Bouaziz A, Chabardes E, Laccourreye O, Menard M, Brasnu D, Laccourreye H
Service ORL, Hôpital Laënnec, Paris.
Ann Otolaryngol Chir Cervicofac. 1991;108(2):113-8.
The authors report about the experience of the N&T department of Laënnec Hospital with tumors of the upper facial structures invading the infratemporal fossa. This invasion is currently diagnosed preoperatively owing to the progress made in imaging. The involvement of the posterior wall of the sinus is the first CT sign. 45 tumors extended into the ITF, including 35 maxillary tumors. For the latter, the frequency of invasion of the ITF was of 38% for all histological types, and of 26% for epidermoid carcinomas. Trismus, the most characteristic sign, was present in 45% only of the tumors studied. Facial pain also was frequent. The prognosis of these tumors is extremely poor, as the survival rate was of 17% at 3 years, with a mean survival of 10 months. The failures of treatment were essentially local. The surgical treatment proposed associates scooping out the ITF to maxillary resection.
作者报告了拉埃内克医院耳鼻喉科处理侵犯颞下窝的面上部结构肿瘤的经验。由于影像学的进展，目前术前就能诊断出这种侵犯。鼻窦后壁受累是首个CT征象。45例肿瘤扩展至颞下窝，其中35例为上颌肿瘤。对于后者，所有组织学类型侵犯颞下窝的频率为38%，表皮样癌为26%。张口受限是最具特征性的体征，仅在45%的研究肿瘤中出现。面部疼痛也很常见。这些肿瘤的预后极差，3年生存率为17%，平均生存期为10个月。治疗失败主要是局部性的。所建议的手术治疗包括对上颌切除术联合颞下窝清理术。
