An interesting case of parapharyngeal mass with retropharyngeal extension
25 years old male came with c/o:
1. Fullness in the throat - 5 years
2. Difficulty in swallowing - 2 years
3. Breathlessness on and off accompanied by noisy breathing - 6 months
Previous history of surgery in the neck ++ - 6 years back
Biopsy report from the mass excised during previous surgery - Swannnoma
Swelling on the left side of the neck just below the angle of the mandible. It measured about 5 x 3 cms.
The skin over the swelling was not warm and was pincheable. The mass could be moved in its vertical axis.
Its mobility in the horizontal axis was somewhat restricted.
A linear scar could be seen over the neck mass measuring 6 cms. Previous skin incision.
Intraoral examination showed a large mass occupying the retropharyngeal wall crossing the midline. This swelling could be seen pushing the left tonsil anteriorly and downwards. The upper border of the Swelling could be seen just below the choana. The lower margin of the tumor could be seen reaching the laryngeal inlet.
Ryles tube insertion.
Removal of mass via mandibular swing approach.