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用于治疗青少年鼻咽血管纤维瘤的面中部摆动手术的并发症

Complications of Midface Swing for Management of Juvenile Nasopharyngeal Angiofibroma.

作者信息

Roy Chowdhury Sanjay, Rajkumar K, Deshmukh Tushar

机构信息

Division of Oral and Maxillofacial Surgery, AFMC, Pune, India.

出版信息

J Maxillofac Oral Surg. 2017 Mar;16(1):96-100. doi: 10.1007/s12663-016-0947-x. Epub 2016 Aug 5.

Abstract

INTRODUCTION

Access osteotomies provide direct exposure to inaccessible areas of the deep part of craniofacial skeleton for treating pathologies involving vital structures. The use of maxillary swing approach for gaining wide access to the nasopharynx, infratemporal fossa, parapharyngeal space, middle fossa of skull base. Though the maxillary swing requires transfacial incision for wide exposure but with careful handling the scar is minimum and this approach can be used in young people.

MATERIALS AND METHODS

Surgical resection is carried out following preoperative embolization of the involved feeder vessels. Total 16 cases were considered for this study.

RESULTS

This article highlights cases successfully treated in our institution, the mention of complications associated with the cases along with management.

CONCLUSION

Maxillary swing is a good approach for getting access to the deep pathologies like JNA.

摘要

引言

入路截骨术可直接暴露颅面骨骼深部难以到达的区域,用于治疗涉及重要结构的病变。上颌骨摆动入路用于广泛暴露鼻咽部、颞下窝、咽旁间隙、颅底中窝。虽然上颌骨摆动入路需要经面部切口以获得广泛暴露,但小心操作时瘢痕最小,且该方法可用于年轻人。

材料与方法

在对受累供血血管进行术前栓塞后进行手术切除。本研究共纳入16例病例。

结果

本文重点介绍了在我们机构成功治疗的病例,提及了与病例相关的并发症及处理方法。

结论

上颌骨摆动入路是一种用于处理如青少年鼻咽血管纤维瘤等深部病变的良好方法。

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本文引用的文献

1
Juvenile nasopharyngeal angiofibroma: current treatment modalities and future considerations.青少年鼻咽血管纤维瘤:当前的治疗方式及未来考量
Indian J Otolaryngol Head Neck Surg. 2010 Sep;62(3):236-47. doi: 10.1007/s12070-010-0073-x. Epub 2010 Oct 12.
2
Nasopharyngeal angiofibroma of the nasal cavity.鼻腔鼻咽血管纤维瘤
Head Neck Pathol. 2010 Sep;4(3):210-3. doi: 10.1007/s12105-010-0181-7. Epub 2010 May 13.
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Surgical treatment of non-embolized patients with nasoangiofibroma.非栓塞性鼻血管纤维瘤患者的手术治疗
Braz J Otorhinolaryngol. 2008 Jul-Aug;74(4):583-7. doi: 10.1016/s1808-8694(15)30607-8.
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Exclusively endoscopic surgery for juvenile nasopharyngeal angiofibroma.青少年鼻咽血管纤维瘤的纯内镜手术
Otolaryngol Head Neck Surg. 2007 Sep;137(3):492-6. doi: 10.1016/j.otohns.2007.03.003.
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Juvenile nasopharyngeal angiofibroma: an update of therapeutic management.青少年鼻咽血管纤维瘤:治疗管理的最新进展
Head Neck. 1996 Jan-Feb;18(1):60-6. doi: 10.1002/(SICI)1097-0347(199601/02)18:1<60::AID-HED8>3.0.CO;2-X.

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