LAUSR

Parapharyngeal space tumours are rare and are a significant technical challenge for head and neck surgeons Transcervical, transparotid, and more recently transoral/ transoral robotic techniques have been described to excise parapharyngeal space tumours Larger parapharyngeal tumours have previously required a transmandibular approach with mandibular osteotomies, however this technique is associated with significant post-operative morbidity. An external approach with division of the stylomandibular ligament and ancillary manoeuvres offers good views of large tumours and the surrounding structures This approach is associated with a short hospital stay, good cosmesis and long term good outcomes in terms of tumour control and patient morbidities This article is protected by copyright. All rights reserved.