Your browser doesn't support javascript.
loading
Transoral endoscopic resection of benign tumors in parapharyngeal space via medial pterygomandibular raphe approach / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery ; (12): 36-41, 2022.
Article in Chinese | WPRIM | ID: wpr-936170
ABSTRACT

Objective:

To explore the surgical methods and effects of transoral endoscopic resection of benign tumors in parapharyngeal space via medial pterygomandibular raphe approach.

Methods:

The clinical data of 23 patients who underwent resection of benign tumors in parapharyngeal space by endoscopic medial pterygomandibular raphe approach from January 2016 to July 2020 in the Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University were analyzed retrospectively. There were 14 males and 9 females with a median age of 43 years. The tumors were located in the anterior space of the styloid process in 13 cases and in the posterior space in 10 cases. The smallest tumor volume was 7.3 ml and the largest was 80.2 ml. The preoperative imaging features, the characteristics and risks of this approach in the operation were analyzed, and the feasible mode of operation was explored.

Results:

All patients completed the operation successfully. The intraoperative blood loss was 20 to 50 ml, with an average of 28.3 ml. The operation time was 40 to 110 min, with an average of 75.4 min. The incision length was 2 to 4 cm, with an average of 3.0 cm. The postoperative pain score was 2 to 4, with an average of 3.2. The postoperative hospital stay was 4 to 9 d, with an average of 6.7 d. Postoperative pathological diagnosis included pleomorphic adenoma (n=12), neurilemmoma (n=10) and basal cell adenoma (n=1). The patients were followed up for 6 to 60 months. There was no postoperative complication such as infection or serious bleeding, and there was no tumor recurrence after operation.

Conclusion:

Endoscopic resection of benign tumor in parapharyngeal space via medial pterygomandibular raphe approach is a safe, effective, and minimally invasive surgical method for the treatment of tumors in parapharyngeal space.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pharynx / Pharyngeal Neoplasms / Retrospective Studies / Parapharyngeal Space / Neoplasm Recurrence, Local Type of study: Observational study Limits: Adult / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Year: 2022 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pharynx / Pharyngeal Neoplasms / Retrospective Studies / Parapharyngeal Space / Neoplasm Recurrence, Local Type of study: Observational study Limits: Adult / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Year: 2022 Type: Article