摘要
目的 :探讨咽及咽旁间隙肿瘤切除的最佳入路。方法 :采用下颌骨外旋入路切除咽及咽旁间隙肿瘤12例 ,其中鼻咽部肿瘤 2例 ,口咽、喉咽部肿瘤 5例 ,咽旁间隙肿瘤 5例。对其中的 3例恶性肿瘤同期行颈淋巴结清扫术。对咽部缺损明显的 3例行前臂游离皮瓣修复 2例 ,胸大肌皮瓣修复 1例。结果 :12例病变均获得彻底的切除 ,疗效满意 ,未见明显的功能受损及严重的并发症。结论 :下颌骨外旋入路切除咽及咽旁间隙肿瘤 ,具有视野开阔、操作安全方便、便于修复缺损、后遗畸形轻微等特点 。
Objective: To find a better approach for the resection of pharyngeal and parapharyngeal space (PPS) tumors. Methods: 12 cases of pharyngeal and parapharyngeal space tumors were thoroughly resected via mandibular swing approaches. Among the cases, 2 were nasopharyngeal tumors, 5 oropharyngeal and laryngopharyngeal tumors and 5 PPS tumors.3 cases had neck node dissections.3 cases of severe pharyngeal defects were reconstructed. Results: The tumors in the 12 cases were thoroughly resected without obvious functional defects or severe complications. Conclusion: This procedure provides good exposure of pharynx and PPS,facilitating reconstruction.It is safe and leaves minimal morbidity.
出处
《贵阳医学院学报》
CAS
2003年第1期46-48,共3页
Journal of Guiyang Medical College
关键词
头颈部肿瘤
咽肿瘤
下颌骨
咽旁间隙
下颌骨外旋
head and neck neoplasms
pharyngeal neoplasms
mandible
parapharyngeal space
mandibular swing
