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Surgery Today

, Volume 29, Issue 4, pp 378–381 | Cite as

Successful surgical treatment of a solitary parapharyngeal metastasis from thyroid cancer, using the mandibular swing-transcervical approach: Report of a case

  • Tsuneo Imai
  • Yuji Tanaka
  • Nami Matsuura
  • Masakatsu Takahashi
  • Shuhei Torii
Case Reports

Abstract

A 72-year-old man presented with a right parapharyngeal mass, 4 cm in diameter, which was subsequently diagnosed as a metastasis originating from papillary carcinoma of the thyroid gland. The parapharyngeal tumor was successfully removed by the mandibular swing-transcervical approach with pharyngeal reconstruction, performed using a buccal mucosal island flap based on the facial artery. His postoperative course was uneventful, and the preoperative clinical symptoms such as dysphagia and head-aches completely resolved after surgery.

Key Words

parapharyngeal metastasis papillary carcinoma thyroid cancer mandibular swing buccal flap 

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References

  1. 1.
    Pribaz J, Stephens W, Crespo L, Gifford G (1992) A new intraoral flap: facial artery musculomucosal (FAMM) flap. Plast Reconstruct Surg 90:421–429CrossRefGoogle Scholar
  2. 2.
    Dubner S, Spiro RH (1991) Median mandibulotomy: a critical assessment. Head Neck 13:389–393CrossRefPubMedGoogle Scholar
  3. 3.
    Robbins KT, Woodson GE (1985) Thyroid carcinoma presenting as a parapharyngeal mass. Head Neck Surg 7:434–436CrossRefPubMedGoogle Scholar
  4. 4.
    Hasegawa Y, Matsuura H (1994) Retropharyngeal node dissection in cancer of the oropharynx and hypopharynx. Head Neck 16:173–180CrossRefPubMedGoogle Scholar
  5. 5.
    Silliphant WM, Klinck GH, Levitin MS (1964) Thyroid carcinoma and death: a clinicopathological study of 193 autopsies. Cancer 17:513–525CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 1999

Authors and Affiliations

  • Tsuneo Imai
    • 1
  • Yuji Tanaka
    • 1
  • Nami Matsuura
    • 1
  • Masakatsu Takahashi
    • 2
  • Shuhei Torii
    • 3
  1. 1.Department of Surgery IINagoya University School of MedicineNagoyaJapan
  2. 2.Department of OtolaryngologyNagoya University School of MedicineNagoyaJapan
  3. 3.Department of Plastic SurgeryNagoya University School of MedicineNagoyaJapan

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