Surgical management and follow‑up of lateral skull base tumors: An 8‑year review

Kong,Jie; Yang,Hong‑Yu; Wang,Yu‑Fan; Yang,Hui‑Jun; Shen,Shi‑Yue; Wang,Feng

doi:10.3892/mco.2017.1126

Surgical management and follow‑up of lateral skull base tumors: An 8‑year review

Authors:
- Jie Kong
- Hong‑Yu Yang
- Yu‑Fan Wang
- Hui‑Jun Yang
- Shi‑Yue Shen
- Feng Wang
View Affiliations

Affiliations: Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518036, P.R. China
Published online on: January 10, 2017 https://doi.org/10.3892/mco.2017.1126
Pages: 214-220

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

The purpose of the present article was to describe the diagnostic evaluation of, and surgical approaches to, lateral skull base tumors (LSBTs). The study is a retrospective review of 21 patients diagnosed with tumors that involve lateral skull base (8 with malignant diseases and 13 with benign lesions) who were surgically treated during a 8‑year period. The transparotid‑transmandibular (38%) was the most commonly performed surgical procedure, followed by the transmandibular (24%), the transmaxillary (24%), the transcervical approach (10%) and the combined approach (4%). The surgical procedures were uneventful and there were no postoperative mortalities. Complications were encountered in 12 cases, and morbidity was not remarkable during the perioperative stages. After an average follow‑up of 46 months, only 1 of 14 patients with benign diseases had a recurrence following the resection of a pleomorphic adenoma. Of 7 patients with malignant tumors, 5 are alive with no evidence of disease. The majority of the benign lateral skull base tumors can be removed surgically with a low rate of complications and recurrence. However, malignant neoplasms carry a poor prognosis and a low rate of disease‑free survival.

