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Case Report

Reconstruction after resection of malignant parapharyngeal space tumor

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Pages 13-16 | Received 14 Jul 2014, Accepted 06 Oct 2014, Published online: 27 Oct 2014

Figures & data

Figure 1. (a) Preoperative magnetic resonance T2 images of patient 1. (b, c) Illustrations showing patient 1 just after tumor resection. (b) The mandible osteotomy approach was selected. The resection resulted in a large oropharyngeal defect, and the internal carotid artery was exposed (black arrow). (c) Illustration showing the grossly resected tumor.

Figure 1. (a) Preoperative magnetic resonance T2 images of patient 1. (b, c) Illustrations showing patient 1 just after tumor resection. (b) The mandible osteotomy approach was selected. The resection resulted in a large oropharyngeal defect, and the internal carotid artery was exposed (black arrow). (c) Illustration showing the grossly resected tumor.

Figure 2. Illustrations showing the reconstruction of patient 1: (a) the rectus abdominis musculocutaneous flap. (b) The flap was transferred into the oroparapharyngeal space. The lingual artery and external jugular vein were used as the recipient vessels. (c, d) Illustrations showing the oropharynx immediately after surgery (c) and 3 weeks after surgery (d).

Figure 2. Illustrations showing the reconstruction of patient 1: (a) the rectus abdominis musculocutaneous flap. (b) The flap was transferred into the oroparapharyngeal space. The lingual artery and external jugular vein were used as the recipient vessels. (c, d) Illustrations showing the oropharynx immediately after surgery (c) and 3 weeks after surgery (d).

Figure 3. (a) Preoperative magnetic resonance T2 images of patient 2. (b, c) Illustrations showing patient 2 just after tumor resection. (b) Resection was achieved by using the cervical approach. The internal carotid artery was exposed (black arrow). (c) The oropharyngeal defect resulting from the resection is shown.

Figure 3. (a) Preoperative magnetic resonance T2 images of patient 2. (b, c) Illustrations showing patient 2 just after tumor resection. (b) Resection was achieved by using the cervical approach. The internal carotid artery was exposed (black arrow). (c) The oropharyngeal defect resulting from the resection is shown.

Figure 4. Illustrations showing the reconstruction on patient 2: (a) the anterolateral thigh vastus lateralis musculocutaneous flap. (b) The flap was transferred into the oroparapharyngeal space. The suprathyroid artery and common facial vein were used as the recipient vessels. (c, d) Illustrations showing the oropharynx immediately after surgery (c) and 4 months after surgery (d).

Figure 4. Illustrations showing the reconstruction on patient 2: (a) the anterolateral thigh vastus lateralis musculocutaneous flap. (b) The flap was transferred into the oroparapharyngeal space. The suprathyroid artery and common facial vein were used as the recipient vessels. (c, d) Illustrations showing the oropharynx immediately after surgery (c) and 4 months after surgery (d).