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Modified transoral approach for excision of parapharyngeal pleomorphic adenoma

Published:January 20, 2023DOI:https://doi.org/10.1016/j.bjoms.2022.12.011
      Parapharyngeal space (PPS) tumours are rare, usually benign pleomorphic adenoma (PSA) [

      Keut M.L., Kasbekar A.V., Materson L., Jani P. 2015. Management of tumours arising from the parapharyngeal space: A systematic review of 1,293 cases reported over 25 years. The Laryngoscope 2015; 125(6): 1372-1381.

      ,
      • Riffat F.
      • Dwivedi R.C.
      • Palme C.
      • Fish B.
      • Jani P.
      A Systematic Review of 1143 parapharyngeal space tumours reported over 20 years.
      ] which can arise from deep lobe of parotid or minor salivary glands. Their surgical management is often challenging owing to access difficulty and proximity of vital structures. Options for approach include transoral, transcervical, transparotid and combined methods with or without mandibulotomy, robotic or endoscopic techniques.Fig 1.
      Figure thumbnail gr1
      Figure 1Illustration of position of transoral incision. Incision line marked in purple.

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      References

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