The transcervical approach for parapharyngeal space pleomorphic adenomas: indications and technique.
<h4>Background</h4>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 tr...
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Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0090210&type=printable |
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| author | Gilad Horowitz Oded Ben-Ari Oshri Wasserzug Noam Weizman Moshe Yehuda Dan M Fliss |
| author_facet | Gilad Horowitz Oded Ben-Ari Oshri Wasserzug Noam Weizman Moshe Yehuda Dan M Fliss |
| author_sort | Gilad Horowitz |
| collection | DOAJ |
| description | <h4>Background</h4>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.<h4>Methods</h4>The surgical records and medical charts of 19 females and 10 males with parapharyngeal space pleomorphic adenomas operated between 1993 and 2012 were reviewed.<h4>Results</h4>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.<h4>Conclusion</h4>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 | Article |
| id | doaj-art-8ef35b57be9e46ab8ccf5a8fba5a478a |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-8ef35b57be9e46ab8ccf5a8fba5a478a2025-08-20T02:15:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0192e9021010.1371/journal.pone.0090210The transcervical approach for parapharyngeal space pleomorphic adenomas: indications and technique.Gilad HorowitzOded Ben-AriOshri WasserzugNoam WeizmanMoshe YehudaDan M Fliss<h4>Background</h4>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.<h4>Methods</h4>The surgical records and medical charts of 19 females and 10 males with parapharyngeal space pleomorphic adenomas operated between 1993 and 2012 were reviewed.<h4>Results</h4>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.<h4>Conclusion</h4>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.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0090210&type=printable |
| spellingShingle | Gilad Horowitz Oded Ben-Ari Oshri Wasserzug Noam Weizman Moshe Yehuda Dan M Fliss The transcervical approach for parapharyngeal space pleomorphic adenomas: indications and technique. PLoS ONE |
| 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 |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0090210&type=printable |
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