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Parapharyngeal neurofibromas

Published online by Cambridge University Press:  29 June 2007

D. A. Tandon*
Affiliation:
New Delhi, India
S. Bahadur
Affiliation:
New Delhi, India
N. K. Misra
Affiliation:
New Delhi, India
R. C. Deka
Affiliation:
New Delhi, India
K. Kapila
Affiliation:
New Delhi, India
*
Dr D. A. Tandon. Assistant Professor, Department of Otorhinolaryngology, All India Institute of Medical Sciences. New Delhi 110029, India.

Abstract

This paper is a retrospective study of 15 patients with parapharyngeal neurofibromas operated over a six year period. No patient presented with a neurological deficit. CT scans revealed a well encapsulated moderately enhancing mass in ten cases. The tumour was removed by a transcervical approach in ten cases while in five a cervical-transpharyngeal route with mandibulotomy was used; in three of the latter group the tumour was retropharyngeal. In two cases a recurrence was successfully excised. It was realized that a mandibulotomy was required when the internal carotid was displaced medially, or if the tumour extended to the base of skull or when its vertical diameter exceeded 8 cm.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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