Endoscope-Assisted Surgery for Parapharyngeal Space Tumors
Author Information
Author(s): Joshua D. Smith, Steven B. Chinn, Sridharan Shaum, Kevin J. Contrera, Molly E. Heft‐Neal, Matthew E. Spector
Primary Institution: University of Pittsburgh Medical Center
Hypothesis
The endoscope-assisted transcervical approach for resection of parapharyngeal space tumors could provide improved surgical efficiency with reduced morbidity compared to the standard transcervical approach.
Conclusion
The endoscope-assisted transcervical approach for resection of parapharyngeal space tumors offers improved surgical access and is associated with reduced surgical time and rates of marginal mandibular nerve paresis compared to standard transcervical approaches.
Supporting Evidence
- The endoscope-assisted approach reduced operative times by approximately 40 minutes compared to the standard approach.
- The rate of marginal mandibular nerve paresis was significantly lower in the endoscope-assisted group (12% vs 43%).
- All tumors were resected without complications using the endoscope-assisted approach.
Takeaway
Doctors used a special camera to help them remove tumors from a tricky area in the neck, and it made the surgery faster and safer.
Methodology
This was a single-institution, retrospective analysis of all patients undergoing transcervical approach for resection of parapharyngeal space tumors over a 10-year period.
Potential Biases
Surgeons were aware of the surgical approach, which may have introduced bias in assessing postoperative outcomes.
Limitations
The study's single-center, retrospective design and variability in individual surgeon approach may have contributed to differences in outcomes.
Participant Demographics
The cohort included 77 patients with a balanced distribution of age, sex, and tumor characteristics.
Statistical Information
P-Value
p<0.01
Statistical Significance
p<0.01
Digital Object Identifier (DOI)
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