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经口及内镜辅助经口入路切除位于颈动脉鞘内侧部分并向颅底延伸的咽旁间隙良性肿瘤:我们的经验

Transoral and endoscope-assisted transoral approaches to resecting benign tumours of the parapharyngeal space located in the medial portion of the carotid sheaths and extending toward the skull base: our experience.

作者信息

Liu Y, Yu H-J, Zhen H-T

机构信息

Department of Otolaryngology - Head and Neck Surgery,Tongji Hospital, Tongji Medical College,Huazhong University of Science and Technology,Wuhan,PR China.

Department of Infectious Disease,Tongji Hospital, Tongji Medical College,Huazhong University of Science and Technology,Wuhan,PR China.

出版信息

J Laryngol Otol. 2018 Aug;132(8):748-752. doi: 10.1017/S0022215118001184. Epub 2018 Jul 12.

Abstract

OBJECTIVE

Various surgical approaches have been described to remove tumours in the parapharyngeal space. This study investigated the feasibility of a transoral approach in the surgical management of parapharyngeal space benign tumours located in the medial portion of the carotid sheaths and extending toward the skull base.

METHODS

Thirty-two patients were selected and underwent a transoral or an endoscope-assisted transoral approach in the surgical management of parapharyngeal space benign tumours located in the medial portion of the carotid sheaths. Medical photographs were used.

RESULTS

All patients underwent complete resection of their lesions via a transoral or endoscope-assisted transoral approach. None of the patients demonstrated residual or recurrent neoplasms, either clinically or radiographically, during their follow up.

CONCLUSION

Based on our studies, we assert that transoral and endoscope-assisted transoral approaches are suitable in managing parapharyngeal space benign tumours located in the medial portion of the carotid sheaths and extending toward the skull base.

摘要

目的

已经描述了多种用于切除咽旁间隙肿瘤的手术入路。本研究探讨经口入路在手术治疗位于颈动脉鞘内侧部分并向颅底延伸的咽旁间隙良性肿瘤中的可行性。

方法

选择32例患者,采用经口或内镜辅助经口入路手术治疗位于颈动脉鞘内侧部分的咽旁间隙良性肿瘤。使用医学照片。

结果

所有患者均通过经口或内镜辅助经口入路完成病变的完全切除。在随访期间,所有患者在临床或影像学上均未显示残留或复发肿瘤。

结论

基于我们的研究,我们认为经口和内镜辅助经口入路适用于治疗位于颈动脉鞘内侧部分并向颅底延伸的咽旁间隙良性肿瘤。

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