Volume 8, Issue 1, June 2020, Page: 5-10
Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours
Ștefan Iemima, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania
Tonu Angela, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania
Ghiță Dragoș, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania
Ivodii Mirela, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania
Othieno Theresa Mary, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania
Zainea Viorel, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania; Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
Rădulescu Marian, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania; Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
Marinescu Andreea, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania
Hainăroșie Răzvan, Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociotă”, Bucharest, Romania; Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
Received: Dec. 8, 2019;       Accepted: Jan. 8, 2020;       Published: Feb. 7, 2020
DOI: 10.11648/j.ass.20200801.12      View  547      Downloads  75
Abstract
Parapharyngeal space tumours are rare, mostly benign and present few symptoms, being difficult to diagnose it early. CT scan and MR are necessary for topographical diagnosis. Surgical resection is the best possible treatment option, but the approach remains a challenge, as there are several vital elements contained in the parapharyngeal space and, thus, adequate visualization is needed. Different surgical approaches have been described: transcervical-submandibular, transparotid, transmandibular, transoral and combined approaches. Transoral approach is the most controversial one due to cited limited exposure, which can lead to neurovascular injury or incomplete removal of the lesion. It is seldom performed and only for small, extra-parotid and non-vascular tumours of the parapharyngeal space. Wide access to endoscopic equipment in our institute allowed us to perform medium to large benign parapharyngeal tumour resection usig the transoral approach. The use of endoscopic assistance for transoral approach provided direct and magnified visualization of the parapharyngeal space, reducing tissue damage, ensuring adequate hemostasis (which lead to less amount of bleeding) and also confirming complete resection prior to closure. In addition, compared to transcervical approach, transoral approach shortened hospitalization time and improved cosmetic appearance. Benign parapharyngeal space tumours not involving critical structures from the parapharyngeal space can be completely resected by an endoscopic-assisted transoral approach with good functional and cosmetic outcome.
Keywords
Parapharyngeal, Transoral, Endoscopic
To cite this article
Ștefan Iemima, Tonu Angela, Ghiță Dragoș, Ivodii Mirela, Othieno Theresa Mary, Zainea Viorel, Rădulescu Marian, Marinescu Andreea, Hainăroșie Răzvan, Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours, Advances in Surgical Sciences. Vol. 8, No. 1, 2020, pp. 5-10. doi: 10.11648/j.ass.20200801.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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