title: A transpalatal approach to the parapharyngeal space.
abstract: The case of a 75-year-old lady with a large parapharyngeal pleomorphic adenoma excised via a transpalatal peroral technique is presented. This is a new approach to the parapharyngeal space not previously described. A laterally placed full thickness soft palate split from the superior pole of the tonsil to 1 cm proximal to the pterygoid hamulus provided good surgical access to the whole length of the parapharyngeal space and allowed complete tumour excision with minimal morbidity.
authors.affiliation: Department of Otolaryngology, Northwick Park Hospital, Harrow, London UK.
authors.forename: H M
authors.initials: HM
authors.lastname: Myatt
authors.forename: D
authors.initials: D
authors.lastname: Remedios
mesh_terms: D008949:Adenoma, Pleomorphic / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D005260:Female; D006801:Humans; D009055:Mouth; D010610:Pharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography