Transoral endoscopic excision of a giant parapharyngeal space tumour: A case report

Most of the parapharyngeal space tumours are benign. The primary treatment is complete resection of the tumour. Due to its location in the deep neck space, a pre-styloid tumour can be resected via the transoral approach. However, the surgical field is limited by the small oral cavity. With the use of rigid endoscopes, removing benign tumours through transoral approach in the parapharyngeal space is possible as they provide a broad and enlarged view of the confined space. Here, we report a case of a 64-year-old male with a giant pre-styloid parapharyngeal space tumour, who successfully underwent transoral endoscopic excision. Postoperatively, the patient had short hospital stay of total 3 days. His chewing and swallowing were not affected, and he resumed oral feeding prior to discharge.