咽旁间隙肿瘤手术入路10例分析  

Surgical Approaches of Parapharyngeal Space Tumors: Report of 10 Cases

作　　者：刘丰[1] 俞志维[2] 刘胜文[2] 朱云[2] 杨雯君[2] 

机构地区：[1]湖南省人民医院口腔颌面外科,湖南长沙410005 [2]上海交通大学医学院附属第九人民医院颌面头颈肿瘤科,上海200011

出　　处：《口腔颌面外科杂志》2015年第3期216-219,共4页Journal of Oral and Maxillofacial Surgery

摘　　要：目的 :探讨咽旁间隙肿瘤的手术入路。方法 :对2013-01—2013-07经手术的10例咽旁间隙肿瘤患者的手术入路进行分析。结果:经口内入路、经颈侧入路、颈-腮腺联合入路、经颈-下颌骨裂开入路被用于切除肿物,全部获得成功;经口内入路术中和术后并发症少,术后无面颈部皮肤切口瘢痕形成。选择入路时主要考虑肿瘤的位置、大小以及组织病理分型。结论:咽旁间隙肿瘤切除,术前借助CT和MRI成像技术对肿瘤进行分析,多种入路均可有效切除肿瘤,经口内入路无皮肤切口瘢痕,美容效果较好。Objective：To discuss the appropriate surgical approach on the treatment of parapharyngeal space （PPS） neo-plasms. Methods：From January 2013 to July 2013, 10 PPS tumors were retrospectively reviewed. The transoral approach, transcervical approach, transcervical combined with transparotid approach, and transcervical combined with trans mandibular approaches to PPS neoplasms were practiced. Results： All tumors were resected completely without any tech-nical difficulty. Transoral incision healed quickly without any complications. The main considerations for the option of sur-gical approaches were tumor location, tumor size, and pathology of tumors. Conclusions：Transoral approach achieves bet-ter cosmetic results.

关 键 词：咽旁间隙 手术入路 肿瘤 

分 类 号：R739.63[医药卫生—肿瘤]