Background. Surgical approaches to the parapharyngeal space (PPS) are challenging by virtue of deep location and neurovascular content. Juvenile Nasopharyngeal Angiofibroma (JNA) is a formidable hypervascular tumor that involves multiple compartments with increase in size. In tumors with extension to parapharyngeal space, the endonasal approach was observed to be inadequate. Combined Endoscopic...

Parapharyngeal space (PPS) is one of potential space of head and neck region and due to its hidden anatomical location, pathologies arising in this space are late to diagnose. This inverted pyramidal space was termed previously as pterygomaxillary space, lateral pharyngeal space and pharyngio-maxillary space. Parapharyngeal space is the current term that has come to stay because of indistinct i...

The aim of this study was to describe our experience with benign parapharyngeal space tumours resected via a transcervical route without mandibulotomy and to investigate associated postoperative sequelae and complications. The study investigated and analysed the retrospective charts of 44 patients who underwent surgery for benign parapharyngeal space tumours over a 10-year period. The diagnosis...

Retropharyngeal lipomas are rare tumours that are usually asymptomatic until they reach a large size. The definitive treatment is surgical excision. Since the tumours are typically large at the time of presentation, extensive surgery for complete clearance of the lipoma from the retropharyngeal and parapharyngeal regions is to be expected. Transoral excision is typically indicated for small ret...

Neurofibroma of the parapharyngeal space accounts for less than 2% of all parapharyngeal space neoplasms. A 38-year-old man presented with complaints of snoring and left-sided nasal obstruction. Medical history also revealed numerous huge skin neurofibromas and multiple café au lait spots all over the body. Pharyngeal endoscopic examination disclosed a firm, nonpulsatile submucosal mass, pushin...

Solitary fibrous tumor (SFT) is a well-known tumor composed of spindle cells found most commonly in the pleura. Recently, accounts of their rare occurrence at other sites, including the head and neck area, have been reported. The parapharyngeal space is a rare location even for head and neck SFTs, and thus, could be confused with a variety of other tumors that can originate in this area. Here, ...

BACKGROUND Synovial sarcoma is a rare soft tissue sarcoma in the head and neck region and parapharyngeal space. There is no previous cytologic report of synovial sarcoma of parapharynx. The cytologic and immunocytochemical findings of a parapharyngeal biphasic synovial sarcoma together with diagnostic pitfalls are described. CASE REPORT A 21-year-old girl presented with a 6-month history of p...

Methods: The da Vinci Robotic Surgical System (Si) was used for complete resection of four skull base tumors. Two pleomorphic adenomas in the parapharyngeal space, one pleomorphic adenoma in the infratemporal fossa and one metastatic papillary thyroid cancer node in the high retropharyneal nodal basin were resected. A transpalatal approach was used to access the infratemporal fossa (n=1) and re...

Tumors of the prestyloid parapharyngeal space are uncommon but challenging due to the variety of lesions encountered and the complex anatomy of the involved area. Fortunately, these tumors are generally benign, and therefore, they bring expectations from the patient and the physician that excision should lead to low morbidity and very low mortality. Since patients rarely die of these tumors, th...

Tumors of the parapharyngeal space are rare tumors comprising less than 1% of all head and neck neoplasms. They are mainly salivary gland or neurogenic tumors. Clinical presentation is very variable. Surgical resection by different approaches remains to be the best possible treatment option. We present a case of 45 years old female patient admitted at the ENT Department due to the unilateral he...