Evidence map›Paper›PMID 40715813›Full record

ArticleEuropean 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 Surgery2025

Quality of life (QoL) following transoral robotic surgery (TORS) resection of parapharyngeal space tumours.

Keshav Kumar Gupta, Arshia Akhavan-Mofrad, Zahir Mughal, Susan Germain, Mriganka De, George Garas

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Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Keshav Kumar GuptaDepartment of Otorhinolaryngology and Head & Neck Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way Edgbaston, Birmingham, B15 2GW, UK. keshav.gupta@nhs.net.ORCID http://orcid.org/0000-0001-8155-0001
Arshia Akhavan-MofradUniversity of Birmingham Medical School, Birmingham, UK.
Zahir MughalDepartment of Otorhinolaryngology and Head & Neck Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
Susan GermainDepartment of Speech and Language Therapy, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Mriganka DeDepartment of Otorhinolaryngology and Head & Neck Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way Edgbaston, Birmingham, B15 2GW, UK.
George GarasDepartment of Surgery & Cancer, Imperial College London, St. Mary's Hospital, London, UK.ORCID http://orcid.org/0000-0001-7468-3287

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionParapharyngeal space tumours (PSTs) can be challenging to manage in view of their distinct location and proximity to vital neurovascular structures. Numerous surgical approaches have been described including minimally invasive techniques utilising transoral robotic surgery (TORS). This study aims to evaluate the role of TORS in the management of PSTs with a special focus on quality of life (QoL) outcomes.

methodsA systematic search was performed to evaluate the existing literature surrounding the management of PSTs with TORS. In addition, all patients at our tertiary unit were included. Outcomes included patient and tumour details, surgical and QoL outcomes.

resultsOverall, 7 patients were included from our centre, all of which had complete tumour excision with no cases of recurrence. Mean length of stay was 2.9 days. There were 4 pleomorphic salivary adenomas (PSA), 1 schwannoma, 1 branchial cleft cyst, and 1 retropharyngeal lipoma. In terms of QoL outcomes, no patient required a feeding tube or tracheostomy or experienced any deterioration of their swallow or voice function (measured through GRBAS, FOIS and PSS-HN scores) at any follow-up point. In the existing literature, 18 studies with 127 patients were identified. A weighted analysis revealed the pooled prevalence of complications across these studies as 9.2% (95% C.I. 2.0-19.2).

conclusionThis study adds support for the use of TORS in the management of parapharyngeal space tumours in carefully selected patients. It is the first to add a QoL evaluation in this clinical context using validated instruments.

Indexed as

Adenoma, PleomorphicParapharyngeal SpacePharyngeal NeoplasmsQuality of LifeRobotic Surgical ProceduresAdultAgedBranchiomaFemaleHumansLipomaMaleMiddle AgedNeurilemmomaTreatment OutcomeParapharyngeal spaceQoLQuality of lifeTORSTransoral robotic surgery

Identifiers

PMID40715813

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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.