颈动脉变异及其对口腔颌面-头颈肿瘤临床实践的影响  

Carotid artery variation and its influence on clinical practice of oromaxillofacial head and neck oncology

作　　者：肖孟 杜仲 田卓炜 游元和 王延安[1] XIAO Meng;DU Zhong;TIAN Zhuo-wei;YOU Yuan-he;WANG Yan-an(Department of Oromaxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology.Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011

出　　处：《中国口腔颌面外科杂志》2025年第1期1-5,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(81371164,81870780,82201085)。

摘　　要：随着口腔颌面-头颈肿瘤发病与诊治人群趋向高龄化与复杂化,颈动脉变异在临床实践中的出现愈发频繁。然而,关于颈动脉变异对此类肿瘤临床实践影响的系统性总结尚显匮乏。本文系统性归纳颈动脉变异的发病机制、发病率及临床表现、诊断方法、分类与治疗,结合专业特点,从8个方面探讨颈动脉变异对口腔颌面-头颈肿瘤临床实践的潜在影响,包括口咽部肿块的鉴别诊断、全麻插管/内镜操作、颈淋巴清扫术、肿瘤根治性手术、组织重建时受区血管的选择、气管切开、介入诊疗、放疗,旨在避免或减少因颈动脉变异而可能引发的意外损伤或潜在并发症,提高临床诊治的安全性。As the incidence and treatment of oral and maxillofacial-head and neck tumors trend towards an aging and complex patient population,carotid artery variations are increasingly observed in clinical practice.However,there is a notable lack of systematic summaries regarding the impact of these variations on the clinical management of such tumors.Therefore,this paper aimed to systematically summarize the etiology,clinical characteristics,examination methods,classification,treatment strategies for carotid artery variations.Furthermore,it sought to explore their potential influence on the clinical practice of oral and maxillofacial-head and neck oncology from eight perspectives:differential diagnosis of oropharyngeal masses,intubation under general anesthesia or endoscopic procedure,neck dissection,radical surgery of tumor,selection of recipient vessels during tissue reconstruction,tracheostomy,application of interventional diagnosis and treatment,and radiation therapy,in order to provide guidance for clinicians to avoid or minimize accidental injuries or potential complications resulting from these variations while enhancing the accuracy and safety in treating such tumors.

关 键 词：颈动脉变异 口腔颌面-头颈肿瘤 口咽部肿块 临床实践 

分 类 号：R782[医药卫生—口腔医学]