gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

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Transoral and combined transoral-transcervical approach to the parapharyngeal space tumors

Meeting Abstract

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  • corresponding author Martin Chovanec - Dep. of Otorhinolaryngology and Head and Neck Surgery, 1st Medical Faculty, Charles University, Prague, Czech Republic
  • Jan Betka - Dep. of Otorhinolaryngology and Head and Neck Surgery, 1st Medical Faculty, Charles University, Prague, Czech Republic
  • Miloš Taudy - Dep. of Otorhinolaryngology and Head and Neck Surgery, 1st Medical Faculty, Charles University, Prague, Czech Republic
  • Jan Plzák - Dep. of Otorhinolaryngology and Head and Neck Surgery, 1st Medical Faculty, Charles University, Prague, Czech Republic
  • Daniela Kodetová - Institute of Pathology and Molecular Medicine, 2nd Medical Faculty, Charles Univ, Prague, Czech Republic
  • Jiří Lisý - Dep. of Radiodiagnostics, 2nd Medical Faculty, Charles University, Prague, Czech Republic

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. München, 16.-20.05.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. Doc07hnod127

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hnod2007/07hnod127.shtml

Veröffentlicht: 24. April 2007

© 2007 Chovanec et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.

Gliederung

Text

Objectives: To present our experience with transoral and combined transoral-transcervical approaches to the parapharyngeal space (PPS) tumors

Methods: Consequtive series of senior author (J.B.). 25 patients with various PPS tumors were retrospectively reviewed for type of tumor, size, previous treatment, approach, success of removal, length of hospitalization, complications and further treatment.

Results: Both approaches were safely employed to remove selected cases of PPS tumors. The most common pathology encountered were benign salivary gland tumors (12 minor salivary gland and 6 deep lobe parotid gland pleomorphic adenomas). 2 cases of malignant salivary gland tumors, four nerve sheath tumors and one lymphangioma were also excised. Visualization was felt to be satisfactory and dissection safe. Radical resection was achieved in 22 cases. Near total resection was achieved in 3 cases where otherwise other approach would be suitable but not undergone because of patient refusal and comorbidities. Patients with malignant tumors had postoperative radiotherapy. Radically operated cases are disease free. One of near-totally resected tumors needed revision surgery. Neither major complications nor disordered healing were encountered. Shortened hospitalization and minimalized morbidity were encountered.

Conclusion: Transoral approach safely provides access to selected cases (well surrounded, benign, non-hypervascular, non-dumbbell shaped) of PPS tumors based on preoperative imaging and fine needle aspiration cytology. Risk of nonradicality is acceptable. It can be combined with external approach to achieve safe resection of some benign tumors which would need transmandibular approach.