Özet:

Objective: The aim of this study was to evaluate our 10- year experience in the treatment of parapharyngeal space (PPS) tumors in our clinic using current diagnosis and treatment methods, present our surgical approaches, and compare our findings with the literature. Material and Methods: We retrospectively analyzed the medical records of all patients in a single clinic who had a mass in the PPS between 2008 and 2018. We recorded and analyzed PPS mass histologic features, surgical approaches, complications that occurred before and after surgery, and surgical outcomes. Results: Thirty patients were included in the study; 50% of the patients were female, and 50% were male. In the diagnosis phase, contrasted computed tomography and magnetic resonance imaging were used. Fine needle aspiration cytology was performed in all patients, and all patients underwent surgery in this series. The transparotid approach was the most commonly used surgical technique, followed by the transcervical- submandibular, transcervical-transparotid, and transparotidtransmastoid combined approaches. Complications were seen in 17 of 30 (53%) patients. The mean follow-up period was 32 months, with a range of 24-54 months. Four patients were lost to follow-up, and the tumors of 26 patients did not relapse. Conclusion: PPS tumors are rare, but a good strategy for their management must be formed before surgery. By performing surgery with the most appropriate surgical technique and imaging tests, surgeons can minimize potential complications.

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