Trans-Oral Robotic Surgery: 14 Cases of Pleomorphic Adenoma of the Parapharyngeal Space. Issue 5 (27th July 2022)

• Record Type: Journal Article
• Authors: Salzano, Giovanni; Togo, Giulia; Maglitto, Fabio; Borriello, Gerardo; Perri, Francesco; Audino, Giovanni; Vaira, Luigi Angelo; Maglione, Maria Grazia; Petrocelli, Marzia; Califano, Luigi; Ionna, Franco
• Is Part Of: Journal of craniofacial surgery. Volume 33:Issue 5(2022)
• Page Start: 1587
• Page End: 1590
• Publication Date: 2022-07-27
• Subjects: Parapharyngeal space -- pleomorphic adenoma -- trans-oral robotic surgery; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000008477
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Purpose: The aim of this study has been to describe our experience with pleomorphic adenomas of the parapharyngeal space (PPS) treated with trans-oral robotic surgery (TORS). Tumors arising from the PPS comprise less than 0.5% of all head and neck tumors. Salivary gland tumors account for 40% to 50% of PPS lesions with pleomorphic adenomas representing the most common salivary tumors (80%–90%). Parapharyngeal space tumors cause nonspecific symptoms and may be difficult to diagnose. Methods: In our study a preoperative diagnosis was conducted by fine needle aspiration biopsy and magnetic resonance imaging and the results were used to plan the correct surgical approach. Results: In all cases we were able to employ TORS, a minimally invasive procedure that allows us to operate in narrow and anatomically complex spaces that we can only reach thanks to the use of well-articulated hand pieces. Conclusions: This report indicates that TORS is a safe surgical procedure for the excision of benign tumors of the PPS in selected cases.