Endoscopy-assisted transoral approach for parapharyngeal space tumors:Our experience and a systematic review of the literature  

作　　者：Pietro Orlando Luca Giovanni Locatello Oreste Gallo Gianluca Leopardi Giandomenico Maggiore 

机构地区：[1]Department of Otorhinolaryngology,Careggi University Hospital,Florence,Italy [2]Department of Experimental and Clinical Medicine,University of Florence,Florence,Italy [3]Unit of Otorhinolaryngology,Azienda USL Toscana Centro,San Giuseppe Hospital,Empoli,Italy

出　　处：《World Journal of Otorhinolaryngology-Head and Neck Surgery》2023年第1期79-90,共12页世界耳鼻咽喉头颈外科杂志（英文）

摘　　要：Background:Several approaches have been described for the excision of parapharyngeal space tumors(PPSTs).Advances in endoscopy gave a further stimulus to the use of the transoral route.Aims:We present our experience with the endoscopy-assisted transoral approach(EATA)in this regard and a review of the most recent literature about EATA for PPSTs excision.Materials and Methods:We retrospectively analyzed our experience and systematically reviewed the literature about the outcomes of this technique.Results:Seven PPSTs were completely excised,with three of them requiring a combined transcervical approach.Only one case of postoperative wound dehiscence was registered,and the mean length of stay was 3.9 days.Final histopathological examination confirmed the results obtained with preoperative fine-needle aspiration biopsy in all cases and no recurrences were apparent after a mean follow-up of 28.1 months.Discussion:Magnetic resonance imaging,the modified Mallampati score and the 8 Ts criteria are useful instruments for the choice of the most appropriate surgical approach.Conclusion:In light of our experience and following other published series in the literature,we believe that EATA may represent a safe and effective approach for the treatment of the majority of PPSTs.

关 键 词：endoscope-assisted surgery head and neck surgery mini-invasive approach parapharyngeal space tumors transoral surgery 

分 类 号：R739.63[医药卫生—肿瘤]