Skip to main content
Indian Journal of Otolaryngology and Head & Neck Surgery logoLink to Indian Journal of Otolaryngology and Head & Neck Surgery
. 2001 Oct;53(4):281–284. doi: 10.1007/BF02991548

Surgical management of some unusual Parapharyngeal space Tumors

U K Nayak 1,, S Choudary 1,, J J Rao 1,, E C Vinay Kumar 1,
PMCID: PMC3450484  PMID: 23119823

Abstract

We present out experience with the surgical management of 8 cases parapharyngeal tumors which were successfully operated using various approaches. Most tumors were quite large and presented special surgical challenges to safegaurd important structures and ensure complete tumors excision. Included in the series are 3 rare tumors, a myoepethilioma of the deep lobe of parotid, a Glomus intravagale tumor and a case of extra osseous Ewing’s sarcoma. Depending on tumors location and extent, the transcervical, transparotid and midline mandibulotomy approaches were used and the techniques are described. All patients are currently doing well without any evidence of disease.

Key Words: Parapharyngeal tumor, Midline mandibulotomy, Deeplobe parotid tumor

Full Text

The Full Text of this article is available as a PDF (825.3 KB).

References

  • 1.Biller H. F., Shugas J. M. A., Krespi Y. P. A new technique for wide field exposure of the base of the skull. Archives of otolaryngol. 1981;107:698–700. doi: 10.1001/archotol.1981.00790470046011. [DOI] [PubMed] [Google Scholar]
  • 2.Dubner S., Spiro R. H. Median mandibulotomy: A critical assessment. Head & Neck. 1991;13(5):389–93. doi: 10.1002/hed.2880130502. [DOI] [PubMed] [Google Scholar]
  • 3.Flood T. R., Hislop W. S. A modified surgical approach for parapharyngeal space tumors: Use of the inverted L osteotomy. Br. J. oral Maxillofacial surg. 1991;29(2):82–6. doi: 10.1016/0266-4356(91)90086-K. [DOI] [PubMed] [Google Scholar]
  • 4.Kletzer G. R., Smith P. G., Bigelow D. C., et al. Management of high parapharyngeal space tumors. Ear Nose and Throat Journal. 1991;70(8):639–647. [PubMed] [Google Scholar]
  • 5.Lawson V. G., et al. Unusual pharyngeal lesions. Journal of Otolaryngol. 1979;8:241–9. [PubMed] [Google Scholar]
  • 6.Miller F. R., Wanamaker J. R., Lavertu P, et al. Magnetic Resonance Imaging and the management of parapharyngeal space tumors. Head & Neck. 1996;18(1):67–77. doi: 10.1002/(SICI)1097-0347(199601/02)18:1<67::AID-HED9>3.0.CO;2-X. [DOI] [PubMed] [Google Scholar]
  • 7.Nayak U. K., Chowdary S/. V., Sainadh B. S. S, et al. Glomus intra-vagale tumor - A case report. Indian Jr. Otolaryngo Head & Neck Surg. Vo. 1997;49(2):136–138. doi: 10.1007/BF03023791. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Som P. M., Biller H. G., Lawson N. Tumors of the parapharyngeal space: Preoperative evaluation, diagnosis and surgical approaches. Annals otol. Rhinol. Laryngol. 1981;90:3–15. doi: 10.1177/00034894810901s301. [DOI] [PubMed] [Google Scholar]
  • 9.Work W. P. Parapharyngeai space and salivary gland neoplasms. Otolaryngol. Clinics North Am. 1977;10:421–6. [PubMed] [Google Scholar]

Articles from Indian Journal of Otolaryngology and Head & Neck Surgery are provided here courtesy of Springer

RESOURCES