Bianchi B, Ferri A, Ferrari S, Copelli C, Magri A S, Sesenna E
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy.
J Laryngol Otol. 2010 Aug;124(8):909-12. doi: 10.1017/S0022215110000393. Epub 2010 Mar 10.
We report a new approach to benign parapharyngeal space tumours: a single, subcondylar mandibular osteotomy.
Case report and review of the world literature concerning parapharyngeal space access and the various types of mandibular osteotomy.
The use of a single, subcondylar mandibular osteotomy achieves good exposure and satisfactory aesthetic and functional results, using a simple, easily performed technique that is fast and has minimal morbidity. In addition, this technique preserves the submandibular gland and avoids lip-splitting and post-operative intermaxillary fixation.
To our knowledge, this is the first report of this approach to the parapharyngeal space. We propose this approach as the first choice for resection of benign neoplasms of the parapharyngeal space.
我们报告一种治疗咽旁间隙良性肿瘤的新方法：单次髁突下下颌骨截骨术。
病例报告及对有关咽旁间隙入路和各种类型下颌骨截骨术的世界文献的回顾。
使用单次髁突下下颌骨截骨术可实现良好的显露，并获得令人满意的美学和功能效果，采用的技术简单、易于实施、速度快且发病率极低。此外，该技术保留了下颌下腺，避免了唇裂和术后颌间固定。
据我们所知，这是关于这种咽旁间隙治疗方法的首次报告。我们建议将此方法作为咽旁间隙良性肿瘤切除术的首选方法。
