内镜辅助经口入路联合腭部劈开治疗巨大咽后神经鞘瘤：1例具有挑战性的病例
Endoscopic assisted transoral approach with palatal splitting for a giant retropharyngeal schwannoma: a challenging case.
作者信息
El-Fattah Ahmed Musaad Abd, Attia Mohamed, Ebada Hisham Atef
机构信息
Department of Otorhinolaryngology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
出版信息
J Korean Assoc Oral Maxillofac Surg. 2022 Apr 30;48(2):111-116. doi: 10.5125/jkaoms.2022.48.2.111.
Retropharyngeal schwannoma is rare. To the best of our knowledge, only 18 cases have been published in the English literature. Complete surgical excision is the treatment of choice for schwannomas. Transoral approaches have been applied for smaller lesions, and external cervical approaches are preferred for larger and more complex lesions. In this report, we present a case of large retropharyngeal schwannoma that was excised using an endoscopic-assisted transoral approach with palatal splitting. Postoperative functional and oncologic outcomes were satisfactory with no reported intraoperative/postoperative complications.
咽后神经鞘瘤较为罕见。据我们所知，英文文献中仅报道过18例。手术完整切除是神经鞘瘤的首选治疗方法。经口入路已应用于较小的病变，而对于较大且更复杂的病变，首选颈部外侧入路。在本报告中，我们介绍了1例巨大咽后神经鞘瘤，采用内镜辅助经口腭部劈开入路将其切除。术后功能和肿瘤学预后均令人满意，未报告术中/术后并发症。
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