OBJECTIVE: To evaluate the role of lateral skull base approaches in the management of benign parapharyngeal space tumors and to propose an algorithm for their surgical approach. METHODS: Retrospective study of patients with benign parapharyngeal space tumors. The clinical features, radiology and preoperative management of skull base neurovasculature, the surgical approaches and overall results were recorded. RESULTS: 46 patients presented with 48 tumors. 12 were prestyloid and 36 poststyloid. 19 (39.6%) tumors were paragangliomas, 15 (31.25%) were schwannomas and 11 (23%) were pleomorphic adenomas. Preoperative embolization was performed in 19, stenting of the internal carotid artery in 4 and permanent balloon occlusion in 2 patients. 19 tumors were approached by the transcervical, 13 by transcervical-transparotid, 5 by transcervical-transmastoid, 6, 1 and 2 tumors by the infratemporal fossa approach types A, B and D, respectively. Total radical tumor removal was achieved in 46 (96%) of the cases. CONCLUSION: Lateral skull base approaches have an advantage over other approaches in the management of benign tumors of the parapharyngeal space due to the fact that they provide excellent exposure with less morbidity. The use of microscope combined with bipolar cautery reduces morbidity. Stenting of internal carotid artery gives a chance for complete tumor removal with arterial preservation.

• MeSH
• baze lební MeSH
• dospělí MeSH
• farynx MeSH
• kohortové studie MeSH
• krk MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory hlavy a krku chirurgie   MeSH
• nádory kraniálních nervů chirurgie   MeSH
• nádory slinných žláz chirurgie   MeSH
• neurilemom chirurgie   MeSH
• neurofibrom chirurgie   MeSH
• paragangliom chirurgie   MeSH
• pleomorfní adenom chirurgie   MeSH
• retrospektivní studie MeSH
• tumor karotického glomu chirurgie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH