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85th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

28.05. - 01.06.2014, Dortmund

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Surgical management of expansive parapharyngeal space tumors in childhood

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  • corresponding author Adam Bach - University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
  • Zsolt Bella - University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
  • Laszlo Szekely - University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
  • Laszlo Rovo - University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 85. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Dortmund, 28.05.-01.06.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14hnod003

doi: 10.3205/14hnod003, urn:nbn:de:0183-14hnod0035

Published: April 14, 2014

© 2014 Bach et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Tumors of the parapharyngeal space are overall rare and account for approximately 0,5% of total head and neck neoplasms. The neurovascular anatomy of this potential space is not only dense, but also vital; therefore intraoperative damages may lead to serious morbidity even mortality. Obtaining access of this sensitive, deep-seated, pathology has been always a challenge. In cases of benign laesions – beside the complete removal – we have to reach preserved function and achive optimal aesthetic result. These goals are highly influenced by the appropriate visualisation of the surgical site. Various surgical approaches have been described. The choice of the surgeon is influenced by the exact localisation, size and histopathology of the tumor, and by the age of the patient. The authors present the different surgical approaches of the parapharyngeal space, and through three cases they specify the transcervical removing of a myo-fibroma, the transoral removing of a ganglioneuroma, and the facial degloving technique by a retromaxillar myxoma. The endoscopic-assisted techniques reduced radically the size of the exploration in all three cases, and with them a much more sufficient aesthetic result was available.

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