Evidence map›Paper›PMID 37006749›Full record

ArticleWorld journal of otorhinolaryngology - head and neck surgery2023

Endoscopy-assisted transoral approach for parapharyngeal space tumors: Our experience and a systematic review of the literature.

Pietro Orlando, Luca Giovanni Locatello, Oreste Gallo, Gianluca Leopardi, Giandomenico Maggiore

Abstract read
In one paragraph

Article in World journal of otorhinolaryngology - head and neck surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Transoral robotic surgery (TORS) vs. endoscopy-assisted transoral approach (EATA) for parapharyngeal space tumors: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  2. Pooled it
  3. Clinical Outcomes with Transoral and External Surgical Approaches for Resection of Parapharyngeal Space Tumors: Systematic Review and Meta-Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pietro OrlandoDepartment of Otorhinolaryngology Careggi University Hospital Florence Italy.
Luca Giovanni LocatelloDepartment of Otorhinolaryngology Careggi University Hospital Florence Italy.ORCID https://orcid.org/0000-0002-1879-5580
Oreste GalloDepartment of Otorhinolaryngology Careggi University Hospital Florence Italy.ORCID https://orcid.org/0000-0003-3426-7179
Gianluca LeopardiUnit of Otorhinolaryngology Azienda USL Toscana Centro, San Giuseppe Hospital Empoli Italy.
Giandomenico MaggioreDepartment of Otorhinolaryngology Careggi University Hospital Florence Italy.ORCID https://orcid.org/0000-0002-2741-4460

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Several approaches have been described for the excision of parapharyngeal space tumors (PPSTs). Advances in endoscopy gave a further stimulus to the use of the transoral route. Aims: We present our experience with the endoscopy-assisted transoral approach (EATA) in this regard and a review of the most recent literature about EATA for PPSTs excision. Materials and Methods: We retrospectively analyzed our experience and systematically reviewed the literature about the outcomes of this technique. Results: Seven PPSTs were completely excised, with three of them requiring a combined transcervical approach. Only one case of postoperative wound dehiscence was registered, and the mean length of stay was 3.9 days. Final histopathological examination confirmed the results obtained with preoperative fine-needle aspiration biopsy in all cases and no recurrences were apparent after a mean follow-up of 28.1 months. Discussion: Magnetic resonance imaging, the modified Mallampati score and the 8 Ts criteria are useful instruments for the choice of the most appropriate surgical approach. Conclusion: In light of our experience and following other published series in the literature, we believe that EATA may represent a safe and effective approach for the treatment of the majority of PPSTs.

Indexed as

endoscope‐assisted surgeryhead and neck surgerymini‐invasive approachparapharyngeal space tumorstransoral surgery

Identifiers

PMID37006749
PMCPMC10050965

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.