Raveh E, Sadov R, Nageris B, Feinmesser R
Dept. of Otolaryngology and Head and Neck Surgery, Rabin Medical Center, Petah Tikva.
Harefuah. 1997 Dec 1;133(11):530-2, 590.
The potential parapharyngeal space contains the great vessels of the neck, cranial nerves IX-XII, the sympathetic chain and lymph nodes. Surgical access is difficult and the infrequency of tumors in it make surgery of this part of the head and neck a challenge, 8 women and 2 men (mean age 54.7, range 31-70 years) with tumors of the parapharyngeal space operated on during the past 6 years are presented. The most common surgical approach was the cervical submandibular, used in 6 of our patients with relative ease and minimal complications. Tumors of deep lobe parotid origin should be operated through a transparotid approach. Large benign or malignant tumors have a better prognosis when the transcervical transmandibular approach is used, providing wider access.
咽旁间隙包含颈部大血管、颅神经IX - XII、交感神经链和淋巴结。手术入路困难，且该部位肿瘤发病率低，使得头颈部这一部位的手术成为一项挑战。本文介绍了过去6年中接受咽旁间隙肿瘤手术的8名女性和2名男性患者（平均年龄54.7岁，范围31 - 70岁）。最常见的手术入路是颈下颌下入路，我们的6例患者使用该入路相对轻松且并发症最少。腮腺深叶起源的肿瘤应通过经腮腺入路进行手术。当采用经颈经下颌入路时，大型良性或恶性肿瘤预后较好，因为该入路提供了更广泛的视野。
