scholarly journals A safe transoral surgical approach to parapharyngeal tumor arising from deep lobe of parotid gland

2016 ◽  
Vol 4 ◽  
pp. 2050313X1668213 ◽  
Author(s):  
Manuele Casale ◽  
Francesco Capuano ◽  
Lorenzo Sabatino ◽  
Annalisa Pace ◽  
Giuseppe Oliveto ◽  
...  
1992 ◽  
Vol 71 (6) ◽  
pp. 254-257 ◽  
Author(s):  
D. M. Fliss ◽  
R. Rival ◽  
P. Gullane ◽  
D. Mock ◽  
J. L. Freeman

Twenty-four cases of pleomorphic adenoma of the parotid gland were retrospectively reviewed. The histopathological features of capsular thickness, penetration and completeness, tumoral cell population and mitotic activity were analyzed in twelve superficial lobe and twelve deep lobe tumors. The capsules were found to be significantly thicker and less likely to be penetrated by tumor in the deep lobe group. No significant differences in completeness of encapsulation, cell population or mitotic activity were found between the two groups. This may explain the clinical suggestion that the less aggressive surgical approach which is often performed does not compromise the prognosis for recurrence in the deep lobe lesions.


1979 ◽  
Vol 88 (5) ◽  
pp. 590-595 ◽  
Author(s):  
Peter M. Som ◽  
Hugh F. Biller

The preoperative differentiation of a deep lobe parotid tumor from a parapharyngeal tumor is important to the surgeon in determining the correct surgical approach. The combined parotid sialogram and CT scan provide more information than either study alone, and we feel that a reliable preoperative differentiation can be made on this combined study.


2017 ◽  
Vol 22 (2) ◽  
pp. 26
Author(s):  
P. D. C. Fernando ◽  
D. K. Dias ◽  
M. J. Kottahachchi ◽  
W. M. Thilakarathne

1992 ◽  
Vol 85 (1) ◽  
pp. 77-82
Author(s):  
Minako Yamamoto ◽  
Jun-ichi Otsuki ◽  
Kazuhito Tanaka ◽  
Ikuko Tomizawa ◽  
Shojiro Morinaga ◽  
...  
Keyword(s):  

1995 ◽  
Vol 33 (2) ◽  
pp. 163-169 ◽  
Author(s):  
S.Sabri Uslu ◽  
Erdogan Inal ◽  
Ömür Ataoglu ◽  
Cem Sezer

2011 ◽  
Vol 125 (4) ◽  
pp. 428-431 ◽  
Author(s):  
A Deganello ◽  
G Meccariello ◽  
M Busoni ◽  
A Franchi ◽  
O Gallo

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.


2020 ◽  
Vol 06 (01) ◽  
pp. e33-e36
Author(s):  
Giacomo Fiacchini ◽  
Christina Cambi ◽  
Antonio Gaetano Tavoni ◽  
Luca Bruschini ◽  
Roberto Castellana ◽  
...  

AbstractInflammatory pseudotumor (IPT) is a rare disease that is often misinterpreted as a lymphoma or carcinoma. It may involve different body regions but most commonly the lungs and the orbital cavity. We report the case of a patient affected by an IPT of the trigeminal and facial nerves.A 69-year-old male presented to our hospital with a right facial palsy arisen suddenly 2 days before. A magnetic resonance imaging (MRI) of the head showed an abnormal mass with homogeneous enhancement involving the deep lobe of the parotid gland, the parapharyngeal space, and the infratemporal fossa, extending along the trigeminal nerve and the facial nerve. The patient was planned for multiple transnasal biopsies in the nasopharynx, the region of the foramen ovale, and the deep lobe of the parotid gland, but the results were inconclusive, with no evidence of a malignant process. We considered the possibility that the lesion could be an IPT, and the patient was treated with prednisone and cyclophosphamide. Three months after the conclusion of the treatment, an MRI showed a complete radiological response.


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