Cassoni Andrea, Terenzi Valentina, Della Monaca Marco, Bartoli Davina, Battisti Andrea, Rajabtork Zadeh Oriana, Valentini Valentino
Maxillo-Facial Surg. Dept, Policlinico Umberto I, "Sapienza" University of Rome, Viale del Policlinico 155, 00100 Rome, Italy.
Maxillo-Facial Surg. Dept, Policlinico Umberto I, "Sapienza" University of Rome, Viale del Policlinico 155, 00100 Rome, Italy.
J Craniomaxillofac Surg. 2014 Mar;42(2):101-5. doi: 10.1016/j.jcms.2013.03.002. Epub 2013 May 17.
Only about 0.5% of all head and neck neoplasms occur in the parapharyngeal space (PPS) and approximately 80% of these tumours are benign lesions. Various surgical approaches some of which are associated with mandibulotomy to increase exposure have been described. This article describes our 16-years' experience in treating 60 PPS benign tumours with special focus on our surgical techniques intended to ensure adequate mass exposure and structure safety. On the basis of our experience we assert that mandibulotomy is currently not advocated in the surgical management of benign PPS tumours i.e. not even in very select cases. The transparotid approach is the treatment of choice for parotid gland lesions involving PPS and in cases of multinodular or uninodular pleomorphic adenoma relapse involving the PPS. The transcervical approach is suitable for the safe removal of even large PPS masses in most cases.
在所有头颈部肿瘤中，仅有约0.5%发生于咽旁间隙（PPS），其中约80%为良性病变。已有多种手术入路被描述，其中一些与下颌骨切开术相关以增加暴露范围。本文介绍了我们16年来治疗60例PPS良性肿瘤的经验，特别关注旨在确保充分肿物暴露和结构安全的手术技术。基于我们的经验，我们断言目前在良性PPS肿瘤的外科治疗中不提倡进行下颌骨切开术，即便是在非常特殊的病例中。经腮腺入路是治疗累及PPS的腮腺病变以及多结节或单结节多形性腺瘤复发累及PPS的首选方法。经颈入路在大多数情况下适合安全切除甚至较大的PPS肿物。
