Borrás-Ferreres Jordi, Armengot-Carceller Miguel
DDS, MS. Professor of the Master Degree Program in Oral Surgery and Orofacial Implantology (EFHRE International University).
MD, PhD. Head of the Department of Otorhinolaryngology, La Fe University and Polytechnic Hospital, Valencia, Spain. Professor of the Department of Surgery, Faculty of Medicine, Valencia University, Valencia, Spain.
J Clin Exp Dent. 2021 Mar 1;13(3):e313-e317. doi: 10.4317/jced.57202. eCollection 2021 Mar.
The transmandibular route is often combined with the transparotid-transcervical approach when extensive surgical field exposure is required, as in the case of deep parotid lobe tumors measuring over 4 cm in size. This procedure implies great morbidity and prolongs surgery time. Furthermore, in cases where additional lip division is performed, the aesthetic outcomes may be poorer. A description is made of the technique used for the removal of giant pleomorphic adenomas of the parapharyngeal space, without mandibulotomy. Parapharyngeal space tumor, pleomorphic adenoma, transcervical-transparotid approach, transmandibular approach.
当需要广泛暴露手术视野时，如下颌下腺深部肿瘤直径超过4cm的情况，经下颌途径常与经腮腺-颈侧入路联合使用。该手术意味着较高的发病率并延长手术时间。此外，在进行额外唇部切开的情况下，美学效果可能较差。本文描述了一种不进行下颌骨切开术切除咽旁间隙巨大多形性腺瘤的技术。咽旁间隙肿瘤、多形性腺瘤、经颈-腮腺入路、经下颌入路。
