经口内镜辅助下切除咽旁间隙良性肿瘤6例报道

中国口腔颌面外科杂志 ›› 2015, Vol. 13 ›› Issue (3): 258-261.

经口内镜辅助下切除咽旁间隙良性肿瘤6例报道

钟江龙, 张大明, 陈伟良, 王友元, 黄志权

中山大学孙逸仙纪念医院口腔颌面外科,广东广州 510120

收稿日期:2014-05-08 修回日期:2014-06-26 出版日期:2015-05-20 发布日期:2015-06-18
通讯作者: 陈伟良,E-mail: drchen@vip.163.com
作者简介:钟江龙（1983-）,男,硕士,E-mail: zhonhjl9@126.com

Endoscopy-assisted transoral resection of 6 large benign parapharyngeal space tumors

ZHONG Jiang-long, ZHANG Da-ming, CHEN Wei-liang, WANG You-yuan, HUANG Zhi-quan

Department of Oral and Maxillofacial Surgery, the Second Affiliated Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province, China

Received:2014-05-08 Revised:2014-06-26 Online:2015-05-20 Published:2015-06-18

摘要/Abstract

摘要： 目的对经口内镜辅助下切除咽旁间隙肿物的手术方法进行评价。方法选择6例咽旁间隙良性肿瘤患者（男4例,女2例,平均年龄41.7岁）,经口内镜辅助下切除肿物。其中多形性腺瘤4例,腺淋巴瘤1例,神经鞘瘤1例。肿瘤大小4 cm×4 cm~7 cm×7 cm不等。结果肿瘤均被完整切除,术后未出现面神经损伤、涎漏或开口受限等并发症。该术式极好地保护了患者的容貌外观。随访8~ 21个月（平均14.7个月）,均无复发。结论经口内镜辅助下切除咽旁间隙巨大良性肿物简单、安全,美观和功能良好。

关键词: 内镜手术, 咽旁间隙, 颞下窝, 颅底肿瘤切除

Abstract: PURPOSE: Surgical resection is regarded as the principal treatment of parapharyngeal space tumors. Although several techniques to access the parapharyngeal space have been described, tumor surgery in this area still remains a great challenge. This study evaluated the outcomes of endoscopy-assisted resection of large benign parapharyngeal space tumors via an intraoral approach. METHODS: Six patients (4 males, 2 females) with primary benign parapharyngeal space tumors were treated with endoscopy-assisted resection via an intraoral approach. The patients had a mean age of 41.7 years. The lesions comprised parapharyngeal space pleomorphic adenoma (n=4), Warthin’s tumor (n=1), and schwannoma (n=1). Tumor sizes varied from a minimum of 4 cm×4 cm to a maximum of 7 cm×7 cm. RESULTS: All tumors were removed completely without rupture while avoiding damage to the facial nerve. No patient exhibited any permanent postoperative complications, facial nerve injury, salivary fistula, or limited mouth opening. The cosmetic and functional results were excellent. The patients were followed for 8 to 21 months (average, 14.7 months), and no recurrence was encountered. CONCLUSIONS: Endoscopy-assisted transoral resection of large benign parapharyngeal space tumors is a simple and safe technique that achieves excellent aesthetic and functional results.

Key words: Endoscopy, Parapharyngeal space, Infratemporal fossa, Skull base, Neoplasms, Surgery

中图分类号:

R729.63

钟江龙, 张大明, 陈伟良, 王友元, 黄志权. 经口内镜辅助下切除咽旁间隙良性肿瘤6例报道[J]. 中国口腔颌面外科杂志, 2015, 13(3): 258-261.

ZHONG Jiang-long, ZHANG Da-ming, CHEN Wei-liang, WANG You-yuan, HUANG Zhi-quan. Endoscopy-assisted transoral resection of 6 large benign parapharyngeal space tumors[J]. China J Oral Maxillofac Surg, 2015, 13(3): 258-261.

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