DOI: https://doi.org/10.36347/sjams.2025.v13i01.001

Pages: 1-6

Background: The parapharyngeal space (PPS) is a deep compartment of the neck, making the surgical management of primary tumors in this area complex and challenging due to its anatomical location, close to vital structures like the carotid artery, internal jugular vein, cranial nerves, and skull base. Objectives: The aim of the study was to evaluate the surgical management of primary parapharyngeal space tumors in 30 patients in a tertiary care hospital. Methods: This cross-sectional study was carried out in the ENT & Head-Neck Surgery, Mymensingh medical college hospital, Mymensingh, during January 2023 to December 2023. A total of 30 patients participated in the study. Statistical analyses of the results were obtained by using window-based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-24). Results: The age distribution of the study population revealed that 16.66% of the patients were between the ages of 20 and 30. Furthermore, 36.66% were between the ages of 30 and 40, with 23.33% falling between the ages of 40 and 50. The majority 18 (60%) were male, while 12 (40%) were female. According to the primary symptoms, 43.33% of patients had intraoral mass, 36.66% had dysphagia, 16.66% had ear fullness, 13.33% had obstructive sleep apnea, 10.0% had hoarseness, and 3.33% had tongue deviation. Conclusion: Surgical resection is the main treatment for PPS tumors, with relatively low rates of recurrence and death. For superior PPS tumors, the surgical navigation system can substantially shorten the operative duration and is more suitable for larger tumors.