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Related Experiment Videos

Parapharyngeal neurofibromas.

D A Tandon1, S Bahadur, N K Misra

  • 1Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi.

The Journal of Laryngology and Otology
|March 1, 1992
PubMed
Summary

This study on parapharyngeal neurofibromas found that transcervical or cervical-transpharyngeal approaches with mandibulotomy are effective surgical options. Mandibulotomy is indicated for specific tumor characteristics, ensuring successful neurofibroma removal.

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Neurology India·2018

Area of Science:

  • Neurosurgery
  • Oncology
  • Head and Neck Surgery

Background:

  • Parapharyngeal neurofibromas are rare tumors.
  • Surgical management requires careful consideration of approach and potential complications.

Purpose of the Study:

  • To evaluate surgical outcomes for parapharyngeal neurofibromas.
  • To identify indications for specific surgical approaches, including mandibulotomy.

Main Methods:

  • Retrospective study of 15 patients with parapharyngeal neurofibromas.
  • Surgical procedures included transcervical and cervical-transpharyngeal routes with mandibulotomy.
  • CT scans were used for diagnosis and assessment.

Main Results:

  • No neurological deficits were observed in any patients.

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  • Ten tumors were removed via transcervical approach; five required cervical-transpharyngeal route with mandibulotomy.
  • Mandibulotomy was necessary for tumors with medial displacement of the internal carotid artery, skull base extension, or vertical diameter > 8 cm.
  • Two recurrences were successfully excised.

    • Conclusions:

    • Both transcervical and cervical-transpharyngeal approaches are viable for parapharyngeal neurofibromas.
    • Mandibulotomy is a crucial technique for managing complex or large tumors in this region.
    • Careful preoperative assessment guides the choice of surgical strategy for optimal patient outcomes.