经颏孔前下颌骨劈开径路切除咽旁间隙巨大肿瘤  

Resection of Giant Tumors in Parapharyngeal Space Via Parasymphyseal Mandibulotomy

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作  者:杨辉俊[1] 杨宏宇[1] 沈时岳[1] 王锋[1] 孟玉生[1] 

机构地区:[1]北京大学深圳医院口腔颌面外科,广东深圳518036

出  处:《口腔医学研究》2013年第7期617-619,共3页Journal of Oral Science Research

基  金:国家自然科学基金(编号:30973339);广东省科技计划项目(编号:2010BO 50100007);深圳市科技计划项目(编号:201103018)

摘  要:目的:探讨经颏孔前下颌骨劈开径路切除咽旁巨大肿瘤的临床效果。方法:对2007年4月~2012年4月收治的8例咽旁间隙巨大肿瘤,采用下颌骨颏孔前截骨劈开径路,切除咽旁间隙巨大肿瘤进行回顾性分析。结果:所有患者肿瘤完整切除,术后病理诊断均为良性肿瘤,其中腮腺来源6例,神经来源2例,患者术后无面瘫、舌麻木,霍纳综合征等并发症,未发生术后感染。全组病例随访8个月~5年,均未见肿瘤复发。结论:下颌骨颏孔前截骨劈开径路对于咽旁间隙巨大肿瘤视野良好,暴露充分,肿瘤可直视下完整切除,手术安全、可靠。Objective: To assess the treatment result of the parasymphyseal mandibulotomy approach for the giant parapharyngeal space tumors.Methods: Clinical data of 8 patients with giant parapharyngeal space tumors via parasymphyseal mandibulotomy from April 2007 to April 2012 were studied retrospectively.Results: In all cases the selected parasymphyseal mandibulotomy approach allowed the complete resection of the tumor,all of them were suffering from benign tumors: pleomorphic adenoma(6 cases)and neurilemmoma(2 cases).There were no complications such as facial nerve palsy,lingual nerve injury,Horner syndrome or infection.All patients were followed up for 8 months to 5 years,and no patient recurred.Conclusion: Parasymphyseal mandibulotomy approach provides maximal exposure of the parapharyngeal space and makes the surgical field clear.It is a safe and effective approach for excision of giant parapharyngeal space tumors.

关 键 词:咽旁间隙 肿瘤 颏孔前下颌骨劈开 

分 类 号:R739.8[医药卫生—肿瘤]

 

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