ENDOSCOPY-ASSISTED TRANSORAL RESECTION OF PARAPHARYNGEAL SPACE TUMORS
Main Article Content
Abstract
SPACE TUMORS
Objective: To evaluate the outcomes of endoscopy-assisted transoral resection of parapharyngeal space tumors.
Methods: A scoping review. A literature search was conducted to identify, screen, and analyze relevant studies. Selected articles were synthesized to assess the effectiveness of endoscopy-assisted transoral resection of parapharyngeal space tumors.
Results: Twelve studies published between 2015 and 2026 were included. Among them, eleven were retrospective studies, one was a prospective study. Endoscopy-assisted transoral resection of parapharyngeal space tumors has shown the potential for complete tumor removal and low recurrence risk. Comparing to the external approach, endoscopy-assisted transoral resection tend to have: lower complication rates, shorter surgical time, less blood loss, reduced hospital stay, less pain experience, and better cosmetic results.
Conclusion: Endoscopy-assisted transoral resection of parapharyngeal space tumors is a safe and promising results method. This surgical approach ensures successful tumor treatment while reducing the complication rate and improving aesthetic factors compared to lateral cervical approach.
Article Details
Keywords
parapharyngeal space tumors and endoscopy, parapharyngeal space tumors and endoscopic, parapharyngeal space neoplasm and endoscopy, parapharyngeal space neoplasm and endoscopic, parapharyngeal space mass and endoscopy, parapharyngeal space mass and endoscopic
References
2. Wang J, Li WY, Yang DH, Jin XF, Et. A. Endoscope-assisted Transoral Approach for Parapharyngeal Space Tumor Resection. Chin Med J (Engl). Published online 2017. doi:10.4103/0366-6999.213976
3. Wang X, Gong S, Lu Y, Pan X, Et. A. Endoscopy-Assisted Transoral Resection of Parapharyngeal Space Tumors: A Retrospective Analysis. Cell Biochem Biophys. Published online 2014. doi:10.1007/s12013-014-0323-8
4. Li L, London NR, Gao Y, Carrau RL, Et. A. Endoscopic transoral approach for resection of retrostyloid parapharyngeal space tumors: Retrospective analysis of 16 patients. Head Neck. Published online 2020. doi:10.1002/hed.26415
5. Motta G, Testa D, Donadio A, et al. Transoral Approach to Parapharyngeal Space Tumours: Preliminary Reports from a Single-Centre Retrospective Analysis. Curr Oncol. 2023;30(4):3927-3939. doi:10.3390/curroncol30040297
6. Fan S, Lin S geng, Zhang H qing, et al. A comparative study of the endoscopy-assisted transoral approach versus external approaches for the resection of large benign parapharyngeal space tumors. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;123(2):157-162. doi:10.1016/j.oooo.2016.09.010
7. Chen W liang, Fan S, Huang Z quan, Zhang D ming. Endoscopy-Assisted Transoral Versus Endoscopy-Assisted Transcervical Minimal Incision Plus Mandibular Osteotomy Approach in Resection of Large Parapharyngeal Space Tumors. J Craniofac Surg. Published online 2017. doi:10.1097/SCS.0000000000003478
8. Wang X, Zheng L, Zheng B, Liu X. Endoscopic-Assisted Pterygomandibular Approach for Parapharyngeal Tumor Resection: A Case Series. J Oral Maxillofac Surg. 2025;83(5):625-631. doi:10.1016/j.joms.2025.01.007
9. Liu Y, Yu HJ, Zhen HT. Transoral and endoscope-assisted transoral approaches to resecting benign tumours of the parapharyngeal space located in the medial portion of the carotid sheaths and extending toward the skull base: our experience. J Laryngol Otol. Published online 2018. doi:10.1017/S0022215118001184
10. Meng L zhao, Zhong Q, Fang J gao, Ma H zhi, Wang J hong, Wei Y xiang. Early Experience in Endoscopic Transoral Resection for Parapharyngeal Space Tumors. Ear Nose Throat J. 2018;97(4-5):E5-E9. doi:10.1177/0145561318097004-501
11. Bích Trần Anh. ỨNG DỤNG NỘI SOI TRONG PHẪU THUẬT U KHOANG CẠNH HỌNG QUA ĐƯỜNG MIỆNG. Tạp Chí Học Việt Nam. 2024;536(1):1. doi:10.51298/vmj.v536i1.8714
12. Yan X, Li S, Wang L, et al. Anatomical study and clinical outcomes of endoscopic transoral surgery for benign salivary gland tumors in the parapharyngeal space. J Cranio-Maxillofac Surg. 2025;53(1):1-5. doi:10.1016/j.jcms.2024.09.004