Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours

Ștefan Iemima; Tonu Angela; Ghiță Dragoș; Ivodii Mirela; Othieno Theresa Mary; Zainea Viorel; Rădulescu Marian; Marinescu Andreea; Hainăroșie Răzvan

doi:doi:10.11648/j.ass.20200801.12

Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours

Ștefan Iemima, Tonu Angela, Ghiță Dragoș, Ivodii Mirela, Othieno Theresa Mary, Zainea Viorel, Rădulescu Marian, Marinescu Andreea, Hainăroșie Răzvan

Published in Advances in Surgical Sciences (Volume 8, Issue 1)

Received: 8 December 2019 Accepted: 8 January 2020 Published: 7 February 2020

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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.

Published in	Advances in Surgical Sciences (Volume 8, Issue 1)
DOI	10.11648/j.ass.20200801.12
Page(s)	5-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Parapharyngeal, Transoral, Endoscopic

References

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[7]	Pradeep Pradhan, Chappity Preetam, Pradipta Kumar Parida et al. Surgical Management of Parapharyngeal Space Tumours in a Single Tertiary Care Center, Indian J Otolaryngol Head Neck Surg. 2018 Dec; 70 (4): 531–537.
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[10]	Pensak ML, Gluckman JL, Sumrick KA. Parapharyngeal space tumors: an algorithm for evaluation and management. Laryngoscope 1994; 104: 1170 –3.
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[17]	Duek I, Amit M, Sviri GE, Gil Z. Combined endoscopic transcervical-transoral robotic approach for resection of parapharyngeal space tumors. Head Neck. 2017 Apr. 39 (4): 786-90.
[18]	Fan S, Lin SG, Zhang HQ, et al. A comparative study of the endoscopy-assisted transoral approach versus external approaches for the resection of large benign parapharyngeal space tumors. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Feb. 123 (2): 157-62.
[19]	Sanjay Helale, Preety Ninan and Abhishek Kumar Ramadhin, Endoscope-Assisted Transoral Approach to Parapharyngeal Space Tumor: A Case Report, Journal of Otolaryngology-ENT Research, Volume 2 Issue 3 – 2015.
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APA Style

Ștefan Iemima, Tonu Angela, Ghiță Dragoș, Ivodii Mirela, Othieno Theresa Mary, et al. (2020). Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours. Advances in Surgical Sciences, 8(1), 5-10. https://doi.org/10.11648/j.ass.20200801.12

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ACS Style

Ștefan Iemima; Tonu Angela; Ghiță Dragoș; Ivodii Mirela; Othieno Theresa Mary, et al. Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours. Adv. Surg. Sci. 2020, 8(1), 5-10. doi: 10.11648/j.ass.20200801.12

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AMA Style

Ștefan Iemima, Tonu Angela, Ghiță Dragoș, Ivodii Mirela, Othieno Theresa Mary, et al. Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours. Adv Surg Sci. 2020;8(1):5-10. doi: 10.11648/j.ass.20200801.12

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@article{10.11648/j.ass.20200801.12,
  author = {Ștefan Iemima and Tonu Angela and Ghiță Dragoș and Ivodii Mirela and Othieno Theresa Mary and Zainea Viorel and Rădulescu Marian and Marinescu Andreea and Hainăroșie Răzvan},
  title = {Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours},
  journal = {Advances in Surgical Sciences},
  volume = {8},
  number = {1},
  pages = {5-10},
  doi = {10.11648/j.ass.20200801.12},
  url = {https://doi.org/10.11648/j.ass.20200801.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20200801.12},
  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.},
 year = {2020}
}

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TY  - JOUR
T1  - Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours
AU  - Ștefan Iemima
AU  - Tonu Angela
AU  - Ghiță Dragoș
AU  - Ivodii Mirela
AU  - Othieno Theresa Mary
AU  - Zainea Viorel
AU  - Rădulescu Marian
AU  - Marinescu Andreea
AU  - Hainăroșie Răzvan
Y1  - 2020/02/07
PY  - 2020
N1  - https://doi.org/10.11648/j.ass.20200801.12
DO  - 10.11648/j.ass.20200801.12
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 5
EP  - 10
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20200801.12
AB  - 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.
VL  - 8
IS  - 1
ER  -

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Author Information

Ștefan Iemima
Tonu Angela

Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociot?”, Bucharest, Romania
Ghiță Dragoș
Ivodii Mirela

Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociot?”, Bucharest, Romania
Othieno Theresa Mary

Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociot?”, Bucharest, Romania
Zainea Viorel

Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociot?”, Bucharest, Romania
Rădulescu Marian
Marinescu Andreea

Institute of Phonoaudiology and Functional ENT Surgery “Dorin Hociot?”, Bucharest, Romania
Hainăroșie Răzvan

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Plain Text BibTeX RIS

APA Style

Ștefan Iemima, Tonu Angela, Ghiță Dragoș, Ivodii Mirela, Othieno Theresa Mary, et al. (2020). Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours. Advances in Surgical Sciences, 8(1), 5-10. https://doi.org/10.11648/j.ass.20200801.12

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ACS Style

Ștefan Iemima; Tonu Angela; Ghiță Dragoș; Ivodii Mirela; Othieno Theresa Mary, et al. Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours. Adv. Surg. Sci. 2020, 8(1), 5-10. doi: 10.11648/j.ass.20200801.12

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AMA Style

Ștefan Iemima, Tonu Angela, Ghiță Dragoș, Ivodii Mirela, Othieno Theresa Mary, et al. Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours. Adv Surg Sci. 2020;8(1):5-10. doi: 10.11648/j.ass.20200801.12

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@article{10.11648/j.ass.20200801.12,
  author = {Ștefan Iemima and Tonu Angela and Ghiță Dragoș and Ivodii Mirela and Othieno Theresa Mary and Zainea Viorel and Rădulescu Marian and Marinescu Andreea and Hainăroșie Răzvan},
  title = {Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours},
  journal = {Advances in Surgical Sciences},
  volume = {8},
  number = {1},
  pages = {5-10},
  doi = {10.11648/j.ass.20200801.12},
  url = {https://doi.org/10.11648/j.ass.20200801.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20200801.12},
  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.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours
AU  - Ștefan Iemima
AU  - Tonu Angela
AU  - Ghiță Dragoș
AU  - Ivodii Mirela
AU  - Othieno Theresa Mary
AU  - Zainea Viorel
AU  - Rădulescu Marian
AU  - Marinescu Andreea
AU  - Hainăroșie Răzvan
Y1  - 2020/02/07
PY  - 2020
N1  - https://doi.org/10.11648/j.ass.20200801.12
DO  - 10.11648/j.ass.20200801.12
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 5
EP  - 10
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20200801.12
AB  - 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.
VL  - 8
IS  - 1
ER  -

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