Hostname: page-component-77c89778f8-swr86 Total loading time: 0 Render date: 2024-07-18T07:11:44.206Z Has data issue: false hasContentIssue false

Parapharyngeal neurofibromas

Published online by Cambridge University Press:  29 June 2007

D. A. Tandon*
Affiliation:
New Delhi, India
S. Bahadur
Affiliation:
New Delhi, India
N. K. Misra
Affiliation:
New Delhi, India
R. C. Deka
Affiliation:
New Delhi, India
K. Kapila
Affiliation:
New Delhi, India
*
Dr D. A. Tandon. Assistant Professor, Department of Otorhinolaryngology, All India Institute of Medical Sciences. New Delhi 110029, India.

Abstract

This paper is a retrospective study of 15 patients with parapharyngeal neurofibromas operated over a six year period. No patient presented with a neurological deficit. CT scans revealed a well encapsulated moderately enhancing mass in ten cases. The tumour was removed by a transcervical approach in ten cases while in five a cervical-transpharyngeal route with mandibulotomy was used; in three of the latter group the tumour was retropharyngeal. In two cases a recurrence was successfully excised. It was realized that a mandibulotomy was required when the internal carotid was displaced medially, or if the tumour extended to the base of skull or when its vertical diameter exceeded 8 cm.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Das, Gupta T. K., Brasfield, R. D., Strong, E. W., Hajdu, S. I. (1969) Benign solitary schwannomas (neurilemommas). Cancer. 24: 355366.Google Scholar
Heeneman, H. (1988) In Scott-Brown's Otolaryngology, fifth edn. Vol. 5,(Stell, P. M. and Kerr, A. G., eds.) Butterworths: London. p. 380391.Google Scholar
Lau, W. R, Lam, K. H., Wei, W. (1986) Parapharyngeal space tumours. Australian and New Zealand Journal of Surgery. 56: 835842.Google Scholar
Maniglia, A. J., Chandler, J. R., Goodwin, W. J., Parker, J. C. (1979) Schwannomas of the parapharyngeal space and jugular foramen. Laryngoscope. 89: 14051414.Google Scholar
Maran, A. G. D., MacKenzie, I. J., Murray, J. A. M. (1984) The parapharyngeal space. Journal of Larxngology and Otology. 98: 371380.Google Scholar
Reddick, L. P., Myers, R. T. (1972) Neurilemmomas of cervical portion of vagus nerve. American Journal of Surgery. 125: 744747.Google Scholar
Shoss, S. M., Donovan, D. T., Alford, B. R. (1985) Tumours of the parapharyngeal space. Archives of Otolaryngology. 111: 753757.Google Scholar
Som, P. M.. Biller, H. R, Lawson, W. (1981) Tumours of the parapharyngeal space. Annals of Otology, Rhinology and Larlngology, 90 (Suppl 8): 315.Google Scholar
Som, P. M., Biller, H. P., Lawson, W.. Sacher, M., Lanzieri, C. P. (1984) Parapharyngeal space masses: a updated protocol based on 104 cases. Radiology. 153: 149156.Google Scholar
Tandon, D. A., Bahadur, S. (in press). Work, P. W., Hybels, R. L. (1974) A study of tumours of parapharyngeal space. Laryngoscope. 84: 17481755.Google Scholar