Transoral endoscopic surgical approach to venous malformation of the parapharyngeal space

Autor: Akari Kimura, Yutomo Seino, Taku Yamashita
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: SAGE Open Medical Case Reports, Vol 8 (2020)
Druh dokumentu: article
ISSN: 2050-313X
2050313X
DOI: 10.1177/2050313X20938248
Popis: We encountered a rare case of venous malformation located in the parapharyngeal space. The 65-year-old female patient did not have any symptoms, and the malformation was discovered incidentally during a clinical survey. Examination of the oral cavity revealed a mass in the left soft palate. Magnetic resonance imaging showed a well-defined mass in the left parapharyngeal space. Fine needle aspiration cytology suggested no malignancy. Four years after the first visit, she underwent surgery for diagnosis and treatment. We safely removed the mass with a rigid videoendoscope trans-orally. No postoperative complications arose, and she was discharged 7 days after the operation. Histopathological examination identified cavernous hemangioma. Venous malformation (cavernous hemangioma) of the parapharyngeal space is very rare, and few cases of removal under a transoral approach using a rigid endoscope with a flexible tip have been reported. This approach is safe and can be recommended for selected tumors of the parapharyngeal space.
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