Parapharyngeal space tumors: a serial case study

Objective Primary parapharyngeal space (PPS) tumors are one of the most challenging head and neck tumors to diagnose and treat. We analyzed our experience in patients with PPS tumors who were treated in our hospital over 13 years. Methods We retrospectively reviewed 16 patients with PPS tumors betwe...

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Main Authors: Kuang-Hsu Lien, Chi-Kuang Young, Shy-Chyi Chin, Chun-Ta Liao, Shiang-Fu Huang
Format: Article
Language:English
Published: SAGE Publishing 2019-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060519862659
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author Kuang-Hsu Lien
Chi-Kuang Young
Shy-Chyi Chin
Chun-Ta Liao
Shiang-Fu Huang
author_facet Kuang-Hsu Lien
Chi-Kuang Young
Shy-Chyi Chin
Chun-Ta Liao
Shiang-Fu Huang
author_sort Kuang-Hsu Lien
collection DOAJ
description Objective Primary parapharyngeal space (PPS) tumors are one of the most challenging head and neck tumors to diagnose and treat. We analyzed our experience in patients with PPS tumors who were treated in our hospital over 13 years. Methods We retrospectively reviewed 16 patients with PPS tumors between 2006 and 2018. The study included clinical symptoms, histological types, surgical approaches, adjuvant therapies, postoperative complications, and prognosis. Results The mean age of the patients was 49.63 ± 17.03 years. A palpable neck mass (56.3%) was the most common symptom. In our series, 78.6% of the tumors were benign, and of these, schwannomas were the most common (6/14, 42.9%). Three surgical approaches were used in our patients, including transmandibular (57.1%), transcervical (21.4%) and transparotid (21.4%) approaches. Few complications were reported, including hoarseness and numbness. Adjuvant therapy was administered depending on pathological parameters of the tumors. No recurrence was observed during a mean follow-up of 60.6 months in patients with malignant tumors. Conclusions Radiological studies of PPS tumors are essential for diagnosis and surgical planning. Excision of PPS tumors using appropriate surgical approaches provides good outcomes.
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spelling doaj.art-b7d64e62372e4343bb2bbb3bfc33cba52022-12-21T19:58:28ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-08-014710.1177/0300060519862659Parapharyngeal space tumors: a serial case studyKuang-Hsu LienChi-Kuang YoungShy-Chyi ChinChun-Ta LiaoShiang-Fu HuangObjective Primary parapharyngeal space (PPS) tumors are one of the most challenging head and neck tumors to diagnose and treat. We analyzed our experience in patients with PPS tumors who were treated in our hospital over 13 years. Methods We retrospectively reviewed 16 patients with PPS tumors between 2006 and 2018. The study included clinical symptoms, histological types, surgical approaches, adjuvant therapies, postoperative complications, and prognosis. Results The mean age of the patients was 49.63 ± 17.03 years. A palpable neck mass (56.3%) was the most common symptom. In our series, 78.6% of the tumors were benign, and of these, schwannomas were the most common (6/14, 42.9%). Three surgical approaches were used in our patients, including transmandibular (57.1%), transcervical (21.4%) and transparotid (21.4%) approaches. Few complications were reported, including hoarseness and numbness. Adjuvant therapy was administered depending on pathological parameters of the tumors. No recurrence was observed during a mean follow-up of 60.6 months in patients with malignant tumors. Conclusions Radiological studies of PPS tumors are essential for diagnosis and surgical planning. Excision of PPS tumors using appropriate surgical approaches provides good outcomes.https://doi.org/10.1177/0300060519862659
spellingShingle Kuang-Hsu Lien
Chi-Kuang Young
Shy-Chyi Chin
Chun-Ta Liao
Shiang-Fu Huang
Parapharyngeal space tumors: a serial case study
Journal of International Medical Research
title Parapharyngeal space tumors: a serial case study
title_full Parapharyngeal space tumors: a serial case study
title_fullStr Parapharyngeal space tumors: a serial case study
title_full_unstemmed Parapharyngeal space tumors: a serial case study
title_short Parapharyngeal space tumors: a serial case study
title_sort parapharyngeal space tumors a serial case study
url https://doi.org/10.1177/0300060519862659
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AT chikuangyoung parapharyngealspacetumorsaserialcasestudy
AT shychyichin parapharyngealspacetumorsaserialcasestudy
AT chuntaliao parapharyngealspacetumorsaserialcasestudy
AT shiangfuhuang parapharyngealspacetumorsaserialcasestudy