Surgical Management of Parapharyngeal Tumors: Our Experience

Abstract: Context Tumors of parapharyngeal space (PPS) are rare and histologically diverse. The management of these tumors requires diligent assessment and planning with due consideration of various anatomical and pathological aspects of the lesion. Aims This retrospective study aims to present our experiences in the clinical and pathological aspects of PPS tumors with a critical evaluation of management. Settings and Design Retrospective analytical study. Methods and Material The electronic medical records of 60 cases of PPS tumors, managed surgically from 2007 to 2017, were reviewed and analyzed using SPSS 22 software. The mean follow-up duration was 44 months. Results The mean age was 45 years with a male-to-female ratio of 1.7 (38:22). The majority of the tumors were benign (71.7%) and the most common presentation being upper neck mass or oropharyngeal mass. Histologically, neurogenic tumors were most common (43.3%) PPS tumors, followed by tumors of salivary gland origin. Magnetic resonance imaging was used as a diagnostic modality in 70% of cases, and computed tomography scan and positron emission tomography/CT were used in 26.7 and 3.3% of cases, respectively. In our study, the diagnostic accuracy of fine-needle aspiration cytology was 71% for benign and 47% for malignant lesions. The most common approach for surgery used was transcervical (72%). Conclusion The study reveals that cranial nerve palsy is the most common complication associated with PPS tumors. Completely resected, malignant tumors originating within PPS have a good prognosis, as compared with tumors extending or metastasized to PPS.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Surgical Management of Parapharyngeal Tumors: Our Experience ; volume:10 ; number:03 ; year:2021 ; pages:167-171
South Asian journal of cancer ; 10, Heft 03 (2021), 167-171

Contributor
Joshi, Poonam
Joshi, Kamal Deep
Nair, Sudhir
Bhati, Muddasir
Nair, Deepa
Bal, Munita
Joshi, Amit
Mummudi, Naveen
Tuljapurkar, Vidisha
Chaukar, Devendra A.
Chaturvedi, Pankaj

DOI
10.1055/s-0041-1731580
URN
urn:nbn:de:101:1-2022020409185641414404
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:34 AM CEST

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Associated

  • Joshi, Poonam
  • Joshi, Kamal Deep
  • Nair, Sudhir
  • Bhati, Muddasir
  • Nair, Deepa
  • Bal, Munita
  • Joshi, Amit
  • Mummudi, Naveen
  • Tuljapurkar, Vidisha
  • Chaukar, Devendra A.
  • Chaturvedi, Pankaj

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