耳前经下颌骨及经颧骨入路治疗颞下窝肿瘤的再探讨。
Preauricular transmandibular and transzygomatic approach for tumors of the infratemporal fossa revisited.
作者信息
Timoshenko Andrei P, Asanau Alexander, Gavid Marie, Colin Victor, Martin Christian, Prades Jean-Michel
机构信息
Department of Otolaryngology, Head and Neck Surgery, North Hospital, Saint-Etienne University Hospital Centre, Saint-Etienne, France.
出版信息
ORL J Otorhinolaryngol Relat Spec. 2013;75(4):250-5. doi: 10.1159/000351554. Epub 2013 Aug 1.
AIM
To demonstrate the surgical technique and results in patients operated on with a preauricular transmandibular transzygomatic approach.
METHODS
This surgical technique was used in 21 patients with benign and malignant tumors of the infratemporal fossa (ITF), operated on between 1999 and 2011.
RESULTS
Twenty-one patients were enrolled in the study. There were 6 patients with benign tumors and 15 with malignant ones. No patients with benign lesions show any disease recurrence 5 years after surgery and present excellent functional and cosmetic results. Postoperatively, a reduction of pain was noted in all patients with malignant lesions. Four patients in this group, who are alive 5 years after surgery, do not demonstrate any disease progression.
CONCLUSION
The described approach provides an excellent exposure of the ITF and could be the procedure of choice in the management of ITF tumors.
目的
展示采用耳前经下颌经颧弓入路手术的技术及效果。
方法
1999年至2011年间，对21例患有颞下窝（ITF）良性和恶性肿瘤的患者采用了这种手术技术。
结果
21例患者纳入本研究。其中6例为良性肿瘤患者，15例为恶性肿瘤患者。所有良性病变患者术后5年均无疾病复发，功能和美容效果极佳。术后，所有恶性病变患者的疼痛均有所减轻。该组中有4例患者术后存活5年，未出现任何疾病进展。
结论
所描述的入路能很好地暴露颞下窝，可能是治疗颞下窝肿瘤的首选手术方法。
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