Transcervical endoscopic approach for removal of parapharyngeal space masses

The transcervical approach to the parapharyngeal space is the preferred approach for excision of parapharyngeal space masses. Limitations of this approach are overcome by the application of endoscopic visualization and dissection techniques. Primary indications for endoscopic-assisted transcervical approach include salivary gland tumors, metastatic retropharyngeal lymphadenopathy, and lateral extension of nasopharyngeal tumors. Endoscopy provides improved visualization with better resection margins and preservation of normal neural and vascular structures. Examples of applications of this approach are provided.