Transoral excision of parapharyngeal ganglioneuroma

Parapharyngeal space tumors are rare, where they represent only 0.5% of all head and neck tumors. This paper describes a rare case of a ganglioneuroma isolated in the paraphayngeal space. A 7 years old female presented to the ENT outpatient clinic with sleep disturbance, snoring, mouth breathing and...

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Main Authors: Malak Almalki (Author), Alanoud Hakami (Author), Abdullah Arafat (Author), Abdullah Albdah (Author), Jaber Alshammri (Author)
Format: Book
Published: Elsevier, 2020-08-01T00:00:00Z.
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Summary:Parapharyngeal space tumors are rare, where they represent only 0.5% of all head and neck tumors. This paper describes a rare case of a ganglioneuroma isolated in the paraphayngeal space. A 7 years old female presented to the ENT outpatient clinic with sleep disturbance, snoring, mouth breathing and dysphagia. Physical examination revealed a bulging mass in the posterior pharyngeal wall indicating a congenital laryngeal mass. On imaging, Gadolinium-enhanced multi-sequential multi-planer MRI of the neck demonstrated well-defined large mass. The patient underwent surgical excision of the mass trans-orally and postoperative histopathological examination of the mass confirmed the final diagnosis as ganglioneuroma with Schwannoma stroma dominant. Post-operatively, the patient was in a good condition with no complications has been observed to date. To conclude, ganglioneuroma should be considered in the differential diagnosis of parapharyngeal space masses in pediatric, regardless of the presentation.
Item Description:2213-5766
10.1016/j.epsc.2020.101456