Transoral robotic surgery of parapharyngeal space tumours: A series of four cases

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4 Citations (Scopus)

Abstract

Tumours arising from the parapharyngeal space (PPS) represent less than 1% of all head and neck tumours. Salivary gland tumours account for 40-50% of PPS lesions and are located in the pre-styloid parapharyngeal space. Pleomorphic adenomas represent 80-90% of salivary tumours in the PPS. Recently, transoral robotic surgery (TORS) has become common in head and neck surgery as a minimally invasive procedure. Four cases of benign PPS tumour treated with TORS are presented here. Preoperative diagnosis was conducted by fine needle aspiration biopsy and magnetic resonance imaging, and the results were used to plan the correct surgical approach. One case required a change of approach to conventional transoral blunt dissection. Patients required pain control and reported dysphagia symptoms for a period of weeks, but no nasogastric tube was needed at any time. This case series indicates that TORS is a safe surgical procedure for the excision of benign tumours of the PPS in selected cases.

Original languageEnglish
JournalInternational Journal of Oral and Maxillofacial Surgery
DOIs
Publication statusPublished - 2018

Fingerprint

Robotics
Neoplasms
Neck
Head
Pleomorphic Adenoma
Glandular and Epithelial Neoplasms
Deglutition Disorders
Fine Needle Biopsy
Dissection
Magnetic Resonance Imaging
Pain

Keywords

  • Lipoma
  • Parapharyngeal space
  • Pleomorphic adenoma
  • TORS
  • Transoral robotic surgery

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

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title = "Transoral robotic surgery of parapharyngeal space tumours: A series of four cases",
abstract = "Tumours arising from the parapharyngeal space (PPS) represent less than 1{\%} of all head and neck tumours. Salivary gland tumours account for 40-50{\%} of PPS lesions and are located in the pre-styloid parapharyngeal space. Pleomorphic adenomas represent 80-90{\%} of salivary tumours in the PPS. Recently, transoral robotic surgery (TORS) has become common in head and neck surgery as a minimally invasive procedure. Four cases of benign PPS tumour treated with TORS are presented here. Preoperative diagnosis was conducted by fine needle aspiration biopsy and magnetic resonance imaging, and the results were used to plan the correct surgical approach. One case required a change of approach to conventional transoral blunt dissection. Patients required pain control and reported dysphagia symptoms for a period of weeks, but no nasogastric tube was needed at any time. This case series indicates that TORS is a safe surgical procedure for the excision of benign tumours of the PPS in selected cases.",
keywords = "Lipoma, Parapharyngeal space, Pleomorphic adenoma, TORS, Transoral robotic surgery",
author = "Maglione, {M. G.} and A. Guida and E. Pavone and F. Longo and C. Aversa and S. Villano and F. Ionna",
year = "2018",
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language = "English",
journal = "International Journal of Oral and Maxillofacial Surgery",
issn = "0901-5027",
publisher = "Churchill Livingstone",

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T1 - Transoral robotic surgery of parapharyngeal space tumours

T2 - A series of four cases

AU - Maglione, M. G.

AU - Guida, A.

AU - Pavone, E.

AU - Longo, F.

AU - Aversa, C.

AU - Villano, S.

AU - Ionna, F.

PY - 2018

Y1 - 2018

N2 - Tumours arising from the parapharyngeal space (PPS) represent less than 1% of all head and neck tumours. Salivary gland tumours account for 40-50% of PPS lesions and are located in the pre-styloid parapharyngeal space. Pleomorphic adenomas represent 80-90% of salivary tumours in the PPS. Recently, transoral robotic surgery (TORS) has become common in head and neck surgery as a minimally invasive procedure. Four cases of benign PPS tumour treated with TORS are presented here. Preoperative diagnosis was conducted by fine needle aspiration biopsy and magnetic resonance imaging, and the results were used to plan the correct surgical approach. One case required a change of approach to conventional transoral blunt dissection. Patients required pain control and reported dysphagia symptoms for a period of weeks, but no nasogastric tube was needed at any time. This case series indicates that TORS is a safe surgical procedure for the excision of benign tumours of the PPS in selected cases.

AB - Tumours arising from the parapharyngeal space (PPS) represent less than 1% of all head and neck tumours. Salivary gland tumours account for 40-50% of PPS lesions and are located in the pre-styloid parapharyngeal space. Pleomorphic adenomas represent 80-90% of salivary tumours in the PPS. Recently, transoral robotic surgery (TORS) has become common in head and neck surgery as a minimally invasive procedure. Four cases of benign PPS tumour treated with TORS are presented here. Preoperative diagnosis was conducted by fine needle aspiration biopsy and magnetic resonance imaging, and the results were used to plan the correct surgical approach. One case required a change of approach to conventional transoral blunt dissection. Patients required pain control and reported dysphagia symptoms for a period of weeks, but no nasogastric tube was needed at any time. This case series indicates that TORS is a safe surgical procedure for the excision of benign tumours of the PPS in selected cases.

KW - Lipoma

KW - Parapharyngeal space

KW - Pleomorphic adenoma

KW - TORS

KW - Transoral robotic surgery

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