Wasano Koichiro, Yamamoto Sayuri, Tomisato Shuta, Kawasaki Taiji, Ogawa Kaoru
Department of Otolaryngology, Head and Neck Surgery, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Head Neck. 2016 Jun;38(6):933-8. doi: 10.1002/hed.24399. Epub 2016 Feb 8.
Conventional approaches for removing parapharyngeal space tumors require a cervical skin incision and resection of soft tissues between the skin and parapharyngeal space. The surgical visual field for this conventional approach is limited.
To decrease invasiveness during removal of benign parapharyngeal space tumors and to enhance the visual field, we devised a new approach called the modified endoscopic transnasal-transmaxillary-transpterygoid approach (MENMAP). The "surgical corridor" to the parapharyngeal space consists of the maxillary sinus, submucous tunnel under the lateral nasal wall, and the space created by removing the pterygoid process.
We successfully performed en bloc removal of a parapharyngeal space tumor using the MENMAP approach. The only surgical complication was hypoesthesia of the right hard palate and maxillary gingiva, which gradually improved.
The MENMAP approach is a viable alternative for removing parapharyngeal space tumors, as it is safe, feasible, and less invasive. © 2016 Wiley Periodicals, Inc. Head Neck 38: 933-938, 2016.
传统的咽旁间隙肿瘤切除方法需要颈部皮肤切口，并切除皮肤与咽旁间隙之间的软组织。这种传统方法的手术视野有限。
为了在切除良性咽旁间隙肿瘤时减少侵袭性并扩大视野，我们设计了一种新方法，称为改良内镜经鼻-经上颌-经翼突入路（MENMAP）。通向咽旁间隙的“手术通道”由上颌窦、鼻侧壁下方的黏膜下隧道以及切除翼突所形成的间隙组成。
我们使用MENMAP方法成功完整切除了一例咽旁间隙肿瘤。唯一的手术并发症是右侧硬腭和上颌牙龈感觉减退，但逐渐好转。
MENMAP方法是切除咽旁间隙肿瘤的一种可行替代方法，因为它安全、可行且侵袭性较小。©2016威利期刊公司。《头颈》2016年第38卷：933 - 938页。
