Transoral robotic assisted resection of the parapharyngeal space.

Transoral Resection of Giant Parapharyngeal Space Tumors via a Combined Surgical Approach

Introduction: Parapharyngeal space (PPS) tumors account for 0.5% of the head and neck neoplasms. Based on the evidence, 80% of these tumors are of a benign nature. Surgical excision is the treatment of choice for this condition. The present study was conducted to propose transoral resection as an efficient way to excise the benign well-defined tumors of the PPS.   Materials and Methods: Thi...

Lateral palatal flap approach to the nasopharynx and parapharyngeal space for transoral robotic surgery: a cadaveric study

The da Vinci surgical robot has been used for minimally invasive surgery of the head and neck region including resection of tumors in the nasopharynx. Access to and vision of the nasopharynx with the robot are difficult. A pure transoral approach and midline palatal split approach have been described. The disadvantage of these approaches is the limited lateral access to the parapharyngeal space...

Surgical Approaches to Benign Parapharyngeal Space Tumors-5-Year Experience

Introduction: Various surgical approaches to parapharyngeal space (PPS) tumors are introduced to obtain complete removal with the preservation of the surrounding structures in parapharyngealneoplasms. Here, we will discuss the main techniques and their outcome.   Materials and Methods: This retrospective study was conducted on 78 patients undergone either transoral, tran...

Endoscope-assisted Transoral Approach for Parapharyngeal Space Tumor Resection

Endoscopy-assisted transoral resection of large benign parapharyngeal space tumors.

We have evaluated the outcomes of endoscopically-assisted resection of large benign tumours of the parapharyngeal space by an intraoral approach. Six patients with primary benign tumours were treated in this way. The lesions were pleomorphic adenomas, Warthin's tumour, and schwannoma. The sizes of the tumours varied from 4×4 cm to 7×7 cm. All tumours were removed completely without rupture and ...