Yu L G, Wang L, Zhao L J, Zhang S N, Chen M, Cai L, Li N, Jiang Y
Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University, Otorhinolaryngology Head and Neck Surgery Key Laboratory of Shandong Province, Qingdao 266003, China; Department of Skull Base Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University, Otorhinolaryngology Head and Neck Surgery Key Laboratory of Shandong Province, Qingdao 266003, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Feb 7;55(2):87-93. doi: 10.3760/cma.j.issn.1673-0860.2020.02.002.
To explore the application of endoscopy and clinical effect of endoscopic resection of benign tumor in infratemporal fossa. The clinical data of 11 patients with benign tumors in infratemporal fossa admitted to the Department of Otorhinolaryngology Head and Neck Surgery and Skull Base Surgery of the Affiliated Hospital of Qingdao University from January 2016 to September 2018 were retrospectively analyzed. There were 6 males and 5 females, with the age ranging from 11 to 63 years old. The main clinical manifestations were pharyngeal foreign body sensation, submaxillary pain, maxillofacial numbness and tongue numbness. Imaging examination showed that the tumor was round and had a clear boundary with the surrounding tissue. All the patients underwent endoscopic surgery. Appropriate surgical approach was selected according to the location of the tumor and its relationship with the internal carotid artery. The endoscopic surgical approaches included trans-oropharyngeal approach in 7 cases, trans-lateral pterygomandibular raphe approach in 1 case and trans-medial pterygomandibular raphe approach in 3 cases. The pathological results, prognosis, complications and relapse of patients were summarized through descriptive statistics. The tumors were completely resected under endoscope in all patients, and there was no significant complication occurred after surgery. The average pain VAS score was 3.1 after surgery and average hospital stay was 5.9 d. The postoperative pathological diagnoses consisted of 6 cases of pleomorphic adenoma, 4 cases of neurilemmoma and 1 case of basal cell adenoma. All patients were followed up regularly from 6 to 39 months without recurrence of tumor. Endoscopic resection of benign tumors in infratemporal fossa has the advantages of minimal damage, rapid recovery, few complications, and definite curative effect, which can be used as an important alternative for surgical treatment of benign tumors.
探讨鼻内镜在颞下窝良性肿瘤切除术中的应用及临床效果。回顾性分析2016年1月至2018年9月青岛大学附属医院耳鼻咽喉头颈外科及颅底外科收治的11例颞下窝良性肿瘤患者的临床资料。其中男性6例，女性5例，年龄11～63岁。主要临床表现为咽部异物感、颌下区疼痛、颌面麻木及舌麻木。影像学检查显示肿瘤呈圆形，与周围组织边界清晰。所有患者均行鼻内镜手术，根据肿瘤位置及其与颈内动脉的关系选择合适的手术入路。鼻内镜手术入路包括经口咽入路7例，经翼下颌缝外侧入路1例，经翼下颌缝内侧入路3例。通过描述性统计总结患者的病理结果、预后、并发症及复发情况。所有患者均在内镜下完整切除肿瘤，术后无明显并发症发生。术后疼痛VAS评分平均为3.1分，平均住院时间为5.9天。术后病理诊断为多形性腺瘤6例，神经鞘瘤4例，基底细胞腺瘤1例。所有患者均定期随访6～39个月，肿瘤无复发。鼻内镜下切除颞下窝良性肿瘤具有损伤小、恢复快、并发症少、疗效确切等优点，可作为良性肿瘤手术治疗的重要选择。
