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Skull base surgery. 1995 April; 5(2): 73–81.
PMCID: PMC1661824

Parapharyngeal Space Tumors

The Infratemporal Fossa Approach


Tumors of the parapharyngeal space, although mostly benign in their histopathology, present a challenge to the surgeon due to the limited access. Multiple approaches have been described in the literature for the extirpation of these tumors. The usual anatomic division of the parapharyngeal space into prestyloid and poststyloid spaces does not help the clinician determine which approach to use for a specific tumor. We have reviewed our 10-year experience at the University of Zurich. The usual presentation of the patients and the histopathologic characteristics of their tumors are compared. The radiological evaluation of these patients, their perioperative course, and complications are analyzed. The different surgical techniques used to treat the 72 patients in our series are described, with a special emphasis on the infratemporal fossa approach. Furthermore, a clinical division of the parapharyngeal space in the superior-inferior axis is established. The usefulness of this classification in helping the surgeon to decide which surgical approach is the most suitable for a particular lesion is discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Fisch U. The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope. 1983 Jan;93(1):36–44. [PubMed]
  • Shotton JC, Kuhwoede R, Fisch U. Mesenchymal tumors of the skull base with particular reference to surgical management and outcome. Skull Base Surg. 1992;2(2):112–117. [PMC free article] [PubMed]
  • Som PM, Biller HF, Lawson W. Tumors of the parapharyngeal space: preoperative evaluation, diagnosis and surgical approaches. Ann Otol Rhinol Laryngol Suppl. 1981 Jan-Feb;90(1 Pt 4):3–15. [PubMed]
  • Bass RM. Approaches to the diagnosis and treatment of tumors of the parapharyngeal space. Head Neck Surg. 1982 Mar-Apr;4(4):281–289. [PubMed]
  • Stell PM, Mansfield AO, Stoney PJ. Surgical approaches to tumors of the parapharyngeal space. Am J Otolaryngol. 1985 Mar-Apr;6(2):92–97. [PubMed]
  • Allison RS, Van der Waal I, Snow GB. Parapharyngeal tumours: a review of 23 cases. Clin Otolaryngol Allied Sci. 1989 Jun;14(3):199–203. [PubMed]
  • Warrington G, Emery PJ, Gregory MM, Harrison DF. Pleomorphic salivary gland adenomas of the parapharyngeal space. Review of nine cases. J Laryngol Otol. 1981 Feb;95(2):205–218. [PubMed]
  • Andrews JC, Valavanis A, Fisch U. Management of the internal carotid artery in surgery of the skull base. Laryngoscope. 1989 Dec;99(12):1224–1229. [PubMed]
  • Maran AG, Mackenzie IJ, Murray JA. The parapharyngeal space. J Laryngol Otol. 1984 Apr;98(4):371–380. [PubMed]

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