{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:02:18Z","timestamp":1790352138774,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T00:00:00Z","timestamp":1589846400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The transoral approach for parapharyngeal space tumors has been criticized due to its restrictive exposure and increased rate of vascular and nerve injuries. However, for certain tumors\u2014namely those that are prestyloid, benign, and well-encapsulated\u2014the transoral approach reduces overall morbidity while providing direct access. Transoral surgeons can rely on this approach for select tumors seen clearly on intraoral examination in the bulging lateral pharynx. In this article and with a supplemental operative technique video, we demonstrate our transoral approach in these select patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed our 26 cases using this approach and chose a representative case of a 50-year-old man who presented with a large, prestyloid, encapsulated parapharyngeal mass affecting his voice and swallowing. A transoral approach to the parapharyngeal tumor is illustrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A vertical curvilinear incision is completed from the hamulus to below the inferior extent of the tumor. Blunt dissection of the tumor capsule proceeds inferiorly. Controlled violation of the tumor capsule can aid in visualization. After tumor delivery, the wound is irrigated and closed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In our experience, the transoral approach is an effective method to access well-encapsulated, prestyloid parapharyngeal space tumors. Patient selection is important when considering a transoral approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145561320923171","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T08:12:33Z","timestamp":1589875953000},"page":"NP454-NP458","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Transoral Excision of Parapharyngeal Tumors"],"prefix":"10.1177","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0713-6635","authenticated-orcid":false,"given":"Wilson P.","family":"Lao","sequence":"first","affiliation":[{"name":"Loma Linda University School of Medicine, Loma Linda, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter S.","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5360-9632","authenticated-orcid":false,"given":"Nathan H.","family":"Lee","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine, Loma Linda, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason E.","family":"Gilde","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Kaiser Permanente, Vallejo, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared C.","family":"Inman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,19]]},"reference":[{"key":"bibr1-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1177\/0300060518816190"},{"key":"bibr2-0145561320923171","doi-asserted-by":"publisher","DOI":"10.3892\/ol.2017.6480"},{"key":"bibr3-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2019.03.001"},{"key":"bibr4-0145561320923171","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10001-1059"},{"key":"bibr5-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000134"},{"key":"bibr6-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25929"},{"issue":"10","key":"bibr7-0145561320923171","first-page":"E29","volume":"93","author":"Schutt C","year":"2014","journal-title":"Ear Nose Throat J"},{"key":"bibr8-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2013.03.002"},{"issue":"2","key":"bibr9-0145561320923171","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1002\/hed.25439","volume":"41","author":"Lopez F","year":"2019","journal-title":"Head Neck"},{"key":"bibr10-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-018-1447-8"},{"key":"bibr11-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1071-z"},{"key":"bibr12-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32832924f5"},{"key":"bibr13-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3331-9"},{"key":"bibr14-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1159\/000320596"},{"key":"bibr15-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815625911"},{"key":"bibr16-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1177\/0145561318097004-501"},{"key":"bibr17-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.003"},{"key":"bibr18-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003478"},{"issue":"3","key":"bibr19-0145561320923171","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1288\/00005537-198803000-00005","volume":"98","author":"Goodwin WJ","year":"1998","journal-title":"Laryngoscope"},{"key":"bibr20-0145561320923171","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25077"}],"container-title":["Ear, Nose &amp; 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