Maran A G, Mackenzie I J, Murray J A
J Laryngol Otol. 1984 Apr;98(4):371-80. doi: 10.1017/s0022215100146766.
A series of 73 lesions presenting in the parapharyngeal space is presented. There were 53 (73 per cent) patients with deep lobe parotid benign or malignant tumours, five (7 per cent) patients with tumours of neurogenous origin, seven (9 per cent) patients with abscesses, five (7 per cent) patients with enlarged lymph nodes, two with branchial cysts, and one with a lipoma. The anatomy emphasizes the expansile nature of the space and also the close proximity of vital structures. The importance of the use of combined CAT scan and sialography is discussed in the diagnosis of these patients. The various prognostic factors are mentioned and a description is given of the best way to approach the parapharyngeal space without damaging the facial nerve. With careful planning and preparation of the planned operation, the morbidity of the facial nerve may be considerably reduced.
本文呈现了73例发生于咽旁间隙的病变。其中，53例（73%）为腮腺深叶良性或恶性肿瘤患者，5例（7%）为神经源性肿瘤患者，7例（9%）为脓肿患者，5例（7%）为淋巴结肿大患者，2例为鳃裂囊肿患者，1例为脂肪瘤患者。解剖结构显示了该间隙的扩张性以及重要结构的紧密相邻关系。讨论了联合计算机断层扫描（CAT）和涎管造影在这些患者诊断中的重要性。提及了各种预后因素，并描述了在不损伤面神经的情况下进入咽旁间隙的最佳方法。通过精心规划和准备手术，可显著降低面神经损伤的发生率。
