Xue Kai, Wang Lei, Zheng Shixing, Zhang Huankang, Liu Quan, Gu Ye, Li Wanpeng, Song Xiaole, Sun Xicai, Yu Hongmeng
ENT Institute and Department of Otorhinolaryngology，Eye & ENT Hospital，Fudan University，Shanghai，200031，China.
Department of Otolaryngology，Qilu Hospital of Shandong University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Jun;38(6):534-540. doi: 10.13201/j.issn.2096-7993.2024.06.015.
The parapharyngeal space, a complex fascial compartment within the head and neck region, encompasses crucial anatomical structures including blood vessels and nerves. Tumors occurring within this space are rare, with the majority being benign in nature. Surgical intervention remains the primary treatment modality; however, managing parapharyngeal space tumors poses significant challenges due to their intricate anatomical configuration. Conventional open surgical approaches have been associated with significant tissue damage and a high prevalence of postoperative complications. Recently, advancements in anatomical studies and surgical techniques have led to significant progress in understanding parapharyngeal space anatomy and improving surgical management. This article aims to provide a comprehensive overview of these developments.
咽旁间隙是头颈部一个复杂的筋膜间隙，包含血管和神经等重要解剖结构。发生在该间隙内的肿瘤较为罕见，大多数为良性。手术干预仍然是主要的治疗方式；然而，由于其复杂的解剖结构，处理咽旁间隙肿瘤面临重大挑战。传统的开放手术方法会造成显著的组织损伤，且术后并发症发生率很高。近年来，解剖学研究和手术技术的进步使得在咽旁间隙解剖学的认识及手术治疗方面取得了重大进展。本文旨在全面概述这些进展。
