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Endoscopy-assisted transoral approach for parapharyngeal space tumors:Our experience and a systematic review of the literature

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2023年第1期9卷 79-90页

作者： Pietro Orlando Luca Giovanni Locatello Oreste Gallo gianluca leopardi Giandomenico Maggiore Department of Otorhinolaryngology Careggi University HospitalFlorenceItaly Department of Experimental and Clinical Medicine University of FlorenceFlorenceItaly Unit of Otorhinolaryngology Azienda USL Toscana CentroSan Giuseppe HospitalEmpoliItaly

Background:Several approaches have been described for the excision of parapharyngeal space tumors(PPSTs).Advances in endoscopy gave a further stimulus to the use of the transoral ***:We present our experience with the endoscopy-assisted transoral approach(EATA)in this regard and a review of the most recent literature about EATA for PPSTs *** and Methods:We retrospectively analyzed our experience and systematically reviewed the literature about the outcomes of this ***:Seven PPSTs were completely excised,with three of them requiring a combined transcervical *** one case of postoperative wound dehiscence was registered,and the mean length of stay was 3.9 *** histopathological examination confirmed the results obtained with preoperative fine-needle aspiration biopsy in all cases and no recurrences were apparent after a mean follow-up of 28.1 ***:Magnetic resonance imaging,the modified Mallampati score and the 8 Ts criteria are useful instruments for the choice of the most appropriate surgical ***:In light of our experience and following other published series in the literature,we believe that EATA may represent a safe and effective approach for the treatment of the majority of PPSTs.

关键词： endoscope-assisted surgery head and neck surgery mini-invasive approach parapharyngeal space tumors transoral surgery

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