Transoral Robotic Surgery for the Parapharyngeal Space: Expanding the Transoral Corridor

Overview

Journal J Robot Surg

Publisher Springer

Specialties Biotechnology
General Surgery

Date 2019 Feb 15

PMID 30762172

Citations 15

Authors

Smriti Panda

Kapil Sikka

Alok Thakar

Suresh C Sharma

Padmavathi Krishnamurthy

Affiliations

Soon will be listed here.

Abstract

To analyze the feasibility, surgical outcomes and possible risks and complications encountered during transoral robotic surgery (TORS) for approaching parapharyngeal space (PPS) tumours, a retrospective cohort study was conducted. Out of 108 TORS procedures performed, 5 PPS tumours were identified from May 2011- November 2017. This study included 2 retrostyloid (benign nerve sheath tumour) and 3 prestyloid tumours (pleomorphic adenoma), of which one patient had previously undergone a transcervical approach for deep lobe of parotid pleomorphic adenoma. Average tumour dimensions were 4.56 × 4.5 × 3.64 cm, with largest antero-posterior, medial-lateral and craniocaudal dimensions being, 5.1 cm, 7.1 cm and 6.5 cm, respectively. Adverse peri-operative events encountered were tumour fragmentation (n = 1), Secondary hemorrhage (n = 1) and Horner's syndrome (n = 1). Oral feeds could be initiated after 7.6 days. No recurrences were noted during a mean follow up of 21.6 months. Therefore, in properly selected cases, excellent results in terms of extracapsular resection and low morbidity can be obtained with TORS without resorting to mandibulotomy or transcervical incision.

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.

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

Orlando P, Locatello L, Gallo O, Leopardi G, Maggiore G World J Otorhinolaryngol Head Neck Surg. 2023; 9(1):79-90.

PMID: 37006749 PMC: 10050965. DOI: 10.1002/wjo2.55.

Parapharyngeal Space Tumors: Our Experience.

Galli J, Rolesi R, Gallus R, Seccia A, Pedicelli A, Bussu F J Pers Med. 2023; 13(2).

PMID: 36836517 PMC: 9962679. DOI: 10.3390/jpm13020283.

[Indications for resection of parapharyngeal space tumors by transoral robotic surgery and prevention and treatment of complications].

Wu C, Xu C, Shi X, Liu H, Liu Q, Wu H Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022; 36(6):429-435.

PMID: 35822360 PMC: 10128498. DOI: 10.13201/j.issn.2096-7993.2022.06.005.

Transoral Endoscopic Localization of the Parapharyngeal Internal Carotid Artery.

Zhang G, Zhao X, Sun G, Gao N, Yu P, Chen Z J Neurol Surg B Skull Base. 2022; 83(3):317-322.

PMID: 35769805 PMC: 9236755. DOI: 10.1055/s-0040-1722229.

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