Τίτλος:
Parapharyngeal space tumors: surgical approaches in a series of 13 cases
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Tumors originating in the parapharyngeal space are rare; they comprise
approximately 0.5% of head and neck tumors. Most (70-80%) are benign
and the most frequent origins are salivary and neurogenic. The aim of
this study is to present the surgical procedures used for the treatment
of 13 patients with parapharyngeal space tumors; 11 of them were
suffering from benign tumors (the most frequent being pleomorphic
adenoma; 8 cases) and 2 from malignant lesions. The following surgical
approaches were used: intraoral (2 cases), transcervical (4 cases) and
transmandibular (7 cases) with different types of mandible osteotomies.
The type of surgical approach was dictated by the type of the lesion
(malignant or benign), the exact location, the size, the vascularity and
the relation of the tumor to the neck neurovascular bundle. In all cases
the selected surgical approach allowed the complete resection of the
tumor, obtaining clear margins in cases of malignancy, without adding to
the patient’s preoperative morbidity. It was concluded that the surgical
approach to the parapharyngeal space tumors must be adjusted to the
tumor characteristics and be as wide is necessary to achieve its
complete removal with safety.
Συγγραφείς:
Papadogeorgakis, N.
Petsinis, V.
Goutzanis, L.
Kostakis, G.
and Alexandridis, C.
Περιοδικό:
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
Εκδότης:
Churchill Livingstone
Λέξεις-κλειδιά:
parapharyngeal space; tumors; surgery
DOI:
10.1016/j.ijom.2009.11.011
