Management of parapharyngeal space cavernous sinus haemangioma using transoral robotic surgery

Author(s):  
M Fleet ◽  
S Healey ◽  
S Korampalli ◽  
JW Moor

Cavernous haemangiomas are a very rare occurrence in the parapharyngeal space (PPS). Here, we present a case of a 58-year-old woman with an incidentally identified left PPS mass thought to be a pleomorphic adenoma that underwent excision by transoral robotic surgery (TORS). Intraoperative findings demonstrated no solid mass present and histological assessment of resected tissue confirmed a cavernous haemangioma. We discuss our experience in the management of a radiological and surgical mismatch of a PPS mass in what we believe to be the first cavernous haemangioma to be excised by TORS in this region.

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Christopher Rassekh ◽  
Shayanne Lajud ◽  
Courtney Shires ◽  
Laurie Loevner ◽  
Ara Chalian ◽  
...  

2015 ◽  
Vol 76 (S 01) ◽  
Author(s):  
Christopher Rassekh ◽  
Gregory Weinstein ◽  
Laurie Loevner ◽  
Ara Chalian ◽  
Bert O'Malley

ORL ◽  
2010 ◽  
Vol 72 (6) ◽  
pp. 332-336 ◽  
Author(s):  
Bert W. O’Malley Jr. ◽  
Harry Quon ◽  
Fernando D. Leonhardt ◽  
Ara A. Chalian ◽  
Gregory S. Weinstein

2019 ◽  
Vol 14 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Smriti Panda ◽  
Kapil Sikka ◽  
Alok Thakar ◽  
Suresh C. Sharma ◽  
Padmavathi Krishnamurthy

2020 ◽  
Vol 31 (1) ◽  
pp. 117-120 ◽  
Author(s):  
Francesco Chu ◽  
Rita De Berardinis ◽  
Marta Tagliabue ◽  
Stefano Zorzi ◽  
Francesco Bandi ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mohssen Ansarin ◽  
Marta Tagliabue ◽  
Francesco Chu ◽  
Stefano Zorzi ◽  
Michele Proh ◽  
...  

Parapharyngeal space (PPS) tumors are very rare, representing about 0.5% of head and neck neoplasms. An external surgical approach is mainly used. Several recent papers show how transoral robotic surgery (TORS) excision could be a prospective tool to remove mainly benign lesions in PPS; no cases of neurogenic tumors from the retrostyloid space treated with TORS have been reported. We present two cases which underwent TORS for schwannomas from the retrostyloid compartment of the parapharyngeal space. Clinical diagnosis of schwannoma was performed by magnetic resonance imaging (MRI). In the first case a 6 cm neurogenic tumor arose from the vagus nerve and in the second case a 5 cm mass from the sympathetic chain was observed. Both cases were treated successfully by the TORS approach using a new “J”-shaped incision through the mucosa and superior pharyngeal constrictor muscle. Left vocal cord palsy and the Claude Bernard Horner syndrome, respectively, were observed as expected postsurgical sequelae. In case 1 the first bite syndrome developed after three months, while no complications were observed in case 2. Both patients regained a normal swallowing function. TORS seems to be a feasible mini-invasive procedure for benign PPS masses including masses in the poststyloid space.


2013 ◽  
Vol 24 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Christopher H. Rassekh ◽  
Gregory S. Weinstein ◽  
Laurie A. Loevner ◽  
Bert W. O'Malley

2016 ◽  
Vol 8 (3) ◽  
pp. 125-127
Author(s):  
Ankita Joshi ◽  
Chinmaya Sundar Ray

ABSTRACT Parapharyngeal space (PPS) lesions account for only 0.5% head and neck tumors and the majority of the minor salivary gland tumors are malignant. We report a case of pleomorphic adenoma of minor salivary gland in PPS as this is of a very rare occurrence. High index of suspicion and an adequate clearance of the tumor with a cuff of surrounding dispensable normal tissues are the key to successful treatment of such tumors. How to cite this article Ray CS, Joshi A. Primary Pleomorphic Adenoma of Minor Salivary Gland in the Parapharyngeal Space. Int J Otorhinolaryngol Clin 2016;8(3):125-127.


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