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Head Neck. 2018 Dec 14. doi: 10.1002/hed.25439. [Epub ahead of print]

Contemporary management of primary parapharyngeal space tumors.

Author information

1
Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain.
2
Instituto de Investigación Sanitaria del Principado de Asturias, Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, CIBERONC, Oviedo, Spain.
3
Department of Otorhinolaryngology-Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
4
Department of Oncology, Section Head and Neck Oncology, University Hospitals Leuven, Leuven, Belgium.
5
Department of Otorhinolaryngology, Head and Neck Surgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
6
NHS Lothian, University of Edinburgh, Edinburgh, United Kingdom.
7
Department of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia.
8
Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
9
Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
10
Department of Otolaryngology, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
11
Department of Otolaryngology-Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
12
Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
13
Head and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
14
Department of Surgery, School of Medicine, Universidad de Antioquia, Clínica Vida/Instituto de Cancerología Las Américas, Medellín, Colombia.
15
University of Udine School of Medicine, Udine, Italy.
16
Coordinator of the International Head and Neck Scientific Group.

Abstract

The parapharyngeal space is a complex anatomical area. Primary parapharyngeal tumors are rare tumors and 80% of them are benign. A variety of tumor types can develop in this location; most common are salivary gland neoplasm and neurogenic tumors. The management of these tumors has improved greatly owing to the developments in imaging techniques, surgery, and radiotherapy. Most tumors can be removed with a low rate of complications and recurrence. The transcervical approach is the most frequently used. In some cases, minimally invasive approaches may be used alone or in combination with a limited transcervical route, allowing large tumors to be removed by reducing morbidity of expanded approaches. An adequate knowledge of the anatomy and a careful surgical plan is essential to tailor management according to the patient and the tumor. The purpose of the present review was to update current aspects of knowledge related to this more challenging area of tumor occurrence.

KEYWORDS:

paraganglioma; parapharyngeal tumors; pleomorphic adenoma; schwannoma; transcervical approach

PMID:
30549361
DOI:
10.1002/hed.25439

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