Neurilemomas of the parapharyngeal space

Ashraf Hamza, Johannes J. Fagan, Jane Weissman, Eugene N. Myers

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Objective: To review the surgical management of neurilemomas of the parapharyngeal space (PPS). Design: Retrospective survey of the clinical presentation, radiological features, surgical approaches, surgical findings, and postoperative neurological sequelae of neurilemomas of the PPS. Setting: Academic tertiary care head and neck referral center. Patients: Fourteen patients with neurilemomas of the PPS; 12 were in the poststyloid compartment. Interventions: Preoperative evaluation with computed tomography and/or magnetic resonance imaging with or without angiography. Surgical resection was performed through a transcervical approach. Main Outcome Measures: Radiological features, adequacy of surgical approach, and neurological sequelae of surgery. Results: Radiological studies could distinguish prestyloid from poststyloid tumors and, with poststyloid tumors, can usually differentiate between glomus tumor and neurilemoma. The transcervical approach permitted adequate surgical access. Five of the tumors in the poststyloid space were neurilomomas originating from the sympathetic nervous system, and all 5 patients with these tumors developed Horner syndrome postoperatively. Conclusions: Computed tomographic and/or magnetic resonance studies should be routinely obtained to evaluate tumors of the PPS, but angiography is indicated only in selected cases. Both prestyloid and poststyloid neurilemomas can be resected through a transcervical approach. Resection of neurilemomas has an attendant risk for neurological dysfunction.

Original languageEnglish (US)
Pages (from-to)622-626
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume123
Issue number6
StatePublished - Jun 1997
Externally publishedYes

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Neurilemmoma
Neoplasms
Angiography
Horner Syndrome
Glomus Tumor
Sympathetic Nervous System
Tertiary Healthcare
Neck
Magnetic Resonance Spectroscopy
Referral and Consultation
Head
Tomography
Magnetic Resonance Imaging
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Hamza, A., Fagan, J. J., Weissman, J., & Myers, E. N. (1997). Neurilemomas of the parapharyngeal space. Archives of Otolaryngology - Head and Neck Surgery, 123(6), 622-626.

Neurilemomas of the parapharyngeal space. / Hamza, Ashraf; Fagan, Johannes J.; Weissman, Jane; Myers, Eugene N.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 123, No. 6, 06.1997, p. 622-626.

Research output: Contribution to journalArticle

Hamza, A, Fagan, JJ, Weissman, J & Myers, EN 1997, 'Neurilemomas of the parapharyngeal space', Archives of Otolaryngology - Head and Neck Surgery, vol. 123, no. 6, pp. 622-626.
Hamza A, Fagan JJ, Weissman J, Myers EN. Neurilemomas of the parapharyngeal space. Archives of Otolaryngology - Head and Neck Surgery. 1997 Jun;123(6):622-626.
Hamza, Ashraf ; Fagan, Johannes J. ; Weissman, Jane ; Myers, Eugene N. / Neurilemomas of the parapharyngeal space. In: Archives of Otolaryngology - Head and Neck Surgery. 1997 ; Vol. 123, No. 6. pp. 622-626.
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