Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature
Branchial anomalies can present in the parapharyngeal space, creating unique challenges in management. Historically, this approach warranted an open approach, including transcervical, transparotid with total parotidectomy and retromandibular dissection, or transmandibular dissection with mandibuloto...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2020-10-01
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| Series: | Biomedicine Hub |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/511133 |
| _version_ | 1818437038238597120 |
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| author | Tiffany Peng Hwa Michael Cheng Babak Sadoughi |
| author_facet | Tiffany Peng Hwa Michael Cheng Babak Sadoughi |
| author_sort | Tiffany Peng Hwa |
| collection | DOAJ |
| description | Branchial anomalies can present in the parapharyngeal space, creating unique challenges in management. Historically, this approach warranted an open approach, including transcervical, transparotid with total parotidectomy and retromandibular dissection, or transmandibular dissection with mandibulotomy. However, the advent of minimally invasive transoral techniques and laser resection have allowed for successful resection of masses in this anatomical region without an external approach. We illustrate these advancements with the case of a 30-year-old man with globus sensation and throat discomfort, found to have a mass of the right posterolateral oropharynx causing severe airway obstruction. Imaging showed a parapharyngeal mass with extension to the carotid sheath and retropharyngeal space, which was successfully resected with potassium-titanyl-phosphate (KTP) laser using a minimally invasive transoral approach with no major complications. Transoral excision offers decreased morbidity and a cosmetically favorable outcome compared to transcervical excision. KTP laser may be safely used for transoral excision of a benign parapharyngeal mass. |
| first_indexed | 2024-12-14T17:18:19Z |
| format | Article |
| id | doaj.art-c302af0ef9b74122aa27c31d3267bcdf |
| institution | Directory Open Access Journal |
| issn | 2296-6870 |
| language | English |
| last_indexed | 2024-12-14T17:18:19Z |
| publishDate | 2020-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Biomedicine Hub |
| spelling | doaj.art-c302af0ef9b74122aa27c31d3267bcdf2022-12-21T22:53:23ZengKarger PublishersBiomedicine Hub2296-68702020-10-0153758310.1159/000511133511133Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the LiteratureTiffany Peng HwaMichael ChengBabak SadoughiBranchial anomalies can present in the parapharyngeal space, creating unique challenges in management. Historically, this approach warranted an open approach, including transcervical, transparotid with total parotidectomy and retromandibular dissection, or transmandibular dissection with mandibulotomy. However, the advent of minimally invasive transoral techniques and laser resection have allowed for successful resection of masses in this anatomical region without an external approach. We illustrate these advancements with the case of a 30-year-old man with globus sensation and throat discomfort, found to have a mass of the right posterolateral oropharynx causing severe airway obstruction. Imaging showed a parapharyngeal mass with extension to the carotid sheath and retropharyngeal space, which was successfully resected with potassium-titanyl-phosphate (KTP) laser using a minimally invasive transoral approach with no major complications. Transoral excision offers decreased morbidity and a cosmetically favorable outcome compared to transcervical excision. KTP laser may be safely used for transoral excision of a benign parapharyngeal mass.https://www.karger.com/Article/FullText/511133branchial cystminimally invasivektp laserparapharyngeal mass |
| spellingShingle | Tiffany Peng Hwa Michael Cheng Babak Sadoughi Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature Biomedicine Hub branchial cyst minimally invasive ktp laser parapharyngeal mass |
| title | Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature |
| title_full | Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature |
| title_fullStr | Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature |
| title_full_unstemmed | Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature |
| title_short | Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature |
| title_sort | contemporary management of benign parapharyngeal lesions using minimally invasive techniques case discussion and review of the literature |
| topic | branchial cyst minimally invasive ktp laser parapharyngeal mass |
| url | https://www.karger.com/Article/FullText/511133 |
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