Fisch U
Laryngoscope. 1983 Jan;93(1):36-44. doi: 10.1288/00005537-198301000-00007.
The technique and results of the infratemporal fossa surgical removal of carcinomas and juvenile angiofibromas of the nasopharynx are presented. Effective palliative removal of T4 and radical removal of T1 and T2 nasopharyngeal carcinomas was achieved. A classification of juvenile nasopharyngeal angiofibroma is presented. The infratemporal fossa approach allows radical removal of type III tumors and subtotal removal of type IV tumors. If residual tumor has to be left back in the cavernous sinus, irradiation is used to stop further growth of the tumor. If radiotherapy fails the neurosurgical removal of the intracranial portion of the tumor is indicated.
本文介绍了经颞下窝手术切除鼻咽癌及青少年血管纤维瘤的技术和结果。实现了对T4期鼻咽癌的有效姑息性切除以及T1和T2期鼻咽癌的根治性切除。提出了青少年鼻咽血管纤维瘤的一种分类方法。经颞下窝入路可实现III型肿瘤的根治性切除和IV型肿瘤的次全切除。如果必须将残留肿瘤留在海绵窦内，则采用放射治疗来阻止肿瘤进一步生长。如果放射治疗失败，则需行神经外科手术切除肿瘤的颅内部分。