View Figures

View References

1	Hazarika P, Sahota JS, George S and Raja A: Surgical treament of lateral skull base tumours our experience. Indian J Otolaryngol Head Neck Surg. 2:19–22. 1993.
2	Pai PS, Moiyadi A and Nair D: Management of lateral skull base tumours. Indian J Surg Oncol. 1:125–132. 2010. View Article : Google Scholar : PubMed/NCBI
3	Kuet ML, Kasbekar AV, Masterson L and Jani P: Management of tumors arising from the parapharyngeal space: A systematic review of 1,293 cases reported over 25 years. Laryngoscope. 125:1372–1381. 2015. View Article : Google Scholar : PubMed/NCBI
4	Riffat F, Dwivedi RC, Palme C, Fish B and Jani P: A systematic review of 1143 parapharyngeal space tumors reported over 20 years. Oral Oncol. 50:421–430. 2014. View Article : Google Scholar : PubMed/NCBI
5	Spinazzi EF, Desai SV, Fang CH, Jyung RW, Liu JK, Baredes S and Eloy JA: Lateral skull base Inflammatory pseudotumor: A systematic review. Laryngoscope. 125:2593–2600. 2015. View Article : Google Scholar : PubMed/NCBI
6	Khafif A, Segev Y, Kaplan DM, Gil Z and Fliss DM: Surgical management of parapharyngeal space tumors: A 10-year review. Otolaryngol Head Neck Surg. 132:401–406. 2005. View Article : Google Scholar : PubMed/NCBI
7	Jian-feng L, Qiu-hang Z, Da-zhang Y and Qiu-yi Q: Transcervical approach for resection of lateral skull base tumors. J Otology. 2:102–108. 2007. View Article : Google Scholar
8	Prasad SC, Piccirillo E, Chovanec M, La Melia C, De Donato G and Sanna M: Lateral skull base approaches in the management of benign parapharyngeal space tumors. Auris Nasus Larynx. 42:189–198. 2015. View Article : Google Scholar : PubMed/NCBI
9	Dimitrijevic MV, Jesic SD, Mikic AA, Arsovic NA and Tomanovic NR: Parapharyngeal space tumors: 61 case reviews. Int J Oral Maxillofac Surg. 39:983–989. 2010. View Article : Google Scholar : PubMed/NCBI
10	Jacquesson T, Simon E, Berhouma M and Jouanneau E: Anatomic comparison of anterior petrosectomy versus the expanded endoscopic endonasal approach: Interest in petroclival tumors surgery. Surg Radiol Anat. 37:1199–1207. 2015. View Article : Google Scholar : PubMed/NCBI
11	Kirsch CF: Advances in magnetic resonance imaging of the skull base. Int Arch Otorhinolaryngol. 18:(Suppl 2). S127–S135. 2014. View Article : Google Scholar : PubMed/NCBI
12	Rong BG, Chen WL, Ding YP, Xie G, Chen Y and Wang TD: Surgical approaches to the skull base neoplasms. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 40:291–294. 2005.(In Chinese). PubMed/NCBI
13	Fernández Ferro M, Fernández Sanromán J, Costas López A, Sandoval Gutiérrez J and López de Sánchez A: Surgical treatment of benign parapharyngeal space tumours. Presentation of two clinical cases and revision of the literature. Med Oral Patol Oral Cir Bucal. 13:E61–E64. 2008.PubMed/NCBI
14	Reid LB, Wong DS and Lyons B: Chondroblastoma of the temporal bone: A case series, review, and suggested management strategy. Skull Base Rep. 1:71–82. 2011. View Article : Google Scholar : PubMed/NCBI
15	Maire JP, Eimer S, San Galli F, Franco-Vidal V, Galland-Girodet S, Huchet A and Darrouzet V: Inflammatory myofibroblastic tumour of the skull base. Case Rep Otolaryngol. 2013:1036462013.PubMed/NCBI
16	Carrau RL, Weissman JL, Janecka IP, Snyderman CH, Curtin HD, Sekhar L and Lee HS: Computerized tomography and magnetic resonance imaging following cranial base surgery. Laryngoscope. 101:951–959. 1991. View Article : Google Scholar : PubMed/NCBI
17	Jiang ZY, Allen K, Kutz JW Jr and Isaacson B: Clinical impact of early CT scans after lateral skull-base surgery. Otolaryngol Head Neck Surg. 149:786–788. 2013. View Article : Google Scholar : PubMed/NCBI
18	Durden DD and Williams DW III: Radiology of skull base neoplasms. Otolaryngol Clin North Am. 341043–1064. (vii)2001. View Article : Google Scholar : PubMed/NCBI
19	Meli GA, Chiaramonte R, Cavallaro T, Puglisi C and Pero G: Carotid body paraganglioma. Diagnosis and treatment by angiography. Neuroradiol J. 19:645–648. 2006. View Article : Google Scholar : PubMed/NCBI
20	Tong Y: Role of duplex ultrasound in the diagnosis and assessment of carotid body tumour: A literature review. Intractable Rare Dis Res. 1:129–133. 2012.PubMed/NCBI
21	Farrag TY, Lin FR, Koch WM, Califano JA, Cummings CW, Farinola MA and Tufano RP: The role of pre-operative CT-guided FNAB for parapharyngeal space tumors. Otolaryngol Head Neck Surg. 136:411–414. 2007. View Article : Google Scholar : PubMed/NCBI
22	Papadogeorgakis N, Petsinis V, Goutzanis L, Kostakis G and Alexandridis C: Parapharyngeal space tumors: Surgical approaches in a series of 13 cases. Int J Oral Maxillofac Surg. 39:243–250. 2010. View Article : Google Scholar : PubMed/NCBI
23	Cramer H, Lampe H and Downing P: Intraoral and transoral fine needle aspiration. A review of 25 cases. Acta Cytol. 39:683–688. 1995.PubMed/NCBI
24	Suárez-Fente V, Llorente-Pendás JL, Gómez-Martínez J, García-González LA, López-Álvarez F and Suárez-Nieto C: Primary tumours of the parapharyngeal space. Our experience in 51 patients. Acta Otorrinolaringol Esp. 60:19–24. 2009.(In Spanish). View Article : Google Scholar : PubMed/NCBI
25	Luna-Ortiz K, Navarrete-Alemán JE, Granados-Garcia M and Herrera-Gómez A: Primary parapharyngeal space tumors in a Mexican cancer center. Otolaryngol Head Neck Surg. 132:587–591. 2005. View Article : Google Scholar : PubMed/NCBI
26	Hughes KV III, Olsen KD and McCaffrey TV: Parapharyngeal space neoplasms. Head Neck. 17:124–130. 1995. View Article : Google Scholar : PubMed/NCBI
27	Cassoni A, Terenzi V, Della Monaca M, Bartoli D, Battisti A, Rajabtork Zadeh O and Valentini V: Parapharyngeal space benign tumours: Our experience. J Craniomaxillofac Surg. 42:101–105. 2014. View Article : Google Scholar : PubMed/NCBI
28	Fisch U: Infratemporal fossa approach to tumours of the temporal bone and base of the skull. J Laryngol Otol. 92:949–967. 1978. View Article : Google Scholar : PubMed/NCBI
29	Fisch U and Pillsbury HC: Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol. 105:99–107. 1979. View Article : Google Scholar : PubMed/NCBI
30	Sekhar LN, Schramm VL Jr and Jones NF: Subtemporal-preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg. 67:488–499. 1987. View Article : Google Scholar : PubMed/NCBI
31	Donovan MG, Ondra SL, Illig JJ and Dickerson NC: Combined transmandibular-zygomatic approach and infratemporal craniotomy for intracranial skull base tumors. J Oral Maxillofac Surg. 51:754–758. 1993. View Article : Google Scholar : PubMed/NCBI
32	Carrau RL, Myers EN and Johnson JT: Management of tumors arising in the parapharyngeal space. Laryngoscope. 100:583–589. 1990. View Article : Google Scholar : PubMed/NCBI
33	Betka J, Chovanec M, Klozar J, Taudy M, Plzák J, Kodetová D and Lisý J: Transoral and combined transoral-transcervical approach in the surgery of parapharyngeal tumors. Eur Arch Otorhinolaryngol. 267:765–772. 2010. View Article : Google Scholar : PubMed/NCBI