Clinical application of endoscopy-assisted resection of tumors in parapharyngeal space.

Li LI; Peng Lin; Xianfeng Wei; Wei Wang; Shengchi Zhang

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Clinical application of endoscopy-assisted resection of tumors in parapharyngeal space.

Author: Li LI ¹ ; Peng LIN ² ; Xianfeng WEI ¹ ; Wei WANG ¹ ; Shengchi ZHANG ¹
Author Information

1. Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Tianjin Institute of Otolaryngology, Tianjin 300192, China.
2. Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Tianjin Institute of Otolaryngology, Tianjin 300192, China. Email: linpengf@sina.com.
Publication Type:Journal Article
MeSH: Adenoma, Pleomorphic; Adult; Aged; Carcinoma, Adenoid Cystic; Endoscopy; Female; Head; Head and Neck Neoplasms; surgery; Humans; Male; Middle Aged; Neck; Neoplasm Recurrence, Local; Neoplasm, Residual; Neurilemmoma; Parotid Gland; Parotid Neoplasms; Pharynx; surgery; Salivary Gland Neoplasms
From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2014;49(12):986-989
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo explore the advancement of the endoscopic video system in parapharyngeal space tumor resection.
METHODSThirty cases parapharyngeal space tumor patients underwent endoscopy-assisted tumors resection in otorhinolaryngology-head and neck surgery of Tianjin First Central Hospital. The passway included trans-oral cavity in 6 cases, 21 cases with trans-neck side and trans-neck-parotid gland in 3 cases.
RESULTSTumors of all cases were completely resected, without residual tumor. It was included 23 cases of benign tumors (14 cases of parotid pleomorphic adenoma, 8 cases of neurilemmoma, lymph node tuberculosis in 1 case), malignant tumor in 7 cases (2 cases of metastatic carcinoma, 2 cases of malignant mixed tumor, 1 case of malignant neurilemmoma, 2 cases of adenoid cystic carcinoma). Tongue deflection was recorded in 2 cases. There were neither wound infection or bleeding. All the cases were followed up after operation without recurrence. Seven cases of malignant tumor patients were all alive with follow-up 1 year in 1 case, 3 years in 4 cases, 2 cases for five years.
CONCLUSIONSEndoscopy-assisted tumors resection can deal with visual lesion corner and allow previous part no visibility surgery into all operation under direct vision. It contributed to improve the quality of operation, reduce the surgery complication. It was worth to be wide spreaded in clinic.