ISSN: 2161-119X

Otolaryngology: Open Access
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  • Research Article   
  • Otolaryngol (Sunnyvale) 2016, Vol 6(1): 219
  • DOI: 10.4172/2161-119X.1000219

Benign Parapharyngeal Tumours: Surgical Intricacies by Transcervical Approach

Simple Patadia1*, Amitkumar Keshri2*, Saurin Shah1 and Arun Shrivastava3
1MS ENT, SR Neuro-otology, Department of Neurosurgery, SGPGIMS, , India
2MS ENT, Assistant Professor, Department of Neurosurgery, Neuro-otology, SGPGIMS, , India
3MCh Neurosurgery, Associate Professor, Department of Neurosurgery, , SGPGIMS, India
*Corresponding Author (s) : Simple Patadia, SR Neuro-otology, Department of Neurosurgery, SGPGIMS, Uttar Pradesh, India, Tel: 9909982019 , Email: simplepatadia@gmail.com
Amitkumar Keshri, Department of Neurosurgery, Neuro-otology, SGPGIMS, India, Tel: 05222668700, Email: amitkeshri2000@yahoo.com

Received Date: Oct 19, 2015 / Accepted Date: Dec 28, 2015 / Published Date: Jan 06, 2016

Abstract

Introduction: Parapharyngeal space (PPS) is one of potential confined fascial planes of head and neck that may be involved by various pathological processes. Being rare, they represent an ominous challenge in its clinical assessment and appropriate surgical intervention.
Material and methods: A study of 14 cases of parapharngeal space tumors (PPST) which presented to our tertiary care Institute from January 2013 to January 2015, were included in this study. All cases were studied by their clinical examination, fine needle aspiration cytology, radiology (computerized tomography and magnetic resonance imaging), extent of excision, postoperative complications and definitive biopsy. All patients underwent surgery by transcervical approach and were followed up for a minimum period of 6 months.
Results: The most common tumour of the parapharyngeal space was pleomorphic adenoma (n=7), followed by schwannomas (n=5), and carotid body tumour (paraganglioma) (n=2). Twelve patients were operated via extracapsular dissection (ECD), and two patients with intracapsular dissection (ICD). Post-operative complications were vocal cord palsy in two cases, marginal mandibular palsy, horner’s syndrome, hypoglossal palsy in one case respectively.
Conclusion: The transcervical approach is a versatile approach for complete excision of tumours with excellent surgical exposure and minimum morbidity. It can also be combined with excision of submandibular gland in order to improve exposure. In cases of large schwannomas, ICD is recommended to favor a complete excision.

Keywords: Parapharyngeal space tumours, Imaging, Intracapsular dissection

Citation: Patadia S, Keshri A, Shah S, Shrivastava A (2016) Benign Parapharyngeal Tumours: Surgical Intricacies by Transcervical Approach. Otolaryngology 6:219. Doi: 10.4172/2161-119X.1000219

Copyright: © 2016 Patadia S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Review summary

  1. Tucker
    Posted on Oct 26 2016 at 3:50 pm
    The manuscript is well designed and study is clearly presented. Author says That transcervical approach is a versatile approach for complete excision of tumours with excellent surgical exposure and minimum morbidity. The data presented in the article will help in the furtherance of clinical research in the field of treatment of the disease.
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