Management of a Bulky Capillary Hemangioma in the Parapharyngeal Space With Minimally Invasive Surgery

Abstract

In this article, the authors report their management with minimally invasive surgery of a bulky capillary hemangioma in the parapharyngeal space. Parapharyngeal space capillary hemangioma is a rare tumor in adults. Because of its rarity and difficulty to treat, we suggest a multidisciplinary approach in choosing the best treatment, with an accurate follow-up.

Masseteric giant capillary haemangioma: a bulky mass treated with scarless and minimally invasive surgery

“…Previous authors reported cases of maxillofacial haemangioma: extraoral approach is commonly chosen for huge neoformations 3. Gordon and Mandel reported a case, but their patient refused surgery, so only diagnostic informations were added to the literature4; Alami et al reported a similar case, too1; Agarwal et al also reported a diagnosic case with no surgery 5…”

“…Preoperative embolisation is a security belt in the surgical treatment of vascular anomalies, as massive bleeding is common in huge haemangioma surgery 3 4. Some authors reported embolisation as single treatment in head and neck haemangioma: we used this technique prior to surgery 10…”

Life-threatening mandibular angle gigantic osteoma presenting with severe dyspnoea

“…The growth of space-occupying mass in the pharapharyngeal space is a life-threatening matter, especially in the elderly patients, that requires a clear surgery, possibly a minimally invasive surgery 3…”

Parapharyngeal Space Venous Malformation: An Imaging Mimic of Pleomorphic Adenoma

“…Although vascular malformations are more likely to be transspatial and less well-defined than hemangiomas, 22 all of the PPS VMs in our series appeared as lobulated, well-circumscribed soft-tissue masses, which is concordant with other reports. [12][13][14][15][16] This imaging appearance can lead to diagnostic uncertainty, with PPS VMs being mistaken for the much more common pleomorphic adenoma because both can occur with or without a connection to the deep lobe of the parotid gland. Several imaging features may assist in differentiating PPS VM from pleomorphic adenoma.…”

“…To date, very few case reports have published the imaging features of patients with primary PPS VMs, which have been frequently described as "hemangiomas," reflecting the controversial ongoing use of older nomenclature. [12][13][14][15][16] The primary aim of this study was to review the imaging appearance of PPS VMs via a retrospective case series and to seek specific imaging features that may allow differentiation from benign salivary gland tumors such as pleomorphic adenoma.…”