Som P M, Curtin H D
Mount Sinai School of Medicine, City University of New York, New York, USA.
Otolaryngol Clin North Am. 1995 Jun;28(3):515-42.
Because the parapharyngeal space is one of the deep spaces of the upper neck, it is a difficult region to examine clinically. On each side of the head, this space is located lateral to the pharynx and medial to the ramus of the mandible, the pterygoid muscles, and the parotid gland. It is only with bimanual palpation that any small fullness within this space may be clinically appreciated. When a parapharyngeal mass is sufficiently large, it displaces the lateral pharyngeal wall and pharyngeal tonsil toward the midline and may cause lateral displacement of the parotid gland. Only when a lesion is very large does it manifest as a fullness near the angle of the mandible. Thus, clinical evaluation of the space is quite limited.
由于咽旁间隙是上颈部的深部间隙之一，临床上对其进行检查较为困难。在头部两侧，该间隙位于咽的外侧，下颌支、翼状肌和腮腺的内侧。只有通过双手触诊才能在临床上察觉到该间隙内的任何小肿块。当咽旁肿块足够大时，它会将咽侧壁和咽扁桃体向中线移位，并可能导致腮腺向外移位。只有当病变非常大时，才会表现为下颌角附近饱满。因此，对该间隙的临床评估相当有限。
