Giant cell tumor of the tenosynovial type in the prevertebral space with a cervical approach
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20214905Keywords:
Prevertebral space, Retropharyngeal space, Giant cell tumor, Neck masses, Dysphonia, Head and neck surgeryAbstract
The complex anatomy of the neck makes surgical interventions of cervical neoplasms a very complex process. The aforementioned challenges the surgeon to find a surgical approach with the least morbidity and cosmetic sequelae. This is particularly true in tumoral occupation of the prevertebral space (PVS), most frequently due to the extension of neoplasms from naso and oropharynx; whereas primary tumors of the PVS are extremely rare. There are a number of surgical approaches to access the skull base and the anterior region of the upper cervical spine, such as the transcervical-transtemporal approach, retraction and dissection of the soft palate, mandibular osteotomy, medial glossotomy, among others. The following article presents a case report in which a less invasive combined transcervical-transoral approach was performed on a tenosynovial giant cell tumor of the PVS. As an alternative in the treatment of these type of lesions, it is in our opinion equally effective and less morbid.
Metrics
References
Gundelach R, Ullah R, Coman S, Campbell K. Liposarcoma of the retropharyngeal space. J Laryngol Otol. 2005;119(08):651-4.
Gallo S, Bandi F, Maffioli MP, Giudice M, Castelnuovo P, Fazio E, et al. Retropharyngeal space schwannoma: a rare entity. Iranian J Otorhinolaryngol. 2017;29(6):95.
Debnam J, Guha-Thakurta N. Retropharyngeal and prevertebral spaces: anatomic imaging and diagnosis. Otolaryngol Clin North Am. 2012;45(6):1293-310.
Davis WL, Harnsberger HR, Smoker WR, Watanabe AS. Retropharyngeal space: evaluation of normal anatomy and diseases with CT and MR imaging. Radiology. 1990;174(1):59-64.
Imre A, Pinar E, Erdogan N, Ata Ece A, Olgun Y, Aladag I, et al. Prevertebral Space Invasion in Head and Neck Cancer. Ann Otol Rhinol Laryngol. 2014;124(5):378-83.
Fletcher C, Bridge J, Hogendoorn P, Mertens F. WHO Classification of Tumours of Soft Tissue and Bone. World Health Organization. 2013;100-3.
Goldblum J, Folpe A, Weiss S. Benign Tumors and Tumor-like Lesions of Synovial Tissue. In: Enzinger & Weiss´s. Soft Tissue Tumors, 6th ed. Philadelphia, PA: Elsevier Saunders. 2014;766-77.
Somerhausen NS, Dal Cin P. Diffuse-type giant cell tumor: Clinicopathologic and immunohistochemical analysis of 50 cases with extraarticular disease. Am J Surg Pathol. 2000;24:479-92.
Genden EM, O’Malley BW, Weinstein GS, Stucken CL, Selber JC, Rinaldo A, et al. Transoral robotic surgery: role in the management of upper aerodigestive tract tumors. Head Neck. 2012;34:886-93.
Nichols AC, Yoo J, Hammond JA, Fung K, Winquist E, Read N, et al. Earlystage squamous cell carcinoma of the oropharynx: radiotherapy vs transoral robotic surgery (ORATOR)-study protocol for a randomized phase II trial. BMC Cancer. 2013;13:13.
García-Armengol R, Colet-Esquerre S, Teixidor-Rodríguez P, Alamar-Abril M, Cladellas-Ponsa JM, Hostalot-Panisello C, et al. Complicaciones del abordaje anterior en la patología de la columna cervical. Neurocirugía. 2007;18:209-20.
Downloads
Published
How to Cite
Issue
Section
