Subcutaneous mandibulotomy for a large tumor of the parapharyngeal space

Toshiki Tomita

Research output: Contribution to journalArticlepeer-review


Transcervical and transcervical-transparotid approaches to the parapharyngeal space (PPS) may be enhanced by mandibulotomy. However, traditional midline mandibulotomy requires lip-splitting and intraoral incisions. We report a case of pleomorphic adenoma of the PPS which was resected through the subcutaneous mandibulotomy. The tumor was 70 mm × 55 mm × 40 mm in size. The tumor was too large to be resected through the transcervical-transparotid approach. However, the additional exposure achieved by the subcutaneous mandibulotomy was adequate to remove the tumor. We recommend the subcutaneous mandibulotomy, which affords good access to the PPS without lip-splitting and offers improved cosmetic result compared with traditional midline mandibulotomy.

Original languageEnglish
Pages (from-to)665-669
Number of pages5
JournalOtolaryngology - Head and Neck Surgery (Tokyo)
Issue number9
Publication statusPublished - 2005 Sept 1

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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