Surgical Management of Parapharyngeal Tumors: Our Experience

Context Tumors of parapharyngeal space (PPS) are rare and histologically diverse. The management of these tumors requires diligent assessment and planning with due consideration of various anatomical and pathological aspects of the lesion. Aims This retrospective study aims to present our...

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Autores principales:	Poonam Joshi, Kamal Deep Joshi, Sudhir Nair, Muddasir Bhati, Deepa Nair, Munita Bal, Amit Joshi, Naveen Mummudi, Vidisha Tuljapurkar, Devendra A. Chaukar, Pankaj Chaturvedi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	parapharyngeal space tumors surgical approach cranial nerve palsies deep neck space tumors schwannoma Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/e52f6c5724ca42fe85c3b1f8ef6c5900
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spelling	oai:doaj.org-article:e52f6c5724ca42fe85c3b1f8ef6c59002021-11-25T01:50:29ZSurgical Management of Parapharyngeal Tumors: Our Experience2278-330X2278-430610.1055/s-0041-1731580https://doaj.org/article/e52f6c5724ca42fe85c3b1f8ef6c59002021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731580https://doaj.org/toc/2278-330Xhttps://doaj.org/toc/2278-4306Context Tumors of parapharyngeal space (PPS) are rare and histologically diverse. The management of these tumors requires diligent assessment and planning with due consideration of various anatomical and pathological aspects of the lesion. Aims This retrospective study aims to present our experiences in the clinical and pathological aspects of PPS tumors with a critical evaluation of management. Settings and Design Retrospective analytical study. Methods and Material The electronic medical records of 60 cases of PPS tumors, managed surgically from 2007 to 2017, were reviewed and analyzed using SPSS 22 software. The mean follow-up duration was 44 months. Results The mean age was 45 years with a male-to-female ratio of 1.7 (38:22). The majority of the tumors were benign (71.7%) and the most common presentation being upper neck mass or oropharyngeal mass. Histologically, neurogenic tumors were most common (43.3%) PPS tumors, followed by tumors of salivary gland origin. Magnetic resonance imaging was used as a diagnostic modality in 70% of cases, and computed tomography scan and positron emission tomography/CT were used in 26.7 and 3.3% of cases, respectively. In our study, the diagnostic accuracy of fine-needle aspiration cytology was 71% for benign and 47% for malignant lesions. The most common approach for surgery used was transcervical (72%). Conclusion The study reveals that cranial nerve palsy is the most common complication associated with PPS tumors. Completely resected, malignant tumors originating within PPS have a good prognosis, as compared with tumors extending or metastasized to PPS.Poonam JoshiKamal Deep JoshiSudhir NairMuddasir BhatiDeepa NairMunita BalAmit JoshiNaveen MummudiVidisha TuljapurkarDevendra A. ChaukarPankaj ChaturvediThieme Medical and Scientific Publishers Pvt. Ltd.articleparapharyngeal space tumorssurgical approachcranial nerve palsiesdeep neck space tumorsschwannomaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENSouth Asian Journal of Cancer (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	parapharyngeal space tumors surgical approach cranial nerve palsies deep neck space tumors schwannoma Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	parapharyngeal space tumors surgical approach cranial nerve palsies deep neck space tumors schwannoma Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Poonam Joshi Kamal Deep Joshi Sudhir Nair Muddasir Bhati Deepa Nair Munita Bal Amit Joshi Naveen Mummudi Vidisha Tuljapurkar Devendra A. Chaukar Pankaj Chaturvedi Surgical Management of Parapharyngeal Tumors: Our Experience
description	Context Tumors of parapharyngeal space (PPS) are rare and histologically diverse. The management of these tumors requires diligent assessment and planning with due consideration of various anatomical and pathological aspects of the lesion. Aims This retrospective study aims to present our experiences in the clinical and pathological aspects of PPS tumors with a critical evaluation of management. Settings and Design Retrospective analytical study. Methods and Material The electronic medical records of 60 cases of PPS tumors, managed surgically from 2007 to 2017, were reviewed and analyzed using SPSS 22 software. The mean follow-up duration was 44 months. Results The mean age was 45 years with a male-to-female ratio of 1.7 (38:22). The majority of the tumors were benign (71.7%) and the most common presentation being upper neck mass or oropharyngeal mass. Histologically, neurogenic tumors were most common (43.3%) PPS tumors, followed by tumors of salivary gland origin. Magnetic resonance imaging was used as a diagnostic modality in 70% of cases, and computed tomography scan and positron emission tomography/CT were used in 26.7 and 3.3% of cases, respectively. In our study, the diagnostic accuracy of fine-needle aspiration cytology was 71% for benign and 47% for malignant lesions. The most common approach for surgery used was transcervical (72%). Conclusion The study reveals that cranial nerve palsy is the most common complication associated with PPS tumors. Completely resected, malignant tumors originating within PPS have a good prognosis, as compared with tumors extending or metastasized to PPS.
format	article
author	Poonam Joshi Kamal Deep Joshi Sudhir Nair Muddasir Bhati Deepa Nair Munita Bal Amit Joshi Naveen Mummudi Vidisha Tuljapurkar Devendra A. Chaukar Pankaj Chaturvedi
author_facet	Poonam Joshi Kamal Deep Joshi Sudhir Nair Muddasir Bhati Deepa Nair Munita Bal Amit Joshi Naveen Mummudi Vidisha Tuljapurkar Devendra A. Chaukar Pankaj Chaturvedi
author_sort	Poonam Joshi
title	Surgical Management of Parapharyngeal Tumors: Our Experience
title_short	Surgical Management of Parapharyngeal Tumors: Our Experience
title_full	Surgical Management of Parapharyngeal Tumors: Our Experience
title_fullStr	Surgical Management of Parapharyngeal Tumors: Our Experience
title_full_unstemmed	Surgical Management of Parapharyngeal Tumors: Our Experience
title_sort	surgical management of parapharyngeal tumors: our experience
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/e52f6c5724ca42fe85c3b1f8ef6c5900
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Surgical Management of Parapharyngeal Tumors: Our Experience

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