No2-3(2) 2019
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DOI 10.37219/2528-8253-2019-2-35 |
Zabolotnyi D, Lukach E, Zabolotna D, Yevchev F, Tsvirinko I,
Kizim Y
Surgical treatment of benign tumors of parapharyngeal space |
Zabolotny Dmitry I
State Institution “Institute of otolaryngology named after Prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv,
Ukraine. Director
Doctor of Medical Sciences, Professor, Academician of the National Academy
of Medical Sciences of Ukraine
E-mail: amtc@kndio.kiev.ua
Lukach Erwin V.
State Institution “Institute of otolaryngology named after Prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv,
Ukraine
Department of Oncological Diseases of ENT Organs
Department head
Doctor of Medical Sciences, Professor
E-mail: erwin@lukach.org
Zabolotnaya Diana D
State Institution “Institute of otolaryngology named after Prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv,
Ukraine.
Clinical Allergology Department
Leading Researcher
Doctor of Medical Sciences
E-mail: dianazab@ukr.net
Yevchev Fedor D.
Otolaryngologist-oncologist of Odessa City Hospital №11
Odesa National Medical University, Professor of the Department of
Otolaryngology
Doctor of Medical Sciences, Professor
E-mail: dr.yevchev@ukr.net
Tsvirinko Irina R.
State Institution “Institute of otolaryngology named after Prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv,
Ukraine
Department of Clinical Allergology
Junior Researcher
PhD
E-mail: tsira31@gmail.com
Kizim Yaroslav V.
State Institution “Institute of otolaryngology named after Prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv,
Ukraine.
Department of ENT Oncopathology, Otolaryngologist-Oncologist
E-mail: 90kizim@gmail.com |
Abstract
Background: Neoplasms of the oropharynx and parapharyngeal space are
quite rare, characterized by nonspecific development of the disease, and the
involvement of important anatomical structures in the pathological process.
Problems of diagnosis and choice of tactics of surgical treatment are
relevant today.
Aim: To evaluate the effectiveness of transoral approach when
removing benign tumors of the parapharyngeal space.
Materials and methods: In State Institution “O.S. Kolomiychenko
Institute of Otolaryngology of National Academy of Medical Sciences of
Ukraine” in recent years, 92 patients underwent surgical treatment with
benign tumors of the parapharyngeal space. Men – 39 (42.4%), women – 53
(57.6%). All patients underwent total removal of the tumor in the
parapharyngeal space by transoral approach.
Results: In patients evaluated the postoperative period, the type of
postoperative wound healing, the presence of complications and the quality
of life. The following postoperative complications were observed: in 13
(14.1%) patients lockjaw was observed, which regressed on average for 2-3
days, bleeding from the postoperative site in the early postoperative period
– 4 (4.3%) and acute cerebrovascular accident in the early postoperative
period in 1 patient (1.1%).
Conclusions: Given the good blood supply to the parapharyngeal space,
bleeding is one of the most common complications. Vascular complications are
more common when neurogenic or vascular tumors are removed. Angiography is
useful in evaluating post-styloid lesions in order to demonstrate their
connection with large vessels and differentiate neurogenic and vascular
lesions. The advantages of transoral removal of the tumors of the
parapharyngeal space are the absence of cosmetic defects, the rapid healing
of postoperative wounds and the rapid restoration of the patient’s working
capacity. |
Keywords
parapharyngeal space, oropharynx, transoral approach. |
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