Minimally invasive management of parapharyngeal space tumors:Introducing a decision-making algorithm and radiologic tool  

作　　者：Manuel Schoch Gunesh Rajan Grzegorz Karwacki 

机构地区：[1]Department of Otolaryngology and Head-Neck Surgery,Hospital of St.Gall,St.Gallen,Switzerland [2]Department of Otolaryngology and Head-Neck Surgery,Hospital of Lucerne,Luzern,Switzerland [3]Department of Radiology and Nuclear Medicine,Hospital of Lucerne,Luzern,Switzerland

出　　处：《Laparoscopic, Endoscopic and Robotic Surgery》2024年第3期97-101,共5页腔镜、内镜与机器人外科（英文）

摘　　要：Objective Traditionally tumors of the parapharyngeal space(PPS)are resected through transcervical approaches.More recent approaches include endoscopic approaches or transoral robotic surgery(TORS)without directions on when to use which approach.Our objective was to find objective parameters to choose the most suitable approach.Methods It is a retrospective study containing 6 patients from May 2019 to May 2021 with tumors of the PPS treated in the Department of Otolaryngology and Head-Neck Surgery at the Hospital of Lucerne,Switzerland.Results The data was analysed in average 53 months after surgery.Tumor resection was completed with TORS in 3 patients and endoscopically in 3 patients.Mean operation time was 114 min.No major complications occurred.No evidence of tumor was found in magnetic resonance imaging studies postoperatively in all patients.Conclusion We conclude that a resection via TORS or endoscopic technique is safe and effective.Furthermore,we postulate that the further a tumor is located in the upper lateral area of the PPS,an approach via TORS is less possible.

关 键 词：Oto-rhino-laryngology Endoscopic surgery Robotic surgery Parapharyngeal space tumors 

分 类 号：R730.5[医药卫生—肿瘤]