颞下窝肿瘤内镜手术径路的研究进展  

Research advances on endoscopic surgical approach for infratemporal fossa tumors

作　　者：杜伟嘉 陈福权 DU Weijia;CHEN Fuquan

机构地区：[1]空军军医大学西京医院耳鼻咽喉头颈外科,西安710032

出　　处：《临床耳鼻咽喉头颈外科杂志》2022年第1期68-72,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：陕西省科技厅重点产业创新链(群)-社会发展领域(No:2021ZDLSF02-12)。

摘　　要：颞下窝是一个边界不规则且密集分布神经血管的解剖空间,与咽旁间隙之间由颈筋膜分隔相对分开,而咽旁间隙更靠内、更深。狭义概念的颞下窝范围位于上颌骨体和颧骨后方,内壁为翼突外侧板,外壁为下颌支,下壁与后壁空缺,顶部内侧为蝶骨大翼和颞骨鳞部构成的中颅窝底;而广义概念的颞下窝还包括更后方的咽旁间隙、更外侧的咬肌区和腮腺区。李立锋等基于颞下窝内的脂肪间隙及与间隙毗邻的肌肉而提出将其可视化分为5个区域:1区指位于上颌窦后外侧壁与颞肌和翼状肌之间的间隙.The tumors occurring in infratemporal fossa(ITF) and parapharyngeal space account for 0.5%-1.0% of head and neck tumors, 80% of which are benign and 20% are malignant. At present, a variety of ITF surgical approaches have been described in domestic and foreign literatures. However, the selection of surgical approaches in clinical practice is still based on the habits and experience of the operators, there is still a lack of standardized clinical guidance. This article mainly introduces the advantages and disadvantages of the latest anatomical division of ITF and the corresponding endoscopic surgical approach as well as the research progress, so as to provide reference for the selection of the optimal surgical approach for ITF tumors.

关 键 词：头颈部肿瘤 颞下窝 咽旁间隙 手术径路 内镜外科手术 

分 类 号：R739.91[医药卫生—肿瘤]