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Αλέξανδρος Γ. Σφακιανάκης

Monday, October 11, 2021

Removal of a Giant Parapharyngeal Space Oncocytoma Without Osteotomy

xlomafota13 shared this article with you from Inoreader

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Ear Nose Throat J. 2021 Oct 9:1455613211048973. doi: 10.1177/01455613211048973. Online ahead of print.

ABSTRACT

Oncocytoma arising from the parotid gland and extending into the parapharyngeal space (PPS) has not been previously reported. A 64-year-old woman presented with a large slowly growing mass extending from the parotid to the submandibular area, expanding medially to displace the pharynx across the midline. Core-needle biopsy revealed an oncocytoma in the PPS measurin g 120 × 88 × 60 mm in size. Although the tumor was of an unprecedentedly large size and extended into multiple spaces, it could be removed via a cervical-parotid approach without osteotomy. The resected tumor was again diagnosed as oncocytoma. A postoperative complication was weakness of the ipsilateral facial nerve, which almost completely resolved in 6 months. No recurrence has been noted on 1 y follow-up. We were able to resect an extremely large oncocytoma arising from the parotid gland without osteotomy.

PMID:34632850 | DOI:10.1177/01455613211048973

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