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Contemporary management of primary parapharyngeal space tumors
Author(s) -
López Fernando,
Suárez Carlos,
Vander Poorten Vincent,
Mäkitie Antti,
Nixon Iain J.,
Strojan Primož,
Hanna Ehab Y.,
Rodrigo Juan Pablo,
de Bree Remco,
Quer Miquel,
Takes Robert P.,
Bradford Carol R.,
Shaha Ashok R.,
Sanabria Alvaro,
Rinaldo Alessandra,
Ferlito Alfio
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25439
Subject(s) - parapharyngeal space , medicine , radiation therapy , radiology , surgery
The parapharyngeal space is a complex anatomical area. Primary parapharyngeal tumors are rare tumors and 80% of them are benign. A variety of tumor types can develop in this location; most common are salivary gland neoplasm and neurogenic tumors. The management of these tumors has improved greatly owing to the developments in imaging techniques, surgery, and radiotherapy. Most tumors can be removed with a low rate of complications and recurrence. The transcervical approach is the most frequently used. In some cases, minimally invasive approaches may be used alone or in combination with a limited transcervical route, allowing large tumors to be removed by reducing morbidity of expanded approaches. An adequate knowledge of the anatomy and a careful surgical plan is essential to tailor management according to the patient and the tumor. The purpose of the present review was to update current aspects of knowledge related to this more challenging area of tumor occurrence.