A 71-year-old woman presented to the otolaryngology clinic for evaluation of a parapharyngeal space (PPS) mass that was incidentally found on magnetic resonance imaging (MRI) of the face. The patient experienced left jaw tightness, aural fullness, and facial discomfort. The MRI results demonstrated a well-circumscribed, ovoid mass in the left prestyloid PPS that measured 12 × 15 × 22 mm. The lesion was isointense on T1-weighted imaging, was hyperintense on T2-weighted imaging, and demonstrated heterogeneous enhancement following gadolinium administration (Figure 1). A computed tomography–guided fine-needle aspiration was performed, which demonstrated blood, fibrin, and rare mesenchymal cells. Given her ongoing symptoms, the patient requested surgical resection. The patient underwent transoral robotic surgery for resection of her PPS mass to achieve definitive diagnosis and treatment. Histopathologic evaluation demonstrated a well-circumscribed, 12-mm mass.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Abie H. Mendelsohn, MD, Department of Head and Neck Surgery, University of California, Los Angeles, 10833 Le Conte Ave, Center for the Health Sciences 62-235, Los Angeles, CA 90095-1624 (email@example.com).
Published Online: May 18, 2023. doi:10.1001/jamaoto.2023.0904
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
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