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咽旁间隙肿瘤的临床分析及手术方式探讨

Clinical analysis and surgical approaches for parapharyngeal space tumors
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摘要 咽旁间隙(parapharyngeal space,PPS)是头颈部深在解剖间隙,内含颈内动脉、脑神经等重要结构,该位置的原发肿瘤临床上较为罕见。手术切除是治疗该区域肿瘤的首选方法,而选择恰当的手术入路是确保肿瘤安全切除、减少术后并发症的关键。本文结合近年文献与笔者团队临床实践经验,基于PPS三维分区,系统梳理与评述其主要手术入路,以期为临床术式的选择提供参考。 Parapharyngeal space(PPS)is a deep anatomical compartment in the head and neck region,containing critical structures such as the internal carotid artery and cranial nerves.Primary tumors in this area are relatively rare.Surgical resection remains the primary treatment for tumors in this region,and selecting an appropriate surgical approach is crucial for ensuring safe tumor removal and minimizing postoperative complications.Based on recent literatures and the clinical experiences of our team,this article systematically reviews and discusses the main surgical approaches based on the threedimensional compartmentalization of the PPS,aiming to provide a reference for selecting appropriate clinical surgical strategies.
作者 李子慧 李馥焰 孙国文 LI Zihui;LI Fuyan;SUN Guowen(Department of Oral and Maxillofacial Surgery,Nanjing Stomatology Hospital,Medical School of Nanjing University,Nanjing 210008,China)
出处 《口腔颌面外科杂志》 2025年第6期423-429,共7页 Journal of Oral and Maxillofacial Surgery
基金 南京市卫生科技发展专项基金项目(YKK22183)。
关键词 口腔肿瘤 咽旁间隙肿瘤 手术入路 mouth neoplasms parapharyngeal space tumors surgical approach
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