Lee Hyoung Shin, Kim Jinna, Lee Hyun Jin, Koh Yoon Woo, Choi Eun Chang
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, South Korea.
Auris Nasus Larynx. 2012 Aug;39(4):434-7. doi: 10.1016/j.anl.2011.10.021. Epub 2012 Feb 16.
The parapharyngeal space is a difficult area for a surgical approach due to anatomical complexity. We performed a minimally invasive and precise surgical technique to remove neurogenic tumors of the prestyloid parapharyngeal space using transoral robotic instrumentation. The mass was successfully removed in the two cases with three-dimensional visualization providing an excellent view of the resection margin and the dissection plane preserving the vital structures. An adequate resection margin was acquired, and no violation of the tumor capsule occurred. No significant complications were noted. Transoral robotic surgery was feasible for neurogenic tumors of the prestyloid parapharyngeal space, providing a sufficient resection margin and delicate dissection through excellent surgical views and instrumentation.
由于解剖结构复杂，咽旁间隙是一个手术入路困难的区域。我们采用经口机器人器械，实施了一种微创且精确的手术技术，以切除茎突前咽旁间隙的神经源性肿瘤。在两例手术中，肿块均成功切除，三维可视化提供了切除边缘的极佳视野，且解剖平面保留了重要结构。获得了足够的切除边缘，未发生肿瘤包膜破裂。未观察到明显并发症。经口机器人手术对于茎突前咽旁间隙的神经源性肿瘤是可行的，通过出色的手术视野和器械，可提供足够的切除边缘并进行精细解剖。
