Different Approaches to the Overlapping Infratemporal Fossa and Parapharyngeal Spaces: a Case Series and Review of Literature

被引:5
作者
Dwivedi, Gunjan [1 ]
Gupta, Vikas [2 ]
Tiwari, Vibhu [3 ]
Patnaik, Uma [1 ]
Sood, Amit [1 ]
Kumari, Abha [1 ]
Bharadwaja, Sanjeeva [3 ]
机构
[1] AFMC, CHSC, Dept ENT, Pune, Maharashtra, India
[2] CHCC, Dept ENT, Lucknow, Uttar Pradesh, India
[3] AFMC, Resident ENT, Pune, Maharashtra, India
关键词
Parapharyngeal space; Infratemporal fossa; Transparotid; Transcervical; Mandibulotomy; Maxillary swing; TRANSCERVICAL APPROACH; TUMORS; SURGERY;
D O I
10.1007/s12070-020-02168-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
Parapharyngeal space and infratemporal fossa are 2 overlapping spaces in head and neck which have complex anatomy with vital neurovascular structures passing through them. Tumors of this region are extremely rare but majority of them (80%) are benign. Benign tumors of this region can lead to swellings in facial region, neck and oropharynx. Dysphagia may be a complaint of the patient. Many of these tumors have malignant potential. Removal of these tumors requires a good understanding of the anatomy of this space so that correct surgical approach can be selected. The surgeon needs to be adept in using the most suitable surgical approach for excision of these tumors. There are various approaches which can be used to access these deeply seated tumors but the issue of prime importance is selecting the appropriate approach for the various tumors here based on their size and their exact location in this complex anatomical space. Inappropriate approach can lead to inadequate tumor excision and can lead to injuries to the neurovascular structures in this region which can cause significant disability. The case series reported here describes the various approaches to this region and highlights the importance of correct selection of the surgical approach.
引用
收藏
页码:2337 / 2343
页数:7
相关论文
共 18 条
[1]  
Abdel-Haleem A., 2011, EGYPT J EAR NOSE THR, V12, P25, DOI [10.1016/j.ejenta.2011.04.008, DOI 10.1016/J.EJENTA.2011.04.008]
[2]  
Arya S, 2012, OTORHINOLARYNGOL CLI, V4, P125, DOI [DOI 10.5005/JP-JOURNALS-10003-1098, 10.5005/jp-journals-10003-1098]
[3]  
Basaran B, 2014, ACTA OTORHINOLARYNGO, V34, P310
[4]   Transoral and combined transoral-transcervical approach in the surgery of parapharyngeal tumors [J].
Betka, Jan ;
Chovanec, Martin ;
Klozar, Jan ;
Taudy, Milos ;
Plzak, Jan ;
Kodetova, Dana ;
Lisy, Jiri .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2010, 267 (05) :765-772
[5]  
Carrau RL, 1995, LARYNGOSCOPE, V100, P583
[6]   The Mandibulotomy: Friend or Foe? Safety Outcomes and Literature Review [J].
Dziegielewski, Peter T. ;
Mlynarek, Alex M. ;
Dimitry, John ;
Harris, Jeffrey R. ;
Seikaly, Hadi .
LARYNGOSCOPE, 2009, 119 (12) :2369-2375
[8]  
Krishnan Suren, 2018, TUMORS PARAPHARYNGEA, P157
[9]   Transoral Excision of Parapharyngeal Tumors [J].
Lao, Wilson P. ;
Han, Peter S. ;
Lee, Nathan H. ;
Gilde, Jason E. ;
Inman, Jared C. .
ENT-EAR NOSE & THROAT JOURNAL, 2021, 100 (10) :NP454-NP458
[10]   PARAPHARYNGEAL SPACE TUMORS [J].
LAU, WF ;
LAM, KH ;
WEI, W .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1986, 56 (11) :835-842