Abstract

Objective: To see the mode of presentation, diagnosis and management of parapharyngeal space tumours.
 Study design: Cross sectional study.
 Setting: Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
 Methods: The condition being relatively rare, it was difficult to find good number of fresh cases. We have studied all cases of parapharyngeal space tumour attending in the Bangabandhu Sheikh Mujib Medical University from January 2010 to March 2011.
 Result: Parapharyngeal space tumours are rare head and neck neoplasms.The third decade of life showed greatest incidence. The main presenting complaint’s were painless neck swelling (73%). The highest number of pathology were attached to the deep lobe of parotid gland (pleomorphic adenoma-27%) and then neurofibroma (20%). Of all cases 77% were benign. Their accurate diagnosis and management is challenging.
 Bangladesh J Otorhinolaryngol; April 2017; 23(1): 41-46

Highlights

  • The parapharyngeal space is a potential space lateral to the pharynx

  • We have studied all cases of parapharyngeal space tumour (30 patients) attending in this Department from January 2010 to March 2011

  • Patients of parapharyngeal space tumour were selected on the basis of clinical presentation, radiological investigations and FNAC reports

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Summary

Introduction

The parapharyngeal space is a potential space lateral to the pharynx. On each side it contains some vital structures like carotid arteries, internal jugular vein, last four cranial nerves and sympathetic chain.Parapharyngeal tumours most commonly present as asymptomatic masses in the neck or palatal region found on routine physical examination. The parapharyngeal space is a potential space lateral to the pharynx. On each side it contains some vital structures like carotid arteries, internal jugular vein, last four cranial nerves and sympathetic chain. Tumor arising in the parapharyngeal space draw special attention because of difficulties in investigation, diagnosis and surgical intervention. Parapharyngeal space tumor are rare, forming less than 0.5% of head and neck neoplasm.[1,2,3,4]. Both benign and malignant tumors may arise from any of the structures contained within

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