Managementul chirurgical in tumorile maligne de spatiu parafaringian

Autori: Doina Vesa1,2, Dana Munteanu2, Doriana Cristea2

1
Facultatea de Medicina si Farmacie Galati
2
Spitalul Clinic Judetean de Urgenta “Sf. Ap. Andrei” Galati

Rezumat:
Spatiul parafaringian este o zona anatomica complexa, unde abordarea chirurgicala a tumorilor maligne (TM) este
dificila si necesita abilitati tehnice deosebite.
Scop: Realizarea unei scheme de abordare chirurgicala a tumorilor maligne de spatiu parafaringian in functie de
compartimentarea acestei zone anatomice.
Material si metoda: In studiu au fost inclusi 15 pacienti cu TM de spatiu parafaringian, internati in Clinica ORL
Galati in ultimii 5 ani (2014-2018). Acesti pacienti au fost evaluati clinic si imagistic si supusi tratamentului chirurgical.
Rezultate: Dezvoltarea deosebita a tehnicilor imagistice a permis stabilirea unor repere noi de compartimentare a
spatiului parafaringian. S-au efectuat topograme adecvate fiecarui caz in functie de care s-a ales tehnica chirurgicala.
Concluzii: S-au identificat 6 compartimente ale spatiului parafaringian. Managementul eficient al acestor cazuri a
necesitat si un abord interdisciplinar. Cu toate progresele imagistice realizate, tratamentul chirurgical al TM
parafaringiene ridica inca numeroase probleme.

Cuvinte cheie: spatiul parafaringian, tumori maligne parafaringiene, tratament chirurgical.

 Surgical management in malignant parapharyngeal tumors

Authors: Doina Vesa1,2, Dana Munteanu2, Doriana Cristea2

1
Medicine and Pharmacy Faculty Galati
2
Emergency Clinical Hospital „Sf. Ap. Andrei” Galati

Abstract:
The parapharyngeal space is a complex anatomical region, where surgical approach of malignant tumors (MT) is
difficult and requires great technical abilities.
Purpose: Achieving a surgical approach method for the parapharyngeal MT depending on the zone’s
compartmentation.
Material and method: A total of 15 patients with malignant parapharyngeal tumors were studied, hospitalized in
the ENT Clinic of Galati in the last 5 years (2014-2018). The patients were evaluated both clinically and radiologically
and underwent surgical treatment.
Results: A great improvement of imagistic techniques has allowed the establishment of new marks for the
parapharyngeal space’s compartments. Topographies were made appropriate to each case depending on which surgical
technique was chosen.
Conclusions: A total of 6 different compartments were identified in the parapharyngeal space. An efficient
management of these cases also required an interdisciplinary approach. Even with all the imagistic progress made,
surgical treatment of malignant parapharyngeal tumors still raises multiple problems.

Key words: parapharyngeal space, parapharyngeal malignant tumors, surgical treatment.