Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Gastroenterological Surgery
- Oral and Maxillofacial Surgery
- Orthopaedic Surgery
- Endocrine Surgery
- Cardiovascular Surgery
- Surgical Oncology
- Plastic Surgery
- Neurological Surgery
Abstract
Citation: Clin Surg. 2020;5(1):2801.Research Article | Open Access
Outcome of Treatment in Locally Advanced Parapharyngeal Tumors
Arjun Gupta1, Azeem Mohiyuddin SM1*, Sagayaraj A1 and Prasad CSBR2
1Department of Otorhinolaryngology, Sri Devaraj Urs Medical College, India
2Department of Pathology, Sri Devaraj Urs Medical College, India
*Correspondance to: Azeem Mohiyuddin SM
PDF Full Text DOI: 10.25107/2474-1647.2801
Abstract
Parapharyngeal tumors are uncommon and a challenge to the surgeon as they are large and intimately related to carotids and lower cranial nerves at the time of presentation. This was a retrospective study of 36 large parapharyngeal tumors operated at a tertiary care rural hospital. Seventy eight percentage of tumors were benign, most common being schwannoma followed by pleomorphic adenoma. Most common malignant tumor was mucoepidermoid carcinoma (19%). Pre operative imaging and fine needle aspiration biopsy helped in diagnosis and planning of surgical approach. Tumors of neural origin were post-styloid and salivary origin tumors were pre-styloid. Majority of patients presented with large neck swelling and 28% had medial displacement of tonsil compromising the oropharyngeal space. 11% presented with stridor requiring emergency tracheostomy. Cervical with transparotid approach was most common surgical approach followed by only cervical approach. FNAB correlated with histopathology report in 94% patients. Transient paralysis of lower division of facial nerve was the most common complication. Only 2 patients required sacrifice of facial nerve and in one of them nerve was grafted. Only 1 patient in this series had permanent paralysis of vagus and hypoglossal nerve. A 22% of them were malignant salivary tumors and one of them recurred leading to death. Benign tumors did not recur. In our experience these challenging tumors have a good outcome but require meticulous planning and surgery.
Keywords
Parapharyngeal space tumors; Surgical approach; Schwannoma; Neurofibroma; Salivary tumors; Cranial nerve palsy
Cite the article
Gupta A, Azeem Mohiyuddin SM, Sagayaraj A, Prasad CSBR. Outcome of Treatment in Locally Advanced Parapharyngeal Tumors. Clin Surg. 2020; 5: 2801..
