A Large Parapharyngeal Mass in A Five-Year-Old Girl: A Case Report

Kayvan Aghazadeh; Reza Erfanian Azimzade Khosravi; Farrokh Heidari; Nasim Sodagari; Sepideh Karvanian; Benyamin Rahmaty

doi:10.18502/acta.v61i3.12742

Kayvan Aghazadeh Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran
Reza Erfanian Azimzade Khosravi Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran
Farrokh Heidari Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran
Nasim Sodagari Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran
Sepideh Karvanian Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran
Benyamin Rahmaty Department of ENT, Otorhinolaryngology Research Center, Amir A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/acta.v61i3.12742

Keywords: Parapharyngeal space; Venous malformation

Abstract

Lesions in the parapharyngeal space are rare and account for 0.5-1.5% of all head and neck tumours. Of these, venous malformations represent 1% of all parapharyngeal space tumors. In the current paper, we reported a 5-year-old patient who presented with a soft tissue swelling of the parapharyngeal space that was discovered by her parents after two weeks following adenoidectomy. The MRI revealed a tumour within the parapharyngeal space with a well-defined mass with low-signal intensity on T1 and high on T2. The internal flow voids also proposed phleboliths. Therefore, the tumour was removed by an intraoral approach. The post-op pathology result explicated a venous malformation.