The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2014 Mar 4

PMID 24587286

Citations 10

Authors

Gilad Horowitz

Oded Ben-Ari

Oshri Wasserzug

Noam Weizman

Moshe Yehuda

Dan M Fliss

Affiliations

Soon will be listed here.

Abstract

Background: Head and Neck Parapharyngeal space tumors are rare. Pleomorphic Adenomas are the most common Parapharyngeal space tumors. The purpose of this study was to define preoperative criteria for enabling full extirpation of parapharyngeal space pleomorphic adenomas via the transcervical approach while minimizing functional and cosmetic morbidity.

Methods: The surgical records and medical charts of 19 females and 10 males with parapharyngeal space pleomorphic adenomas operated between 1993 and 2012 were reviewed.

Results: Fifteen patients were operated by a simple transcervical approach, 13 by a transparotid transcervical approach, and one by a transmandibular transcervical approach. Complications included facial nerve paralysis, infection, hemorrhage and first bite syndrome. There were three recurrences, but neither recurrence nor complications were associated with the type of surgical approach.

Conclusion: A simple transcervical approach is preferred for parapharyngeal space pleomorphic adenomas with narrow attachments to the deep lobe of the parotid gland and for pleomorphic adenomas originating in a minor salivary gland within the parapharyngeal space.

Citing Articles

[Research progress in the anatomy and surgical approach of the parapharyngeal space].

Xue K, Wang L, Zheng S, Zhang H, Liu Q, Gu Y Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024; 38(6):534-540.

PMID: 38858121 PMC: 11480582. DOI: 10.13201/j.issn.2096-7993.2024.06.015.

Management of a Giant Para-Pharyngeal Space Pleomorphic Adenoma of Deep Lobe of Parotid Gland Without Mandibular Swing Approach in a 17-Year Old Patient: Rare Case Report.

Ingole P, Rajguru J, Chhajed R, Jadhav R, Karmarkar J, Shenoi R Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):5794-5799.

PMID: 36742502 PMC: 9895588. DOI: 10.1007/s12070-021-02385-3.

Pleomorphic Adenoma of the Parotid Gland and the Parapharyngeal Space: Two Diametrically Opposing Surgical Philosophies for the Same Histopathologic Entity?.

Hornung B, Constantinidis J, Thimsen V, Agaimy A, Koch M, Gostian A J Clin Med. 2022; 11(1).

PMID: 35011883 PMC: 8745468. DOI: 10.3390/jcm11010142.

Use of Propensity Score Matching to Compare Short Outcomes from Transoral and External Surgical Approaches in Patients with Deep-Lobe Parotid Pleomorphic Adenomas.

Fan Y, Li S, Yu S, Zhu X, Shi X, Li W Curr Oncol. 2021; 28(4):3115-3123.

PMID: 34436038 PMC: 8395425. DOI: 10.3390/curroncol28040272.

Margin status, local control, and disease-specific survival in surgically resected parotid carcinomas with parapharyngeal extension.

Li H, McGill M, Putri N, Yuan A, Wong R, Patel S Head Neck. 2021; 43(9):2644-2654.

PMID: 33931905 PMC: 9361426. DOI: 10.1002/hed.26730.

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