TITLE

Parapharyngeal space tumors without mandibulotomy: our experience

AUTHOR(S)
Presutti, Livio; Molteni, Gabriele; Malvè, Laura; Marchioni, Daniele; Ghidini, Angelo; Tassi, Sauro; Chiarini, Luigi; Alicandri-Ciufelli, Matteo
PUB. DATE
January 2012
SOURCE
European Archives of Oto-Rhino-Laryngology;Jan2012, Vol. 269 Issue 1, p265
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Parapharyngeal space (PPS) tumors are rare and benign in 80% of cases. Since surgeons first resected this anatomical region, the surgical approach to PPS bulks has been a hot topic due to their shape and the important structures involved. We present a series of patients treated with a transcervical or transcervical-transparotid approach to benign PPS tumors without mandibulotomy. Between May 2003 and March 2009, 18 patients (11 male and 7 female) with benign PPS tumors underwent a surgical resection, avoiding mandibulotomy. Average age of the patients was 49 years (range 3-76), average tumor size was 5.5 × 4 × 3 cm and histological examination of the resected tumors showed: seven pleomorphic adenomas of the deep parotid lobe, four schwannomas, two mycobacteriosis, two paragangliomas of the vagus nerve, one lipoma, one neurofibroma and one cavernous hemangioma. Seven patients underwent a transcervical approach, while 11 patients underwent a transcervical-transparotid approach. Excision of benign PPS tumors is possible without mandibulotomy even in the case of a large tumor mass, but exposure with the mandible in situ is certainly poor. Avoiding mandibulotomy reduces patient morbidity and hospital stay. In our experience, mandibulotomy can be avoided in most cases of benign PPS tumors leaving this procedure for malignant tumors or in patients with very poor exposure.
ACCESSION #
70071806

 

Related Articles

  • Parotid Lesions in Children Undergoing Parotidectomy. The Children's Memorial Hospital Experience. Patel, Sundip; Rastatter, Jeffrey; Maddalozzo, John // Otolaryngology: Current Research;Special Issue2012, Vol. 2 Issue S, Special section p1 

    Objective: Evaluate the demographics, presentation, workup, surgical outcomes and pathology of pediatric parotid masses. Study design: Consecutive retrospective review. Setting: Urban pediatric tertiary care hospital. Subjects and methods: Retrospective review of medical charts was performed on...

  • Giant Solitary Fibrous Tumor of the Parotid Gland. Chis, Octavian; Albu, Silviu // Case Reports in Medicine;2014, p1 

    Solitary fibrous tumors (SFTs) are rare tumors that are mostly found arising from the pleura. SFT of the parotid gland is a rare tumor; only a few cases have been described in the literature. SFTs are benign in most cases. Clinically, SFTs usually manifest as well circumscribed, slow-growing,...

  • Intraparotid Neurofibroma: Review of the Literature. Woods, Owen; Giguère, Chantal; Saliba, Issam // Journal of Otolaryngology -- Head & Neck Surgery;Apr2011, Vol. 40 Issue 2, p104 

    No abstract available.

  • Early results of real-time qualitative sonoelastography in the evaluation of parotid gland masses: a study with histopathological correlation. Celebi, Irfan; Mahmutoglu, Abdullah S. // Acta Radiologica;Feb2013, Vol. 54 Issue 1, p35 

    Background: Sonoelastography has been used to differentiate malignant from benign lesions in numerous types of tissues including breast, prostate, liver, blood vessels, thyroid, musculoskeletal structures, and salivary glands. Purpose: To evaluate the efficacy and application of real-time...

  • Deep Lobe Parotid Pleomorphic Adenoma: Ten Year Retrospective Review of Cases Treated at a United Kingdom Regional Tertiary Referral Center. Munir, Nazia; Baldwin, David L.; Mal, Ranjit K. // Internet Journal of Head & Neck Surgery;2007, Vol. 1 Issue 1, p3 

    Objective: Retrospective review of patients with deep lobe parotid pleomorphic adenoma treated at a single regional tertiary referral center in the United Kingdom over a period of ten years (1994-2004). Materials & Methods: A total of thirty patients were identified, including twenty-five new...

  • Current controversies in the management of Warthin tumour. T Thangarajah // Postgraduate Medical Journal;Jan2009, Vol. 85 Issue 999, p3 

    Warthin tumour is the second most common benign neoplasm of the parotid gland. It has a low rate of growth and exhibits malignant transformation in 0.3% of cases. Although its aggressiveness has not been a concern, surgical resection remains the most common treatment modality. This entails the...

  • HEAD AND NECK CLINIC. Massive pleomorphic adenoma of the parotid gland: Surgical considerations. Fernandez, Alex; Osborne, Ryan F.; Hamilton, Jason S. // ENT: Ear, Nose & Throat Journal;Apr/May2014, Vol. 93 Issue 4/5, p150 

    The article describes the case of a 70-year-old woman who has a 25-centimeter right parotid mass with multiple lobes and was diagnosed with a pleomorphic adenoma. It explains the factors that must be considered before performing a parotidectomy which include metabolic shock, the preservation of...

  • Oncocytic carcinoma of the salivary gland with thymoma: A case report and review of the literature. YONGCHENG CAO; MING ZHU; RUIQI MAO; RUIXUE CAO; GUOLI YU; AIJUN NIU // Oncology Letters;2015, Vol. 9 Issue 2, p681 

    Oncocytic carcinoma (OC) arising in the salivary gland is a very rare tumor with only 32 previously reported cases. In this report, we describe a novel case of oncocytic carcinoma with associated thymoma, which arose in the left parotid gland of a 66-year-old male with a history of a painless...

  • Epithelial-Myoepithelial Carcinoma of Parotid Gland--A Surprising Clinical Entity. Bakshi, Jaimanti; Budhiraja, Grace; Gupta, Karan; Patro, Sourabha K.; Gupta, Nalini // Surgical Science;May2012, Vol. 3 Issue 5, p274 

    Objective: Objective of this study is to highlight the importance of considering clinical and radiological findings in parotid tumors before operating tumors with high suspicion of malignancy though reported as benign on histopathology. Material and Methods: 20 years old female patient underwent...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics