The parapharyngeal space: tumors and surgical approaches

E. Raveh, R. Sadov, B. Nageris, R. Feinmesser

Research output: Contribution to journalArticlepeer-review


The potential parapharyngeal space contains the great vessels of the neck, cranial nerves IX-XII, the sympathetic chain and lymph nodes. Surgical access is difficult and the infrequency of tumors in it make surgery of this part of the head and neck a challenge, 8 women and 2 men (mean age 54.7, range 31-70 years) with tumors of the parapharyngeal space operated on during the past 6 years are presented. The most common surgical approach was the cervical submandibular, used in 6 of our patients with relative ease and minimal complications. Tumors of deep lobe parotid origin should be operated through a transparotid approach. Large benign or malignant tumors have a better prognosis when the transcervical transmandibular approach is used, providing wider access.

Original languageEnglish
Pages (from-to)530-532, 590
Issue number11
StatePublished - 1 Dec 1997
Externally publishedYes


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