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Transoral endoscopic excision of a giant parapharyngeal space tumour:A case report

Laparoscopic, Endoscopic and Robotic Surgery 2021年第2期4卷 53-56页

作者： Yazid Bin Pol Ong Liew Yew Toong Sakina Binti Gauth prepageran narayanan Department of Otolaryngology University of Malaya Medical CentreKuala Lumpur 59100Malaysia

Most of the parapharyngeal space tumours are *** primary treatment is complete resection of the *** to its location in the deep neck space,a pre-styloid tumour can be resected via the transoral ***,the surgical field is limited by the small oral *** the use of rigid endoscopes,removing benign tumours through transoral approach in the parapharyngeal space is possible as they provide a broad and enlarged view of the confined ***,we report a case of a 64-year-old male with a giant pre-styloid parapharyngeal space tumour,who successfully underwent transoral endoscopic ***,the patient had short hospital stay of total 3 *** chewing and swallowing were not affected,and he resumed oral feeding prior to discharge.

关键词： Parapharyngeal space Salivary gland tumour Transoral endoscopic surgery

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A Review of Inverted Papilloma at a Tertiary Centre: A Six-Year Experience

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International Journal of Otolaryngology and Head & Neck Surgery 2013年第5期2卷 156-159页

作者： Chiun Kian Chai Ing Ping Tang narayanan prepageran Department of Otorhinolaryngology Faculty of Medicine University Malaysia Sarawak Kota Samarahan Malaysia Department of Otorhinolaryngology University of Malaya Kuala Lumpur Malaysia

Objectives: To evaluate the clinical presentation and treatment outcome of all patients treated for inverted papilloma at the University Malaya Medical Centre, Malaysia. Methods: A retrospective review of 22 patients with inverted papilloma, treated at our centre, from 1st January 2005 to 31st August 2011. The demographic data, clinical features, radiological findings, surgical procedures, recurrent rate and malignant transformation were assessed. Result: The commonest presentation was a unilateral nasal blockage, comprising 77.3% cases. A total of 19 patients had undergone endoscopic surgery while three patients had open surgery performed. The mean duration of the follow-up period was 30.5 months. Seven (31.7%) patients were detected of tumour recurrence during the entire course of follow-up. However, throughout the follow-up period, none had demonstrated malignant transformation. Conclusion: Endoscopic medial maxillectomy is a well-accepted approach in treating inverted papilloma. Nevertheless, open surgery still plays an important role in extensive diseases and in cases of malignancy. Unilateral nasal obstruction is the most important symptom. Repeated pre-operative biopsy or perhaps frozen section of intraoperative biopsies is necessary to avoid misdiagnosis. Krouse stage II disease showed the highest recurrent rate of 18.2%. Lifelong follow-up and emphasis on adherence is mandatory for early detection of recurrence and malignant transformation.

关键词： Inverted Papilloma Medial Maxillectomy Endoscopic Surgery

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