鼻内镜下鼻腔进路切除侵犯左侧颅底的咽旁间隙巨大多形性腺瘤1例  

By nasal cavity approach resection of bigger pleomorphic adenoma in left skull base with nasal endoscope

作　　者：詹雅光[1] 赵晓东[2] 金永德[1] 张旭鹤[2] 王绪锐[2] 张秋航[3] 

机构地区：[1]延边大学附属医院耳鼻咽喉头颈外科,吉林延吉133002 [2]吉林省肿瘤医院耳鼻咽喉头颈外二科 [3]首都医科大学宣武医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第20期1620-1621,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：侧颅底解剖复杂,肿瘤毗邻脑神经和大血管,常规手术进路为颈侧大切口入路,巨大的肿瘤需要切断下颌骨,手术难度高,损伤大,术后并发症多,因此长期以来侧颅底肿瘤的治疗一直被视为难点。随着医学影像学、神经外科学和耳鼻咽喉头颈外科学的发展,侧颅底肿瘤的诊断和规范化治疗均取得巨大进展,尤其是鼻内镜技术的迅速发展,已经在处理蝶鞍上方的垂体瘤方面显露其优势。我科于2014年3月在鼻内镜下经鼻腔成功切除1例侵犯左侧颅底的咽旁间隙巨大多形性腺瘤，现报告如下。A 46-year-old female patient presented to our hospital with history of pharyngeal discomfort for 6months.Physical examination showed that she had facial asymmetry,loss of the left nasolabial fold,rightward deviation of uvula,swelling of the left soft palate.Magnetic resonance imaging revealed a bigger neoplasm in left parapharyngeal space which invaded into left lateral skull base.The left internal carotid artery,vein and the styloid process was jostled backward.The primary clinical diagnosis is pleomorphic adenoma of the parapharyngeal space.

关 键 词：腺瘤 多形性 侧颅底 内镜检查 

分 类 号：R739.91[医药卫生—肿瘤]