Oakley Gretchen M, Harvey Richard J
Department of Otolaryngology - Head and Neck Surgery, University of California San Francisco, San Francisco, CA, USA; Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, New South Wales, Australia.
Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, New South Wales, Australia; Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
Otolaryngol Clin North Am. 2017 Apr;50(2):301-313. doi: 10.1016/j.otc.2016.12.007. Epub 2017 Feb 3.
The endoscopic resection of pterygopalatine and infratemporal fossa malignancies allows excellent visualization and manipulation of tissues in an anatomically complex area compared with open approaches. With less approach morbidity, endoscopic endonasal surgery allows an easier recovery and earlier transition to adjuvant radiotherapy. The endoscopic approach is minimal access but rarely minimally invasive. Surgeons should not hesitate to gain wide surgical exposure of the pterygopalatine, infratemporal fossa, and petrocavernous carotid artery to ensure comfortable maneuverability and easy visualization of the tumor and its normal tissue margins. This method maximizes the chances of complete resection and effective postoperative surveillance.
与开放手术相比，翼腭窝和颞下窝恶性肿瘤的内镜切除术能够在解剖结构复杂的区域实现对组织的良好可视化和操作。鼻内镜手术入路相关的发病率较低，恢复更容易，且能更早地过渡到辅助放疗。内镜入路是微创入路，但很少是微创操作。外科医生应毫不犹豫地充分暴露翼腭窝、颞下窝和岩骨海绵窦段颈动脉，以确保操作自如并能清晰观察肿瘤及其正常组织边界。这种方法能最大程度提高完整切除的几率和有效的术后监测。
