Endoscope-Assisted Transoral Approach to Parapharyngeal Space Tumor: A Case Report

Abstract

Introduction: Parapharyngeal space tumors account for 0.5% of Head and neck tumors. Various surgical approaches have been described for the management of these tumours. This study compares endoscope-assisted transoral approach with the traditional approaches. Objective: To present an endoscopic, transoral approach for the treatment of a benign prestyloid PPS tumor. Study Design: Case report and review of the literature. Patient: A 35 year old female came for evaluation of right tonsillar fossa swelling of 1 year duration. The CT showed a mixed density nodular lesion occupying right parapharyngeal space. Surgical Intervention: Endoscope-assisted transoral approach for removal of PPS tumor. Results: The patient was discharged on postoperative day 1 in stable condition. There have been no complications with 2 years of follow-up. Conclusion: Endoscopic assisted transoral approach should be one of the primary surgical options for benign tumor not involving the critical structures in PPS.