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. 2009 Jun;61(2):112-9.
doi: 10.1007/s12070-009-0047-z. Epub 2009 May 11.

Our experiences with parapharyngeal space tumors and systematic review of the literature

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Our experiences with parapharyngeal space tumors and systematic review of the literature

Mangal Singh et al. Indian J Otolaryngol Head Neck Surg. 2009 Jun.

Abstract

Objectives: To find out the geographical distribution, age, sex, mode of presentation, diagnostic modalities, surgical approaches, postoperative complications, follow-up and histopathology of parapharyngeal space tumors (PFT) through world wide web search (WWWS) and PFT of our series.

Materials and methods: A retrospective study of all PFT seen and treated in S.R.N Hospital, Allahabad between 1990 and 2006 was done. A systematic review of the literature was done through WWWS.

Results: PFT were commonest in the Asian zone. Incidence was highest in the 3rd and 4th decade. Oropharyngeal (100%) and cervical (91.6%) swelling were the commonest presentation. MRI is better than CT scan in evaluating fat plane. Transcervical approach was the commonest. In our series, benign tumors (83.4%) were common, constituting 50% of neurogenic and 16.6% of salivary gland origin.

Conclusion: PFT were more prevalent in the Asian zone. Neurogenic tumors were commonest in our study which contradicts the WWWS of having maximum PFT of salivary gland in origin.

Keywords: Imaging; Parapharyngeal space; Salivary glands; Schwannoma; Surgery.

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