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Transoral Robotic Surgery for Parapharyngeal Space Tumors

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Robotic Surgery of the Head and Neck

Abstract

The parapharyngeal space (PPS) with its complex anatomy is a rare location for head and neck neoplasms. This location accounts for only 0.5 % of all head and neck tumors [1, 2]. The majority of these tumors are benign and have their origin in the salivary glands or in neurogenic tissue [1, 3]. It is mainly an adult disease, but it has been reported in the pediatric population [4]. Several studies have found there was slight male predominance of PPS tumors [3]. The anatomic location and lack of or subtlety of symptoms early in the disease process can make the diagnosis challenging. Over the last several decades, various imaging modalities have proven to be invaluable in the diagnosis of many of the PPS tumors. In addition, they provide critical anatomical information for treatment planning. Surgery remains the primary modality of treatment for parapharyngeal space tumors. However, surgery in this location can lead to surgical or tumor related morbidity that can have moderate to devastating consequences. Transoral robotic surgery is one of the newest surgical approaches to minimize morbidity and allow complete tumor resection in the parapharyngeal space.

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Correspondence to Tom Thomas M.D., M.P.H. .

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Thomas, T., Annino, D.J. (2015). Transoral Robotic Surgery for Parapharyngeal Space Tumors. In: Grillone, G., Jalisi, S. (eds) Robotic Surgery of the Head and Neck. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1547-7_11

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  • DOI: https://doi.org/10.1007/978-1-4939-1547-7_11

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