Radiological research methods in the diagnosis and treatment of patients with the parapharyngeal space tumors

Authors

  • D.I. Zabolotnyi SI "Institute of Otolaryngology named after prof. O.S. Kolomiychenko National Academy of Sciences of Ukraine", Zoolohichna str., 3, Kyiv, 03057, Ukraine https://orcid.org/0000-0002-4848-840X
  • D.D. Zabolotna SI "Institute of Otolaryngology named after prof. O.S. Kolomiychenko National Academy of Sciences of Ukraine", Zoolohichna str., 3, Kyiv, 03057, Ukraine https://orcid.org/0000-0001-7807-8148
  • T.V. Babkina SI "Institute of Otolaryngology named after prof. O.S. Kolomiychenko National Academy of Sciences of Ukraine", Zoolohichna str., 3, Kyiv, 03057, Ukraine
  • I.R. Tsvirinko SI "Institute of Otolaryngology named after prof. O.S. Kolomiychenko National Academy of Sciences of Ukraine", Zoolohichna str., 3, Kyiv, 03057, Ukraine https://orcid.org/0000-0003-2186-1312
  • K.I. Telukha SI "Institute of Otolaryngology named after prof. O.S. Kolomiychenko National Academy of Sciences of Ukraine", Zoolohichna str., 3, Kyiv, 03057, Ukraine https://orcid.org/0000-0002-0184-1827
  • Ya.V. Kizim SI "Institute of Otolaryngology named after prof. O.S. Kolomiychenko National Academy of Sciences of Ukraine", Zoolohichna str., 3, Kyiv, 03057, Ukraine https://orcid.org/0000-0001-5062-7707
  • S.V. Valchyshyn SI "Institute of Otolaryngology named after prof. O.S. Kolomiychenko National Academy of Sciences of Ukraine", Zoolohichna str., 3, Kyiv, 03057, Ukraine https://orcid.org/0000-0003-2668-188X

DOI:

https://doi.org/10.26641/2307-0404.2022.4.271175

Keywords:

parapharyngeal space tumors, diffusion-weighted magnetic resonance imaging, perfusion magnetic resonance imaging, transoral surgical approach

Abstract

The parapharyngeal space is a complex structure, being narrow and difficult for surgical approach. Surgical treatment is the main treatment for parapharyngeal space (PPS) tumors, it is performed on the basis of information obtained from imaging methods (computed tomography (CT) and magnetic resonance imaging (MRI)). Objective to investigate the effectiveness of advanced visualization of radiological research methods in the diagnosis of the parapharyngeal space tumors in order to select the necessary tactics of surgical treatment. This retrospective study included 43 patients who underwent surgery for primary parapharyngeal space tumors from 2010 to 2021. 32 patients were treated in previous 10 years, 11 – patients who underwent examination and surgical treatment over the past 2 years with advanced methods of MRI and CT to select a safe surgical approach. Patients of the 2nd group underwent advanced MRI and CT studies in order to choose the correct method of surgical approach and prevent postoperative complications and recurrence. The histological conclusion in 90.1% of the operated patients confirmed the preliminary data of MRI perfusion regarding the probable histological structure of the neoplasm. Due to a comprehensive preoperative study, in 81.8% of patients in this group transoral approach was used. Our experience confirms the necessity for a thorough preoperative diagnostic procedure that should take advantage of imaging modalities (CT, MRI), especially new techniques (MRI-perfusion and diffusion weighted imaging).

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Published

2022-12-29

How to Cite

1.
Zabolotnyi D, Zabolotna D, Babkina T, Tsvirinko I, Telukha K, Kizim Y, Valchyshyn S. Radiological research methods in the diagnosis and treatment of patients with the parapharyngeal space tumors. Med. perspekt. [Internet]. 2022Dec.29 [cited 2024Mar.2];27(4):74-86. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/271175

Issue

Section

CLINICAL MEDICINE