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A transpalatal approach to the parapharyngeal space

Published online by Cambridge University Press:  29 June 2007

H. M. Myatt  and
D. Remedios
H. M. Myatt*
Affiliation:
Department of Otolaryngology, Northwick Park Hospital, Harrow, London, UK.
D. Remedios
Affiliation:
Department of Radiology, Northwick Park Hospital, Harrow, London, UK.
*
Address for correspondence: Miss H. M. Myatt, ENT Department, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
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Abstract

The case of a 75-year-old lady with a large parapharyngeal pleomorphic adenoma excised via a transpalatal peroral technique is presented. This is a new approach to the parapharyngeal space not previously described. A laterally placed full thickness soft palate split from the superior pole of the tonsil to 1 cm proximal to the pterygoid hamulus provided good surgical access to the whole length of the parapharyngeal space and allowed complete tumour excision with minimal morbidity.

Keywords

Adenoma, pleomorphicSoft palateParapharyngeal space
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 2 , February 1997 , pp. 159 - 162
Copyright
Copyright © JLO (1984) Limited 1997

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References

Batsakis, J. G., Neige, N. (1989) Parapharyngeal and retropharyngeal space disease. Annals of Otology, Rhinology and Laryngology 98: 320–323.CrossRefGoogle Scholar
Bent, J. P., Dinges, D., Whitehouse, A. (1992) Pathology Quiz Case 1. Minor salivary gland pleomorphic adenoma of the parapharyngeal space. Archives of Otolaryngology, Head and Neck Surgery 118 (6): 664–666.CrossRefGoogle ScholarPubMed
Carrau, R. L., Myers, E. N., Johnson, J. T. (1990) Management of tumours arising in the parapharyngeal space. Laryngoscope 100: 583–589.CrossRefGoogle ScholarPubMed
Conley, J. J., Clairmont, A. (1978) Tumours of the parapharyngeal space. Southern Medical Journal 71: 543–546.CrossRefGoogle ScholarPubMed
Cross, R. R., Shapiro, M. D., Som, P. M. (1989) MRI of the parapharyngeal space. Radiology Clinics of North America 27: 353–358.CrossRefGoogle ScholarPubMed
Goodwin, W. I., Chandler, J. R. (1989) Transoral excision of lateral parapharyngeal space tumours presenting intraorally. Laryngoscope 98, 266–269.CrossRefGoogle Scholar
McElroth, D. C., ReMine, W. H., Devine, K. D. (1963) Tumours of the parapharyngeal region. Surgery, Gynecology and Obstetrics 116: 88–94.Google Scholar
Som, P. M., Biller, H. F., Lawson, W. (1981) Tumours of the parapharyngeal space: preoperative evaluation, diagnosis and surgical approaches. Annals of Otology, Rhinology and Laryngology 90 (Suppl. 80/4): 3–15.CrossRefGoogle ScholarPubMed
Som, P. M., Braun, I. F., Shapiro, M. D. (1987) Tumours of the parapharyngeal space and upper neck. MRI characteristics. Radiology 164: 823–829.CrossRefGoogle Scholar