Transoral endoscopic ultrasound-guided fine-needle biopsy of a tumor of the parapharyngeal space

Polkowski, Marcin; Lenartowicz, J.; Zwoliński, Jakub; Pałucki, Jakub; Mróz, Andrzej; Sokół, Kamil; Reguła, Jarosław

doi:10.1055/a-1216-9928

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Another important finding is the excellent diagnostic accuracy of preoperative FNAB in our series: as it was demonstrated in previous papers, 58,59 the accuracy of core biopsy is much higher than simple cytological sampling and we believe FNAB should be regarded as the gold standard even when performed transorally. Interestingly, a very recent paper has also shown that PPSTs can be efficiently biopsied using a flexible gastrointestinal echoendoscope 60 . However, the role of preoperative FNAB is still controversial with a high rate of the nondiagnostic procedure, even when the needle is CT‐guided 61 .…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, a very recent paper has also shown that PPSTs can be efficiently biopsied using a flexible gastrointestinal echoendoscope. 60 However, the role of preoperative FNAB is still controversial with a high rate of the nondiagnostic procedure, even when the needle is CT‐guided. 61 Among studies included in the present paper, three of seven debate the role of preoperative biopsy and only one author shows their own results with FNAC: preoperative cytological analysis rendered a histopathological diagnosis that was the same as the final examination in two of three patients (66.7%), while one patient did not undergo the procedure because of the benign nature of the lesion suggested by MRI.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopy‐assisted transoral approach for parapharyngeal space tumors: Our experience and a systematic review of the literature

Orlando

Locatello

Gallo

et al. 2022

World j. otorhinolaryngol.-head neck surg.

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Background: Several approaches have been described for the excision of parapharyngeal space tumors (PPSTs). Advances in endoscopy gave a further stimulus to the use of the transoral route.Aims: We present our experience with the endoscopy-assisted transoral approach (EATA) in this regard and a review of the most recent literature about EATA for PPSTs excision. Materials and Methods:We retrospectively analyzed our experience and systematically reviewed the literature about the outcomes of this technique.Results: Seven PPSTs were completely excised, with three of them requiring a combined transcervical approach. Only one case of postoperative wound dehiscence was registered, and the mean length of stay was 3.9 days. Final histopathological examination confirmed the results obtained with preoperative fine-needle aspiration biopsy in all cases and no recurrences were apparent after a mean follow-up of 28.1 months.Discussion: Magnetic resonance imaging, the modified Mallampati score and the 8 Ts criteria are useful instruments for the choice of the most appropriate surgical approach. Conclusion:In light of our experience and following other published series in the literature, we believe that EATA may represent a safe and effective approach for the treatment of the majority of PPSTs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopy‐assisted transoral approach for parapharyngeal space tumors: Our experience and a systematic review of the literature

Orlando

Locatello

Gallo

et al. 2022

World j. otorhinolaryngol.-head neck surg.

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“…ere are many kinds of tumors in PSS, with more than 70 kinds, but benign tumors account for 70-80%, malignant tumors account for 20-30%, including primary tumors, direct spread tumors, and distant metastatic tumors. It is recognized that the more common PSS tumors are pleomorphic adenoma, schwannoma, and paraganglioma [2,3]. Considering the concealment of PSS, it is often di cult to detect PSS tumors in the early stage.…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Analysis on the Effects and Complications of Endoscope-Assisted Transoral Approach and Lateral Cervical Approach in the Resection of Parapharyngeal Space Tumors

Guo

Sun

Yin

et al. 2022

Computational Intelligence and Neuroscience

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Objective. To observe and compare the effects and complications of endoscope-assisted transoral approach and lateral cervical approach in the resection of parapharyngeal space (PSS) tumors. Methods. From January 2013 to September 2021, 69 patients with parapharyngeal space tumors in the Affiliated Hospital of Jiangnan University were divided into the control group (n = 37) and the observation group (n = 32) according to the mode of operation. The tumors in the parapharyngeal space were resected by the lateral cervical approach in the control group, and the tumors in the parapharyngeal space were removed by endoscopy-assisted transoral approach in the observation group. The general clinical data and operation conditions of the two groups, including operative blood loss, operation time, drainage volume and drainage time, hospital stay, perioperative pain degree, and tumor resection rate were collected and analyzed statistically. The patients were followed up for 6 months, and the complications of the two groups were recorded. Results. Compared with the control group, the operation time in the observation group was significantly shorter, and the amount of intraoperative bleeding in the observation group was significantly less than that in the control group, and the difference was statistically significant ( P < 0.05 ). The postoperative drainage was less and the hospital stay in the observation group was shorter than that in the control group, and the difference was statistically significant ( P < 0.05 ). There was no significant difference in tumor resection rate between the two groups. The visual analog scale (VAS) score on the 1st and 3rd day after operation in the observation group was lower than that in the control group. After treatment, some patients in the two groups had complications such as nerve injury, dysphagia, difficulty in mouth opening, massive hemorrhage, and parotid fistula. The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant ( P < 0.05 ). Conclusions. The effect of the endoscope-assisted transoral approach is similar to that of the lateral cervical approach in the resection of tumors in parapharyngeal space, but the endoscope-assisted transoral approach has shorter operation time, less intraoperative bleeding, and less postoperative drainage. The indwelling time and hospital stay of the drainage device were shorter than those of the patients with transcervical approach, and the perioperative stress response of patients with endoscope-assisted transoral approach is mild, which is beneficial to the physical and mental recovery of the patients.

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Computed tomography-guided transfacial buccal space core biopsy of deep head and neck space lesions: our experience

Couzins

Ali

Mitchell

et al. 2021

British Journal of Oral and Maxillofacial Surgery

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Transoral endoscopic ultrasound-guided fine-needle biopsy of a tumor of the parapharyngeal space

Cited by 3 publications

References 5 publications

Endoscopy‐assisted transoral approach for parapharyngeal space tumors: Our experience and a systematic review of the literature

Endoscopy‐assisted transoral approach for parapharyngeal space tumors: Our experience and a systematic review of the literature

A Retrospective Analysis on the Effects and Complications of Endoscope-Assisted Transoral Approach and Lateral Cervical Approach in the Resection of Parapharyngeal Space Tumors

Computed tomography-guided transfacial buccal space core biopsy of deep head and neck space lesions: our experience

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