Ben Chat Fong Ng, Wai-Yin William Chung, Tsz-Wai Lee, Wai-Shun Ng, Tsun-Cheong Chu, Hunter Kwok-Lai Yuen, Calvin Hoi-Kwan Mak
{"title":"Triportal approach: endoscopic transorbital, transnasal and robotic transoral excision of parapharyngeal liposarcoma.","authors":"Ben Chat Fong Ng, Wai-Yin William Chung, Tsz-Wai Lee, Wai-Shun Ng, Tsun-Cheong Chu, Hunter Kwok-Lai Yuen, Calvin Hoi-Kwan Mak","doi":"10.3171/2025.1.FOCVID24167","DOIUrl":null,"url":null,"abstract":"<p><p>A parapharyngeal space (PPS) tumor is a rare head and neck tumor. The choice of approach depends on the location, pathology, extent of invasion, and relationship with surrounding neurovascular structures. In this video, a PPS tumor was resected using a triportal approach: endoscopic transorbital, robotic transoral, and endoscopic transnasal surgery. Neurosurgeons, otorhinolaryngologists, and ophthalmologists jointly performed the operation. The pathology was a liposarcoma in the right upper parapharyngeal space, abutting the internal carotid artery. Postoperative endoscopy, MRI, and PET-CT showed no recurrence. The triportal approach is a novel technique in improving the exposure and multiangular dissection of PPS tumors with optimal protection to surrounding neurovascular structures. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24167.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V17"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068078/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical focus: Video","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3171/2025.1.FOCVID24167","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A parapharyngeal space (PPS) tumor is a rare head and neck tumor. The choice of approach depends on the location, pathology, extent of invasion, and relationship with surrounding neurovascular structures. In this video, a PPS tumor was resected using a triportal approach: endoscopic transorbital, robotic transoral, and endoscopic transnasal surgery. Neurosurgeons, otorhinolaryngologists, and ophthalmologists jointly performed the operation. The pathology was a liposarcoma in the right upper parapharyngeal space, abutting the internal carotid artery. Postoperative endoscopy, MRI, and PET-CT showed no recurrence. The triportal approach is a novel technique in improving the exposure and multiangular dissection of PPS tumors with optimal protection to surrounding neurovascular structures. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24167.
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