BENIGN PARAPHARYNGEAL SPACE TUMOURS – AN ACCESS WITHOUT MANDIBULOTOMY | ||
| The Egyptian Journal of Surgery | ||
| Article 3, Volume 30, Issue 2, April 2011, Pages 55-61 PDF (578.46 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2011.367370 | ||
| Authors | ||
| Ahmad Mahrous* 1; Abdelaziz Elsherif2; Ashraf Elsherif3 | ||
| 1Associate Professor Maxillofacial Surgery, Faculty of Medicine, El Minia University, Egypt | ||
| 2Plastic Surgery Unit, Faculty of Medicine, El Minia University, Egypt. | ||
| 3General Surgery Department, Faculty of Medicine, El Minia University, Egypt. | ||
| Abstract | ||
| Aim: The aim of this work was to assess the accessibility of the transcervical and the transcervicaltransparotid approaches per se without access mandibulotomy for removal of benign parapharyngeal space (PPS) tumours and checking the probability of occurrence of any possible postoperative ENT morbidity. Methods: 16 patients had benign parapharyngeal tumours were subjected to surgical removal of these tumours. 13 of them were females and 3 were males. Their age ranged between 35 and 65 years old. The main diagnostic tool was CT scan. 12 (75%) of them had extraparotid origin (poststyloid) and were accessed transcervically and 4 (25%) originated from the deep parotid lobe (Prestyloid) and were accessed transcervically - transparotid. Results: All the tumours have been successfully removed without major reported complications and without a need to do access mandibulotomy, even for large sized tumours. All the symptoms improved without ENT morbidity. No tumour recurrence observed in the follow up period that extended for a mean of one year. Conclusion: Transcervical and transcervical - transparotid approaches were found to have a very good accessibility for removal of benign PPS tumours without the need for access mandibulotomy. .It has also a very good patient outcome regarding the occurrence of any ENT complications. | ||
| Keywords | ||
| Parapharyngeal tumours; Oropharyngeal tumours; Access mandibulotomy; Transcervical approach | ||
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