Zeeshan Ayub, Atif Najam, Urwa Sarwar, Bashir Ahmed, Zubair Khan, Muhammad Farooq.
Mass Parapharyngeal Space – An Experience at CMH, Rawalpindi.
Pak J Otolaryngol Jan ;29(2):47-8.

OBJECTIVE: To review surgical approaches to parapharyngeal space and post operative histology of parapharyngeal masses. STUDY DESIGN: Descriptive study. PLACE AND DURATION: Department of ENT, Head & Neck surgery Combined Military Hospital Rawalpindi from January 2006- January 2008. PATIENTS & METHODS: Patients of any age and sex with radiologically confirmed parapharyngeal masses. RESULTS: There were a total of 14 cases included in this study; ten were managed by cervical, two by transparotid and two by mandibular swing. The commonest tumor was pleomorphic adenoma (57%), followed by schwannom a (14%), lymphoma (14%), craniopharyngioma (7%), and metastatic deposit (7%). CONCLUSION: Treatment of parapharyngeal masses is a challenge for the surgeon. We mostly employed the cervical approach because it needs relatively less dissection but it depends upon the size and site of tumor. Pleomorphic adenoma of the parotid gland remains the commonest tumor in complex anatomical space. Diagnosis is based on radiological evidence and cytological.

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