Surgical approach to Parapharyngeal Tumours - Our Experience
Introduction The complex anatomy of the parapharyngeal space, the surrounding vital structures and late presentation of the tumours affecting this space pose difficult surgical challenge to every otolaryngologist. The study gives an overview of the experience in managing parapharyngeal tumours in a...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2015-08-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | http://bjohns.in/journal/index.php/bjohns/article/view/76 |
| _version_ | 1797284938775527424 |
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| author | Devjani Ghosh Shrestha Kinjal Shankar Majumdar Nirmalya Samanta Utpal Jana |
| author_facet | Devjani Ghosh Shrestha Kinjal Shankar Majumdar Nirmalya Samanta Utpal Jana |
| author_sort | Devjani Ghosh Shrestha |
| collection | DOAJ |
| description | Introduction
The complex anatomy of the parapharyngeal space, the surrounding vital structures and late presentation of the tumours affecting this space pose difficult surgical challenge to every otolaryngologist. The study gives an overview of the experience in managing parapharyngeal tumours in a tertiary care setting.
Materials And Methods
Fifteen patients with parapharyngeal tumours were treated surgically in a medical college hospital in Kolkata in the three year study period. Surgical approaches were chosen, considering the size, site, extent and histology of the tumours.
Results
Most of the patients (33.33%) were from 20-30 years age group. 60% were females. The most common presenting feature was neck swelling. 80% of the cases were benign.The most common histologic variant was Schwannoma. The tumours were accessed through Trans-cervical, Trans-cervical Trans-parotid or Trans-cervical with Midline Mandibulotomy approaches. The most common post-operative complication was wound dehiscence.
Discussion
The most common presentation of a parapharyngeal mass was neck swelling mainly behind the angle of mandible (86.67%). Younger patients in their third decade of life were found to be affected more. Gadolinium enhanced MRI was found to be the most important investigation in parapharyngeal tumours. Complications were minimal.
Conclusion
A conservative trans-cervical approach was found to be feasible and effective in majority of the cases over radical ones, which may be required in malignancies and skull-base involvement. |
| first_indexed | 2024-03-07T17:56:04Z |
| format | Article |
| id | doaj.art-b70163b9a2ff4887b8eac5f3315f25d1 |
| institution | Directory Open Access Journal |
| issn | 2395-2393 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:56:04Z |
| publishDate | 2015-08-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-b70163b9a2ff4887b8eac5f3315f25d12024-03-02T12:25:14ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072015-08-01232677254Surgical approach to Parapharyngeal Tumours - Our ExperienceDevjani Ghosh Shrestha0Kinjal Shankar Majumdar1Nirmalya Samanta2Utpal Jana3Senior Resident, 3rd Year NRS Medical College & Hospital, KolkataJunior Resident, 3rd Year NRS Medical College & Hospital, KolkataRMO cum Clinical Tutor, NRS Medical College & HospitalProfessor, Sagar Dutta Medical College, KamarhatiIntroduction The complex anatomy of the parapharyngeal space, the surrounding vital structures and late presentation of the tumours affecting this space pose difficult surgical challenge to every otolaryngologist. The study gives an overview of the experience in managing parapharyngeal tumours in a tertiary care setting. Materials And Methods Fifteen patients with parapharyngeal tumours were treated surgically in a medical college hospital in Kolkata in the three year study period. Surgical approaches were chosen, considering the size, site, extent and histology of the tumours. Results Most of the patients (33.33%) were from 20-30 years age group. 60% were females. The most common presenting feature was neck swelling. 80% of the cases were benign.The most common histologic variant was Schwannoma. The tumours were accessed through Trans-cervical, Trans-cervical Trans-parotid or Trans-cervical with Midline Mandibulotomy approaches. The most common post-operative complication was wound dehiscence. Discussion The most common presentation of a parapharyngeal mass was neck swelling mainly behind the angle of mandible (86.67%). Younger patients in their third decade of life were found to be affected more. Gadolinium enhanced MRI was found to be the most important investigation in parapharyngeal tumours. Complications were minimal. Conclusion A conservative trans-cervical approach was found to be feasible and effective in majority of the cases over radical ones, which may be required in malignancies and skull-base involvement.http://bjohns.in/journal/index.php/bjohns/article/view/76NeckNeoplasmsParapharyngeal tumourssurgical proceduresoperativeNeurilemmomaParagangliomaCarcinomaAdenoma, Pleomorphic |
| spellingShingle | Devjani Ghosh Shrestha Kinjal Shankar Majumdar Nirmalya Samanta Utpal Jana Surgical approach to Parapharyngeal Tumours - Our Experience Bengal Journal of Otolaryngology and Head Neck Surgery Neck Neoplasms Parapharyngeal tumours surgical procedures operative Neurilemmoma Paraganglioma Carcinoma Adenoma, Pleomorphic |
| title | Surgical approach to Parapharyngeal Tumours - Our Experience |
| title_full | Surgical approach to Parapharyngeal Tumours - Our Experience |
| title_fullStr | Surgical approach to Parapharyngeal Tumours - Our Experience |
| title_full_unstemmed | Surgical approach to Parapharyngeal Tumours - Our Experience |
| title_short | Surgical approach to Parapharyngeal Tumours - Our Experience |
| title_sort | surgical approach to parapharyngeal tumours our experience |
| topic | Neck Neoplasms Parapharyngeal tumours surgical procedures operative Neurilemmoma Paraganglioma Carcinoma Adenoma, Pleomorphic |
| url | http://bjohns.in/journal/index.php/bjohns/article/view/76 |
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