Endoscopic transoral approach for resection of retrostyloid parapharyngeal space tumors: Retrospective analysis of 16 patients

被引：32
作者：
Li, Lifeng [1 ]
London, Nyall R., Jr. [2 ,3 ]
Gao, Yanyong [1 ]
Carrau, Ricardo L. [4 ]
Chen, Xiaohong [1 ]
机构：
[1] Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, 1st Dong Jiao Min Xiang, Beijing 100730, Peoples R China
[2] Johns Hopkins Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD USA
[3] Natl Inst Deafness & Other Commun Disorders, Sinonasal & Skull Base Tumor Program, NIH, Bethesda, MD USA
[4] Ohio State Univ, Wexner Med Ctr, James Canc Hosp, Dept Otolaryngol Head & Neck Surg, Columbus, OH 43210 USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2020年 / 42卷 / 12期
关键词：
endoscopic; parapharyngeal space; resection; retrostyloid space; schwannoma; transoral; SURGICAL-MANAGEMENT; ROBOTIC APPROACH; CASE SERIES; EXPERIENCE; MENINGIOMA; FOSSA;
D O I：
10.1002/hed.26415
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background The purpose of this study was to assess the feasibility of the endoscopic transoral approach for resection of retrostyloid benign tumors. Methods We retrospectively reviewed 16 patients with retrostyloid parapharyngeal space (PPS) tumors resected via an endoscopic transoral approach. After separation and control of the internal carotid artery (ICA), tumors in the retrostyloid PPS were then removed under the guidance of angled endoscope (45 degrees). Results All 16 patients with retrostyloid PPS tumors were successfully removed via an endoscopic transoral approach. There were 15 schwannomas and 1 paraganglioma. Two tumors were removeden bloc, and the other 14 tumors were removed by piecemeal. In five patients, the tumor extended into the jugular foramen, and was completely removed via the transoral corridor, without cerebrospinal fluid leak. No ICA injury was encountered in any of the 16 patients. Conclusion The endoscopic transoral approach is suitable for the resection of retrostyloid PPS tumors and is associated with low morbidity.
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收藏
页码：3531 / 3537
页数：7
相关论文
共 24 条
[1]   A rare case of extracranial meningioma in parapharyngeal space presented as a neck mass [J].
Albsoul, Nader ;
Rawashdeh, Badi ;
Albsoul, Ahmad ;
Abdullah, Mohammad ;
Golestani, Simin ;
Rawshdeh, Aasem ;
Mohammad, Mona ;
Alzoubi, Mohammad .
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2015, 11 :40-43
[2]   Transoral Robotic Surgery in Retrostyloid Parapharyngeal Space Schwannomas [J].
Ansarin, Mohssen ;
Tagliabue, Marta ;
Chu, Francesco ;
Zorzi, Stefano ;
Proh, Michele ;
Preda, Lorenzo .
CASE REPORTS IN OTOLARYNGOLOGY, 2014, 2014
[3]   Endoscopic Endonasal Transpterygoid Transmaxillary Approach to the Infratemporal and Upper Parapharyngeal Tumors [J].
Battaglia, Paolo ;
Turri-Zanoni, Mario ;
Dallan, Iacopo ;
Gallo, Stefania ;
Sica, Eleonora ;
Padoan, Giovanni ;
Castelnuovo, Paolo .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2014, 150 (04) :696-702
[4]   Transoral robotic approach to parapharyngeal space tumors: Case series and technical limitations [J].
Boyce, Brian J. ;
Curry, Joseph M. ;
Luginbuhl, Adam ;
Cognetti, David M. .
LARYNGOSCOPE, 2016, 126 (08) :1776-1782
[5]   Update on the management of parapharyngeal tumours [J].
Bradley, Patrick J. ;
Bradley, Paula T. ;
Olsen, Kerry D. .
CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2011, 19 (02) :92-98
[6]   Transoral robotic resection of benign tumors of the upper aerodigestive tract: Experience of the French group of GETTEC [J].
Chabrillac, Emilien ;
Moriniere, Sylvain ;
Jegoux, Franck ;
Blanchard, David ;
Choussy, Olivier ;
Hans, Stephane ;
Vergez, Sebastien .
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2018, 40 (09) :2043-2049
[7]   Transoral robotic surgery of the parapharyngeal space: A case series and systematic review [J].
Chan, Jason Y. K. ;
Tsang, Raymond K. ;
Eisele, David W. ;
Richmon, Jeremy D. .
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2015, 37 (02) :293-298
[8]   The Role of Transoral Robotic Surgery for Parapharyngeal Space: Experience of a Tertiary Center [J].
Chu, Francesco ;
De Berardinis, Rita ;
Tagliabue, Marta ;
Zorzi, Stefano ;
Bandi, Francesco ;
Ansarin, Mohssen .
JOURNAL OF CRANIOFACIAL SURGERY, 2020, 31 (01) :117-120
[9]   Endoscopic-assisted transoral-transpharyngeal approach to parapharyngeal space and infratemporal fossa: focus on feasibility and lessons learned [J].
Dallan, Iacopo ;
Fiacchini, Giacomo ;
Turri-Zanoni, Mario ;
Seccia, Veronica ;
Battaglia, Paolo ;
Casani, Augusto Pietro ;
Cristofani-Mencacci, Lodovica ;
Sellari-Franceschini, Stefano .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2016, 273 (11) :3965-3972
[10]   Parapharyngeal space tumors: 61 case reviews [J].
Dimitrijevic, M. V. ;
Jesic, S. D. ;
Mikic, A. A. ;
Arsovic, N. A. ;
Tomanovic, N. R. .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2010, 39 (10) :983-989
123