Department of Otolaryngology, Eye and ENT Hospital of Fudan University, Shanghai, PR China.
Department of Radiology, Eye and ENT Hospital of Fudan University, Shanghai, PR China.
J Laryngol Otol. 2024 May;138(5):540-547. doi: 10.1017/S0022215123002013. Epub 2023 Nov 17.
Retropharyngeal lymphadenectomy is challenging. This study investigated a minimally invasive approach to salvage retropharyngeal lymphadenectomy in patients with nasopharyngeal carcinoma.
An anatomical study of four fresh cadaveric heads was conducted to demonstrate the relevant details of retropharyngeal lymphadenectomy using the endoscopic transoral medial pterygomandibular fold approach. Six patients with nasopharyngeal cancer with retropharyngeal lymph node recurrence, who underwent retropharyngeal lymphadenectomy with the endoscopic transoral medial pterygomandibular fold technique at the Eye and ENT Hospital of Fudan University from July to December 2021, were included in this study.
The anatomical study demonstrated that the endoscopic transoral medial pterygomandibular fold approach offers a short path and minimally invasive approach to the retropharyngeal space. The surgical procedure was well tolerated by all patients, with no significant post-operative complications.
The endoscopic transoral medial pterygomandibular fold approach is safe and efficient for retropharyngeal lymphadenectomy.
咽后淋巴结清扫具有挑战性。本研究探讨了一种微创方法，用于挽救鼻咽癌患者的咽后淋巴结清扫。
对四个新鲜的尸体头颅进行解剖学研究，展示使用经口内镜下翼内-下颌皱襞内侧入路进行咽后淋巴结清扫的相关细节。复旦大学眼耳鼻喉科医院于 2021 年 7 月至 12 月期间，对 6 例患有咽后淋巴结复发的鼻咽癌患者采用经口内镜下翼内-下颌皱襞内侧入路进行咽后淋巴结清扫，纳入本研究。
解剖学研究表明，经口内镜下翼内-下颌皱襞内侧入路为咽后间隙提供了一条短而微创的入路。所有患者均能很好地耐受手术，无明显术后并发症。
经口内镜下翼内-下颌皱襞内侧入路是一种安全有效的咽后淋巴结清扫方法。
