Xie L, Huang W X, Wang J Q, Chen J, Zhang H L, Tan P Q, Bao R H, Li J Y, Zhong W S, Tan H L, Huang P X
Department of Head and Neck Surgery, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2019 Mar 9;54(3):194-197. doi: 10.3760/cma.j.issn.1002-0098.2019.03.009.
Five patients with primary malignancies in the pterygopalatine fossa (PPF) and infra temporal fossa (ITF) were enrolled in this retrospective study between January 2012 and January 2018. After malignancies proven by biopsy and evaluation with CT and MRI scan, all patients received modified maxillary swing (MMS) approach for extirpation of malignant tumors in the PPF and ITF under general anesthesia. En bloc resection with wide surgical margins was successfully performed in all cases. Negative margins were observed in 4 cases and positive margins were found in one patient with adenoid cystic carcinoma who received postoperative radiotherapy. The most common complication was facial numbness. During the follow-up period (range 12 to 57 months), one patient suffered from recurrence while others did not. The advantages of MMS include wide surgical field, full exposure and easy manipulation. The MMS approach is expected to become an standard method for monobloc resection of malignancies in the PPF and ITF.
2012年1月至2018年1月期间，本回顾性研究纳入了5例翼腭窝（PPF）和颞下窝（ITF）原发性恶性肿瘤患者。经活检及CT和MRI扫描评估证实为恶性肿瘤后，所有患者均在全身麻醉下接受改良上颌骨摆动（MMS）入路，以切除PPF和ITF中的恶性肿瘤。所有病例均成功进行了带广泛手术切缘的整块切除。4例切缘阴性，1例腺样囊性癌患者切缘阳性，该患者接受了术后放疗。最常见的并发症是面部麻木。在随访期（12至57个月）内，1例患者复发，其他患者未复发。MMS的优点包括手术视野广、暴露充分和操作简便。MMS入路有望成为PPF和ITF恶性肿瘤整块切除的标准方法。
