咽旁颞下窝肿瘤的外科治疗及局部临床解剖学研究  

Surgery for space-occupying lesions in the parapharyngeal and infratemporal fossa and study on regional clinical anatomy

作　　者：王卫红[1] 邹智荣[2] 刘宗良[2] 李国民[1] 牟象鑫[1] 许彪[1] 

机构地区：[1]云南昆明医学院附属口腔医院口腔颌面外科,650031 [2]昆明医学院人体解剖教研室

出　　处：《现代口腔医学杂志》2010年第1期14-17,共4页Journal of Modern Stomatology

基　　金：昆明医学院科学研究基金(V2-20)

摘　　要：目的研究咽旁颞下窝的解剖结构及毗邻关系,为咽旁颞下窝肿瘤选择合适的手术入路及手术方法提供解剖学依据,以减少并发症的发生。方法利用9个经10%福尔马林固定的国人成人头颅标本,对咽旁颞下窝相关解剖进行观察、摄像,同时结合7例临床咽旁颞下窝肿瘤患者,结合术前影像学检查,行耳前、下颌下切口手术切除肿瘤。结果以翼外肌上下头为参照,其浅及深面有重要的血管、神经分布。7例患者手术顺利,无术后并发症。术后随访2个月至3年,无1例复发。结论对于边界相对较清楚的咽旁颞下窝肿瘤,单纯耳前、下颌下切口可完全顺利切除肿瘤。熟知咽旁颞下窝的解剖层次可明显减少手术创伤及预防手术并发症的发生。Objective To expatiate the anatomy of parapharyngeal and infratemporal fossa and the adjacent anatomical structure in order to provide anatomical basis for an appropriate surgical approach and surgical techniques of tumors in the parapharyngeal and infratemporal fossa so as to reduce complications. Methods Nine cases of Chinese adult cadavers fixed by 10% formalin were studied as well as seven patients who suffered from the tumor in the parapharyngeal and infratemporal fossa. Clinically, all patients were underwent the surgery applying with preauricular and submandibular incision combined with preoperative image examination. Results Referring to superior and inferior pterygoid muscle, there existed many important blood vessels and nerves. Surgery in all patients had been finished smoothly, and no obvious complications. Followed up from two months to three years, no recurrence was found in all patients. Conclusion Tumors in the parapharyngeal and infratemporal fossa with a clear boundary relatively could be successfully removed by only preanricular and submandibular incision. It is important for reducing surgical trauma and complication to be familiar with the anatomy of parapharyngeal and infratemporal fossa.

关 键 词：咽旁颞下窝 肿瘤 解剖 手术 

分 类 号：R739.8[医药卫生—肿瘤]