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作 者:Pietro Orlando Luca Giovanni Locatello Oreste Gallo Gianluca Leopardi Giandomenico Maggiore
机构地区:[1]Department of Otorhinolaryngology,Careggi University Hospital,Florence,Italy [2]Department of Experimental and Clinical Medicine,University of Florence,Florence,Italy [3]Unit of Otorhinolaryngology,Azienda USL Toscana Centro,San Giuseppe Hospital,Empoli,Italy
出 处:《World Journal of Otorhinolaryngology-Head and Neck Surgery》2023年第1期79-90,共12页世界耳鼻咽喉头颈外科杂志(英文)
摘 要:Background:Several approaches have been described for the excision of parapharyngeal space tumors(PPSTs).Advances in endoscopy gave a further stimulus to the use of the transoral route.Aims:We present our experience with the endoscopy-assisted transoral approach(EATA)in this regard and a review of the most recent literature about EATA for PPSTs excision.Materials and Methods:We retrospectively analyzed our experience and systematically reviewed the literature about the outcomes of this technique.Results:Seven PPSTs were completely excised,with three of them requiring a combined transcervical approach.Only one case of postoperative wound dehiscence was registered,and the mean length of stay was 3.9 days.Final histopathological examination confirmed the results obtained with preoperative fine-needle aspiration biopsy in all cases and no recurrences were apparent after a mean follow-up of 28.1 months.Discussion:Magnetic resonance imaging,the modified Mallampati score and the 8 Ts criteria are useful instruments for the choice of the most appropriate surgical approach.Conclusion:In light of our experience and following other published series in the literature,we believe that EATA may represent a safe and effective approach for the treatment of the majority of PPSTs.
关 键 词:endoscope-assisted surgery head and neck surgery mini-invasive approach parapharyngeal space tumors transoral surgery
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