head-neck-plastic-surgery-2017-keynote

10 / 10

Volume 7, Issue 3 (Suppl) Otolaryngol (Sunnyvale), an open access journal
ISSN:2161-119X Head, Neck and Plastic Surgery 2017
June 19-20, 2017
Page 48
Notes:
conferenceseries.com
June 19-20, 2017 Philadelphia, USA
5th Global Summit and Expo on
Head, Neck and Plastic Surgery
Belayat Hossain Siddiquee, Otolaryngol (Sunnyvale) 2017, 7:3 (Suppl)
DOI: 10.4172/2161-119X-C1-015
Parapharyngeal tumors: Surgical experience
Parapharyngeal space is a complex potential space situated on both sides of the upper neck and contains several vital
neurovascular structures. Parapharyngeal tumors are relatively rare, less than 0.5% of head-neck neoplasms. Because
of location in a critical space and heterogeneous histological variety, often they impose diagnostic dilemma. FNAC may be
difficult and risky. Biopsy may not be possible. Although mostly benign, primary malignant tumors, metastatic lymphnodes,
involvement from lymphoproliferative diseases and tumors extending from adjacent sites may also occur. This is a series of
173 such cases in seven years period (July 2008 to June 2014). Neck swellings, bulging of lateral pharyngeal wall medially and
forward bulging of the soft-palate are common clinical features. Dysphagia, cranial nerve palsies (lower four) and dull earaches
are occasionally present. Some sophisticated tools can be used to get an idea about the diagnosis like Imaging (CT, MRI,
MRA, CT angiogram), CT guided FNAC, urinary VMA estimation, etc. Common surgical approaches are Trans-Cervical,
Trans-Mandibular, Trans-Parotid and combination of above two or three. Per-oral approach for small tumors and skull
base approaches for high-up tumors were also required. Cerebrovascular accident was the gravest complication of surgery.
Temporary and permanent palsy of the cranial nerves were the commonest complications. Surgeons dealing with the PPS
tumors must be well versed with the complex anatomy of the space, sufficient skill and experience of surgeries around carotid
arteries and should have knowledge how to deal with the vascular accident.
Biography
Belayat Hossain Siddiquee is a Pioneer Head Neck Surgeon in Bangladesh. He has started his career as Head Neck Surgeon in 1992 after obtaining Fellowship
in ORLHNS from Bangladesh. He is the Founder Chief of HNS Division, BSMMU, Founder President, Bangladesh Society of HN Surgeons, Governing Council
Member, Asian Society Head-Neck Oncology (ASHNO), Councilor, IFHNOS, Country Coordinator, World Head-Neck Cancer Day and Editorial Board Member of
Springer journal Oral Cancer.
Belayat Hossain Siddiquee
Bangabandhu Sheikh Mujib Medical University, Bangladesh