The management of parapharyngeal tumor is surgical, but the approach remains a challenge. Attention should be paid to avoidance intra-operative bleeding or cranial nerves damage. We report a case of a 67-year-old male complaining of left-ear fullness. A submucosal mass arising from the lateral wall of oropharynx on the left side was observed. Magnetic resonance imaging detected a mass arising from the parotid gland, in particular from the deep lobe, and a fine needle biopsy was compatible with "Warthin tumor." We performed a mini-invasive transoral approach under magnification, previous isolation of homolateral vessels. The decision on which surgical approach to be used is determined by site, size vascularity, and histology of the tumor. A literature review of the main surgical approaches was performed. We performed a combined transoral dissection under magnification with cervicotomic exposure of the neck vascular bundle allowing to dissect the tumor and manage any intra-operative complications.

A safe transoral surgical approach to parapharyngeal tumor arising from deep lobe of parotid gland / Casale, Manuele; Capuano, Francesco; Sabatino, Lorenzo; Pace, Annalisa; Oliveto, Giuseppe; Vella, Paola; Moffa, Antonio; Salvinelli, Fabrizio. - In: SAGE OPEN MEDICAL CASE REPORTS. - ISSN 2050-313X. - 4:(2016). [10.1177/2050313X16682131]

A safe transoral surgical approach to parapharyngeal tumor arising from deep lobe of parotid gland

PACE, ANNALISA;
2016

Abstract

The management of parapharyngeal tumor is surgical, but the approach remains a challenge. Attention should be paid to avoidance intra-operative bleeding or cranial nerves damage. We report a case of a 67-year-old male complaining of left-ear fullness. A submucosal mass arising from the lateral wall of oropharynx on the left side was observed. Magnetic resonance imaging detected a mass arising from the parotid gland, in particular from the deep lobe, and a fine needle biopsy was compatible with "Warthin tumor." We performed a mini-invasive transoral approach under magnification, previous isolation of homolateral vessels. The decision on which surgical approach to be used is determined by site, size vascularity, and histology of the tumor. A literature review of the main surgical approaches was performed. We performed a combined transoral dissection under magnification with cervicotomic exposure of the neck vascular bundle allowing to dissect the tumor and manage any intra-operative complications.
2016
parapharyngeal mass; Warthin tumor; cervical resection; transoral resection
01 Pubblicazione su rivista::01i Case report
A safe transoral surgical approach to parapharyngeal tumor arising from deep lobe of parotid gland / Casale, Manuele; Capuano, Francesco; Sabatino, Lorenzo; Pace, Annalisa; Oliveto, Giuseppe; Vella, Paola; Moffa, Antonio; Salvinelli, Fabrizio. - In: SAGE OPEN MEDICAL CASE REPORTS. - ISSN 2050-313X. - 4:(2016). [10.1177/2050313X16682131]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/962365
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