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The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique
BACKGROUND: Head and Neck Parapharyngeal space tumors are rare. Pleomorphic Adenomas are the most common Parapharyngeal space tumors. The purpose of this study was to define preoperative criteria for enabling full extirpation of parapharyngeal space pleomorphic adenomas via the transcervical approac...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3937375/ https://www.ncbi.nlm.nih.gov/pubmed/24587286 http://dx.doi.org/10.1371/journal.pone.0090210 |
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author | Horowitz, Gilad Ben-Ari, Oded Wasserzug, Oshri Weizman, Noam Yehuda, Moshe Fliss, Dan M. |
author_facet | Horowitz, Gilad Ben-Ari, Oded Wasserzug, Oshri Weizman, Noam Yehuda, Moshe Fliss, Dan M. |
author_sort | Horowitz, Gilad |
collection | PubMed |
description | BACKGROUND: Head and Neck Parapharyngeal space tumors are rare. Pleomorphic Adenomas are the most common Parapharyngeal space tumors. The purpose of this study was to define preoperative criteria for enabling full extirpation of parapharyngeal space pleomorphic adenomas via the transcervical approach while minimizing functional and cosmetic morbidity. METHODS: The surgical records and medical charts of 19 females and 10 males with parapharyngeal space pleomorphic adenomas operated between 1993 and 2012 were reviewed. RESULTS: Fifteen patients were operated by a simple transcervical approach, 13 by a transparotid transcervical approach, and one by a transmandibular transcervical approach. Complications included facial nerve paralysis, infection, hemorrhage and first bite syndrome. There were three recurrences, but neither recurrence nor complications were associated with the type of surgical approach. CONCLUSION: A simple transcervical approach is preferred for parapharyngeal space pleomorphic adenomas with narrow attachments to the deep lobe of the parotid gland and for pleomorphic adenomas originating in a minor salivary gland within the parapharyngeal space. |
format | Online Article Text |
id | pubmed-3937375 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-39373752014-03-04 The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique Horowitz, Gilad Ben-Ari, Oded Wasserzug, Oshri Weizman, Noam Yehuda, Moshe Fliss, Dan M. PLoS One Research Article BACKGROUND: Head and Neck Parapharyngeal space tumors are rare. Pleomorphic Adenomas are the most common Parapharyngeal space tumors. The purpose of this study was to define preoperative criteria for enabling full extirpation of parapharyngeal space pleomorphic adenomas via the transcervical approach while minimizing functional and cosmetic morbidity. METHODS: The surgical records and medical charts of 19 females and 10 males with parapharyngeal space pleomorphic adenomas operated between 1993 and 2012 were reviewed. RESULTS: Fifteen patients were operated by a simple transcervical approach, 13 by a transparotid transcervical approach, and one by a transmandibular transcervical approach. Complications included facial nerve paralysis, infection, hemorrhage and first bite syndrome. There were three recurrences, but neither recurrence nor complications were associated with the type of surgical approach. CONCLUSION: A simple transcervical approach is preferred for parapharyngeal space pleomorphic adenomas with narrow attachments to the deep lobe of the parotid gland and for pleomorphic adenomas originating in a minor salivary gland within the parapharyngeal space. Public Library of Science 2014-02-27 /pmc/articles/PMC3937375/ /pubmed/24587286 http://dx.doi.org/10.1371/journal.pone.0090210 Text en © 2014 Horowitz et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Horowitz, Gilad Ben-Ari, Oded Wasserzug, Oshri Weizman, Noam Yehuda, Moshe Fliss, Dan M. The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique |
title | The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique |
title_full | The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique |
title_fullStr | The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique |
title_full_unstemmed | The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique |
title_short | The Transcervical Approach for Parapharyngeal Space Pleomorphic Adenomas: Indications and Technique |
title_sort | transcervical approach for parapharyngeal space pleomorphic adenomas: indications and technique |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3937375/ https://www.ncbi.nlm.nih.gov/pubmed/24587286 http://dx.doi.org/10.1371/journal.pone.0090210 |
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