Jordan Józef, Sova Jarosław, Cieszyńska Joanna
Oddział Otolaryngologiczny Szpitala Miejskiego im. J. Brudzifiskiego, Gdyni.
Otolaryngol Pol. 2004;58(5):971-5.
Four cases of neurofibroma rare localized in parapharyngeal space and throat, in external ear and larynx are described. Three of them were isolated tumors and in one case--tumors in external ears developed in course of general Recklinghausen disease. Two cases of neurofibroma in parapharyngeal space had different clinical, CT and microscopic picture. In one case tumor protruded the throat obturating its oral part with osseous elements in its microscopic structure which caused characteristic CT picture. This one was excised through median mandibulotomy with good anatomical and functional result. The second case of parapharyngeal neurofibroma adherent to the superior cervical vertebra and only slightly dislocated the postero-lateral wall of the throat was excised through external cervical approach.
本文描述了4例罕见的神经纤维瘤病例,其分别位于咽旁间隙和喉部、外耳道。其中3例为孤立性肿瘤,1例外耳道肿瘤发生于全身性雷克林霍增氏病病程中。2例咽旁间隙神经纤维瘤具有不同的临床、CT及显微镜下表现。1例肿瘤突出至喉部,阻塞其口部,显微镜下结构中有骨质成分,导致特征性CT表现。该病例通过正中下颌骨切开术切除,获得了良好的解剖及功能效果。第2例咽旁神经纤维瘤附着于上颈椎,仅使喉部后外侧壁略有移位,通过颈部外侧入路切除。