Pellegrini G, Coqueran J, Piton J
O.R.L. des Hôpitaux des Armées, Pessac, France.
Rev Laryngol Otol Rhinol (Bord). 1991;112(3):209-14.
Based on the observation of a voluminous neurinoma of the carotid groove and of the posterior subparotid space, the authors highlight the wide range of parapharyngeal tumors and develop the anatomical bases which shed light on the clinical picture and guide the surgeon. The surgical indication must be put forth cautiously, taking into account the evolutive character of the tumor, the dangers it implies particular in Recklinghausen's disease. Modern radiology plays a major role in the diagnosis and treatment by perfectly visualizing the tumor, its vascularization and its relations with the walls and contents of the parapharyngeal spaces. It will supply indispensable information for directing the coordination between the ENT specialist, the vascular surgeon and the neurosurgeon.
基于对颈动脉沟和腮腺后间隙巨大神经鞘瘤的观察，作者强调了咽旁肿瘤的广泛范围，并阐述了解剖学基础，这些基础有助于阐明临床表现并指导外科医生。手术指征必须谨慎提出，要考虑到肿瘤的发展特性，尤其是在神经纤维瘤病中它所带来的危险。现代放射学在诊断和治疗中发挥着重要作用，它能完美地显示肿瘤、其血管分布以及与咽旁间隙壁和内容物的关系。它将为指导耳鼻喉科专家、血管外科医生和神经外科医生之间的协作提供不可或缺的信息。
