BENIGN PARAPHARYNGEAL SPACE TUMOURS – AN ACCESS WITHOUT MANDIBULOTOMY

Document Type : Original Article

Authors

1 Associate Professor Maxillofacial Surgery, Faculty of Medicine, El Minia University, Egypt

2 Plastic Surgery Unit, Faculty of Medicine, El Minia University, Egypt.

3 General Surgery Department, Faculty of Medicine, El Minia University, Egypt.

Abstract

Aim: The aim of this work was to assess the accessibility of the transcervical and the transcervicaltransparotid approaches per se without access mandibulotomy for removal of benign parapharyngeal space 
(PPS) tumours and checking the probability of occurrence of any possible postoperative ENT morbidity.
Methods: 16 patients had benign parapharyngeal tumours were subjected to surgical removal of these 
tumours. 13 of them were females and 3 were males. Their age ranged between 35 and 65 years old. The 
main diagnostic tool was CT scan. 12 (75%) of them had extraparotid origin (poststyloid) and were accessed 
transcervically and 4 (25%) originated from the deep parotid lobe (Prestyloid) and were accessed 
transcervically - transparotid.
Results: All the tumours have been successfully removed without major reported complications and 
without a need to do access mandibulotomy, even for large sized tumours. All the symptoms improved 
without ENT morbidity. No tumour recurrence observed in the follow up period that extended for a mean 
of one year.
Conclusion: Transcervical and transcervical - transparotid approaches were found to have a very good 
accessibility for removal of benign PPS tumours without the need for access mandibulotomy. .It has also a 
very good patient outcome regarding the occurrence of any ENT complications.

Keywords