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Neurogenic tumours of the parapharyngeal space in the paediatric age group
A Kumar1, P Hazarika, R P Kapadia
1Department of Otolaryngology, Kasturba Medical College and Hospital, Manipal, Karnataka, South India.
Insights
This study presents two pediatric neurogenic tumors in the parapharyngeal space. Management strategies focus on advanced imaging and surgical techniques to minimize complications and ensure complete tumor removal.
Area of Science:
- Pediatric Oncology
- Neurosurgery
- Head and Neck Surgery
Background:
- Neurogenic tumors of the parapharyngeal space are rare in children.
- Diagnosis and management can be challenging due to the anatomical location.
Observation:
- Presents two cases of 7-year-old children with neurogenic tumors in the parapharyngeal space.
- Highlights diagnostic and management complexities encountered.
Findings:
- Computed tomography (CT) scan with sialography and intraoperative carotid angiography are crucial investigative tools.
- Surgical techniques including angle mandibulectomy and liberal incisions are vital for controlling bleeding and ensuring complete tumor excision.
Implications:
- Emphasizes the importance of meticulous surgical planning and execution to minimize peri-operative complications.
- Suggests that advanced imaging and specific surgical approaches can lead to successful outcomes in pediatric parapharyngeal neurogenic tumors.
Abstract:
Two cases of neurogenic tumours of parapharyngeal space in children of 7 years old are presented. Difficulties during the diagnosis, investigations and management are discussed along with a review of the available literature. CAT scan with sialography, carotid angiography during surgery, angle mandibulectomy and liberal incision to expose the great vessels for better control of bleeding are stressed to minimise the peri-operative complication and to assist in complete removal of the tumours.
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