Large parapharyngeal tumours: Operative technique and Case Series of 17 patients
Andrew Williamson  Liam Sutton  Jagdeep Virk  Peter Clarke
First published: 20 June 2019 https://doi.org/10.1111/coa.13393
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/coa.13393
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Abstract
Parapharyngeal space tumours are rare and are a significant technical challenge for head and neck surgeons

Transcervical, transparotid, and more recently transoral/ transoral robotic techniques have been described to excise parapharyngeal space tumours

Larger parapharyngeal tumours have previously required a transmandibular approach with mandibular osteotomies, however this technique is associated with significant post‐operative morbidity.

An external approach with division of the stylomandibular ligament and ancillary manoeuvres offers good views of large tumours and the surrounding structures

This approach is associated with a short hospital stay, good cosmesis and long term good outcomes in terms of tumour control and patient morbidities