Published online May 9, 2023. doi: 10.5319/wjo.v10.i2.23
Peer-review started: October 13, 2022
First decision: December 13, 2022
Revised: December 17, 2022
Accepted: February 9, 2023
Article in press: February 9, 2023
Published online: May 9, 2023
Lymphangiomas are a group of benign swellings which are commonly seen in children. The most common sites of presentation is the head and neck region, less commonly seen in axilla, chest, liver, spleen, etc. The ideal modality of treatment has always been surgical excision irrespective of the site and age group. But with the advent of minimally invasive surgical techniques, it is now possible to perform excision of parapharyngeal space lesions with minimal morbidity and good clearance.
A 42-year-old male patient who presented with difficulty in swallowing and had undergone surgery twice outside, where Transcervical approach was attempted to remove the parapharyngeal mass, but failed. Magnetic resonance imaging scan demonstrated a 6 cm x 5 cm x 4 cm left parapharyngeal mass. He underwent transoral robotic surgery for the excision of the parapharyngeal lesion and had an uneventful post-operative recovery.
Lymphangiomas are hamartomatous swellings which are benign in nature. The symptoms of the patient with large parapharyngeal mass include dysphagia, dyspnoea and neck swelling. Clinicoradiological evaluation is of utmost im
Core Tip: This report describes a rare case of adult parapharyngeal space lymphangioma. It also emphasizes the role of minimally invasive techniques like transoral robotic surgery for the excision of parapharyngeal space tumors which has resulted in less morbidity in the patients and gives good clearance of tumor.