Tumores primarios del espacio parafaríngeo

Grilli, Gianpaolo; Suárez, Vanessa; Muñoz, María Gabriela; Costales, María; Llorente, José Luís

doi:10.1016/j.otorri.2016.06.003

Cited by 16 publications

(4 citation statements)

References 15 publications

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“…Sin embargo, distintas series internacionales concuerdan que la mayoría corresponden a tumores benignos (74%-80%) 6,7 , siendo dentro de ellos los adenomas pleomorfos los más comunes (31%-40%), seguidos por los paragangliomas (35%), schwannomas (16%), ameloblastoma, neurofibromas y tumores de vasos sanguíneos. Por otro lado, el 20-30% de las neoplasias del EPF son malignas, destacando las que provienen de glándulas salivales como las más frecuentes 3,6,7 . Los tumores del EPF suelen mantenerse asintomáticos hasta alcanzar un tamaño suficiente para causar síntomas; se ha descrito como límite 2,5 cm-3 cm para volverse sintomático 8 , pudiendo presentar: aumento de volumen cervical o intraoral (22%-84%), otalgia (9%-36%), disfagia (12%-15%), disfunción tubaria (13%), hipoacusia (5-11%), disfonía (10%), dolor facial (6%), roncopatía (5%), paresia del VII (3-4%), IX (1%), X (8%) y XII par (5%), odinofagia (2-8%), tinnitus (2%-5%), parestesias linguales (2%) y otitis media con efusión (10%) 3,7 .…”

Section: Discussionunclassified

Adenoma pleomórfico del espacio parafaríngeo: una entidad escondida

Leung

Aliaga

Villanueva

et al. 2020

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Section: Discussionunclassified

Adenoma pleomórfico del espacio parafaríngeo: una entidad escondida

Leung

Aliaga

Villanueva

et al. 2020

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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“…Hence, 13 studies, all published in English, with a total of 631 participants, were included for further evaluation. 6 7 8 9 10 11 12 13 14 15 16 17 18 We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the study selection procedure was illustrated by the PRISMA flow diagram ( Fig. 1 ).…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Three studies were conducted in USA, two in Spain, two in China, and one each in Egypt, India, Israel, Brazil, Italy, and Japan. 6 7 8 9 10 11 12 13 14 15 16 17 18 A total of 631 patients were recruited from studies published between 1996 and 2017.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Accurately placing these lesions into the true PPS may have clinical implication in terms of choosing the right surgical approach. 6 The systematic reviews published for PPS lesions have already mentioned this issue and have presented the recent updates on presentation, histological diagnosis, surgical approaches, and complications. We have aimed our study more on the surgical approaches for the resection of benign PPS tumors and associated neurologic sequelae.…”

Section: Introductionmentioning

confidence: 99%

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Neurological Complications in Benign Parapharyngeal Space Tumors – Systematic Review and Meta-Analysis

Faisal

Seemann

Fischer

et al. 2022

Int Arch Otorhinolaryngol

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Introduction Parapharyngeal space tumors with complex anatomy and diverse histology have remained a challenging phenomenon for treating physicians. Objectives We have conducted a comprehensive web search on the PubMed, Web of Science, EMBASE, Cochrane Library, Biomedical Literature Database (CBM), and Clinicaltrials.gov databases to determine the factors that are associated with postoperative complications in parapharyngeal space tumors. Data Synthesis Two researchers reviewed all identified articles independently with a third reviewer for adjudication. Patient demographics and other clinicopathological characteristics were explored. The systematic review has identified 631 benign parapharyngeal space tumors with neurogenic and salivary tissue histology in 13 studies, with a mean age of 42.9 ± 7.76 years old and a median follow-up of 40.98 ± 19.1 months. Salivary gland (50.8%) and neurogenic (49.1%) tumors were the most common histological entities. Tumor size, location, histology, deep parotid lobe involvement, and proximity to great vessels or to the skull base were the deciding factors in selecting the surgical approach. The factors considered to select the surgical approach do not seem to have a correlation with the outcome in terms of neurological sequalae (p = 0.106). Tumors with neurogenic histology have significantly increased chances of developing neurological complication (OR 6.07; p = 0.001). Conclusion Neurologic complications are significantly associated with neurogenic benign tumors rather than surgical approach.

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Contemporary management of primary parapharyngeal space tumors

et al. 2018

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The parapharyngeal space is a complex anatomical area. Primary parapharyngeal tumors are rare tumors and 80% of them are benign. A variety of tumor types can develop in this location; most common are salivary gland neoplasm and neurogenic tumors. The management of these tumors has improved greatly owing to the developments in imaging techniques, surgery, and radiotherapy. Most tumors can be removed with a low rate of complications and recurrence. The transcervical approach is the most frequently used. In some cases, minimally invasive approaches may be used alone or in combination with a limited transcervical route, allowing large tumors to be removed by reducing morbidity of expanded approaches. An adequate knowledge of the anatomy and a careful surgical plan is essential to tailor management according to the patient and the tumor. The purpose of the present review was to update current aspects of knowledge related to this more challenging area of tumor occurrence.

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Tumores primarios del espacio parafaríngeo

Cited by 16 publications

References 15 publications

Adenoma pleomórfico del espacio parafaríngeo: una entidad escondida

Adenoma pleomórfico del espacio parafaríngeo: una entidad escondida

Neurological Complications in Benign Parapharyngeal Space Tumors – Systematic Review and Meta-Analysis

Contemporary management of primary parapharyngeal space tumors

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