ENT Department, Klinikum Ernst von Bergmann Potsdam, Potsdam, Germany.
Laryngoscope. 2010 Aug;120(8):1557-62. doi: 10.1002/lary.20872.
When considering a mandibular osteotomy for access to resect a parapharyngeal neoplasm, the following goals should be considered: preservation of the facial nerve, complete removal of the neoplasm without tumor rupture, maintenance of the preoperative teeth occlusion, acceptable temporomandibular joint function, functional preservation of the inferior alveolar nerve sensation, and satisfying aesthetic results. We propose a modified median osteotomy technique, which combines the advantages of sufficient exposition of the tumor with very good functional and aesthetic results. A case series of nine patients suffering from extended pleomorphic adenomas of the inner lobe of the parotid gland is presented.
当考虑行下颌骨切开术以获取入路来切除咽旁肿瘤时，应考虑以下目标：面神经的保留、完整切除肿瘤而不发生肿瘤破裂、术前牙咬合的维持、可接受的颞下颌关节功能、下牙槽神经感觉功能的保留、以及满意的美学效果。我们提出了一种改良的正中切开技术，它结合了充分暴露肿瘤的优点和非常好的功能及美学效果。本文介绍了 9 例患有腮腺内叶广泛多形性腺瘤的患者。
