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Indian Journal of Otolaryngology and Head & Neck Surgery

Published in:

13-12-2023 | Sclerotherapy | Clinical Report

Transoral Robotic Surgery for a Rare Case of Venolymphatic Malformation in Parapharyngeal Space

Authors: Surendra K. Dabas, Nandini N. Menon, Reetesh Ranjan, Himanshu Shukla, Bikas Gurung, Sukirti Tiwari, Bharat Bhushan Bassan, Ajit Sinha, Trishala Bhadauria Fernandes, Saurabh Arora, Ankur Verma, Ashwani Sharma, Shubhashish Biswas, Nivedita Patnaik, Tarun Tyagi, Rishu Singal

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 2/2024

Abstract

Venous malformations are low flow endothelial malformations with aberrant and ectatic venous channels. They are defects in vascular growth which causes functional and cosmetic impairment. Gradual growth in size of the lesion occurs due to venous congestion or thrombosis. Venous malformations in parapharyngeal space are a rare entity and are difficult to diagnose.

Case Report.

13 year old boy presented with a history of hyposmia and progressive difficulty in breathing for a duration of 2.5 years. MRI face and neck with contrast showed a 4.5 × 4.3x3.6 cm lesion in the left parapharyngeal space. CT angiogram of brain and neck demonstrated a heterogeneously enhancing mass in the left parapharyngeal region. PET scan illustrated an ill-defined mass in the left pre styloid parapharyngeal space. Biopsy from the lesion showed features consistent with venolymphatic malformation. Flexible laryngoscopy showed a bulge over the left soft palate region with narrowing of nasopharyngeal lumen. Patient underwent transoral robotic surgery for complete excision of the mass. Post-operative period was uneventful. He has been on follow up for the past 1 year with no evidence of any residual or recurrent disease.

Venolymphatic malformation is a rare lesion in the parapharyngeal space which is difficult to diagnose pre operatively. Surgical excision is the preferred modality of treatment for deep seated lesions in the parapharyngeal space. The advent of transoral robotic surgery have reduced the morbidity and improved clearance for such cases.

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Title: Transoral Robotic Surgery for a Rare Case of Venolymphatic Malformation in Parapharyngeal Space
Authors: Surendra K. Dabas
Nandini N. Menon
Reetesh Ranjan
Himanshu Shukla
Bikas Gurung
Sukirti Tiwari
Bharat Bhushan Bassan
Ajit Sinha
Trishala Bhadauria Fernandes
Saurabh Arora
Ankur Verma
Ashwani Sharma
Shubhashish Biswas
Nivedita Patnaik
Tarun Tyagi
Rishu Singal
Publication date: 13-12-2023
Publisher: Springer India
Keywords: Sclerotherapy
Laryngoscopy
Laryngoscopy
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 2/2024
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-023-04390-0

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Transoral Robotic Surgery for a Rare Case of Venolymphatic Malformation in Parapharyngeal Space

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