome was determined on the basis of functional and clinical recovery. Conclusion:Selecting the best approach to maximize visibility, ensure complete removal of the tumor and to reduce morbidity is an important decision to be made. Mandibulotomy provides an excellent mandible sparing surgical approach to gain access to deep lobe parotid tumors which are otherwise not accessible without procedures which leave significant morbidity.

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Surgical approaches to the parapharyngeal space

Cited by 9 publications

References 10 publications

Tumor fibroso solitario (TFS) parafaríngeo: reporte de caso y revisión de literatura

Tumor fibroso solitario (TFS) parafaríngeo: reporte de caso y revisión de literatura

Potential Surgical Exposure of the Parapharyngeal Internal Carotid Artery by Endonasal, Transoral, and Transcervical Approaches

Swing Mandibulotomy Access to Deep Lobe Parotid Tumors Case Reviews

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