Endoscopic Transoral Approach for Resection of Basal Cell Adenoma Arising in Parapharyngeal Space

Overview

Journal J Neurol Surg B Skull Base

Publisher Thieme

Date 2021 Nov 8

PMID 34745836

Citations 4

Authors

Lifeng Li

Nyall R London Jr

Shuling Li

Xiaohong Chen

Ricardo L Carrau

Affiliations

Soon will be listed here.

Abstract

The clinical and radiological characteristics of the basal cell adenoma (BCA) and its association with the internal carotid artery (ICA) in the parapharyngeal space (PPS), have not been sufficiently explored. This study aims to analyze the characteristics of patients with BCA arising in the PPS and to evaluate the feasibility of a total resection via an endoscopic transoral corridor. The clinical, radiological, and histopathological characteristics of four patients with BCA arising in the PPS were retrospectively analyzed. The endoscopic transoral approach was performed for resection of BCA. Its technical nuances, perioperative comorbidities, and outcomes are introduced. The clinical presentation, symptoms, and signs of patients with BCA are variable. The tumor was lateral to the ICA in two patients and anterior to the ICA in the remaining two. All four BCA were successfully removed ( = 3) or by piecemeal ( = 1) via an endoscopic transoral approach. The ICA was not injured, and no additional nerve damage, venous bleeding, postoperative infection, or salivary gland fistula were encountered in any of the four patients. Cystic degeneration is the predominant appearance of BCA on MRI; however, they are difficult to differentiate from other lesions arising in the PPS. No recurrence was detected at the time of the study analysis. BCA of the PPS could have variable relationships with the ICA. An endoscopic transoral approach can provide an adequate corridor for total resection of BCA in PPS with seemingly low morbidity.

Citing Articles

Peri-operative complications following endoscopic-assisted transoral resection of parapharyngeal space tumors: retrospective analysis of 100 patients.

Li L, Gao Y, London Jr N, Kou X, Wang W, Xu H Eur Arch Otorhinolaryngol. 2024; .

PMID: 39668222 DOI: 10.1007/s00405-024-09142-6.

Management of Parapharyngeal Space Tumors: Clinical Experience with a Large Sample and Review of the Literature.

Jiang C, Wang W, Chen S, Liu Y Curr Oncol. 2023; 30(1):1020-1031.

PMID: 36661727 PMC: 9857702. DOI: 10.3390/curroncol30010078.

Transoral Approach to Parotid Tumors: A Review of the Literature.

Riva G, Lorenzi A, Borello A, Albera A, Canale A, Pecorari G Curr Oncol. 2022; 29(12):9416-9427.

PMID: 36547154 PMC: 9776422. DOI: 10.3390/curroncol29120740.

Endonasal access to the lateral poststyloid space: Far lateral extension of an endoscopic endonasal corridor.

Li L, London Jr N, Kim L, Prevedello D, Carrau R Head Neck. 2022; 44(10):2342-2349.

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