Surgical management of deep lobe parotid tumours with and without involvement of the parapharyngeal space

Two cases of deep lobe parotid tumours extending into the parapharyngeal space and causing obstructive sleep apnoea are described. Post-operatively, marked improvements in nocturnal hypoxic episodes and the symptoms of obstructive sleep apnoea were seen. Although minor salivary gland pleomorphic adenomas have been described as a cause of airway compromise, pleomorphic adenomata arising from the deep lobe of the parotid, causing proven obstructive sleep apnoea, have not previously been documented. The anatomy and common pathologies of the parapharyngeal space are discussed.

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Surgical management of deep lobe parotid tumours, presentation of three clinical cases and a review of the literature

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2017.02.958 ◽

2017 ◽

Vol 46 ◽

pp. 284-285

Author(s):

S. Farooq ◽

D. Gahir ◽

T. Malins

Keyword(s):

Surgical Management ◽

Review Of The Literature ◽

Deep Lobe ◽

Parotid Tumours ◽

Clinical Cases

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The diagnostic performance of ultrasonography and computerized tomography in differentiating superficial from deep lobe parotid tumours

Clinical Otolaryngology ◽

10.1111/coa.13289 ◽

2019 ◽

Vol 44 (3) ◽

pp. 286-292 ◽

Cited By ~ 6

Author(s):

Ping‐Chia Cheng ◽

Chih‐Ming Chang ◽

Chun‐Chieh Huang ◽

Wu‐Chia Lo ◽

Tsung‐Wei Huang ◽

...

Keyword(s):

Computerized Tomography ◽

Diagnostic Performance ◽

Deep Lobe ◽

Parotid Tumours

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GiantDe NovoPleomorphic Adenoma Arising from the Parapharyngeal Space

Case Reports in Otolaryngology ◽

10.1155/2013/742910 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3

Author(s):

Sang Hwang ◽

Sim Choroomi ◽

Ben McArdle ◽

Ian Jacobson

Keyword(s):

Pleomorphic Adenoma ◽

Surgical Management ◽

De Novo ◽

Parapharyngeal Space ◽

Wisdom Tooth ◽

En Bloc ◽

Pleomorphic Adenomas ◽

Oral Approach ◽

Difficult Area ◽

Gland Tumour

Introduction.De novopleomorphic adenomas in the parapharyngeal space are rare and cause difficulties in its surgical management. We report the largestde novopleomorphic adenoma arising from the parapharyngeal space and discuss its surgical management.Presentation of Case. A 34-year-old male presented with a giantde novopleomorphic adenoma arising from the parapharyngeal space, which was initially misdiagnosed as an impacted wisdom tooth. Measuring8.4×6.5×3.9 cm in size and weighing 87.3 g, this is the largest primary salivary gland tumour arisingde novofrom the parapharyngeal space reported in the literature, presenting challenges in its surgical management.Discussion. Parapharyngeal space tumours cause nonspecific symptoms and may be difficult to diagnose, which can allow the tumours to become very large and cause obstructive and compressive symptoms in an anatomically difficult area. A combined trans-cervical and trans-oral approach can be used to safely perform anen blocresection.Conclusion. We report the diagnosis and surgical management of the largest pleomorphic adenoma arisingde novofrom the parapharyngeal space reported in the literature.

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Surgical management of parapharyngeal space masses

Head & Neck ◽

10.1002/hed.20199 ◽

2005 ◽

Vol 27 (8) ◽

pp. 669-675 ◽

Cited By ~ 81

Author(s):

Seth M. Cohen ◽

Brian B. Burkey ◽

James L. Netterville

Keyword(s):

Surgical Management ◽

Parapharyngeal Space

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First bite syndrome as presenting symptom of parapharyngeal adenoid cystic carcinoma

The Journal of Laryngology & Otology ◽

10.1017/s002221511000294x ◽

2011 ◽

Vol 125 (4) ◽

pp. 428-431 ◽

Cited By ~ 21

Author(s):

A Deganello ◽

G Meccariello ◽

M Busoni ◽

A Franchi ◽

O Gallo

Keyword(s):

Carotid Artery ◽

Parotid Gland ◽

Adenoid Cystic Carcinoma ◽

Parapharyngeal Space ◽

External Carotid Artery ◽

External Carotid ◽

Selective Neck Dissection ◽

Deep Lobe ◽

Adenoid Cystic ◽

First Bite Syndrome

AbstractIntroduction:First bite syndrome refers to the development of pain in the parotid region after the first bite of each meal.Case report:A man was referred to our institution with first bite syndrome as his only symptom. Magnetic resonance imaging of the head and neck revealed a deep lobe parotid mass in close contact with the external carotid artery. Computed tomography guided fine needle biopsy indicated adenoid cystic carcinoma. Total parotidectomy was performed, with en bloc resection of the infiltrated external carotid artery and a selective neck dissection of levels Ib to III. High-weight ion radiotherapy was administered post-operatively.Conclusion:First bite syndrome has hitherto only been described following parapharyngeal space surgery. We present the first case of parotid gland adenoid cystic carcinoma presenting with first bite syndrome as the only symptom. The presence of first bite syndrome should prompt the clinician to investigate the parapharyngeal space and deep lobe of the parotid gland, especially in the absence of other signs or symptoms.

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