一种针对翼腭窝内累及上颌窦的广泛性肿瘤的手术入路。
A surgical approach to extensive tumors in the pterygopalatine fossa extending into the maxillary sinus.
作者信息
Jian X C, Chen X Q, Wang C X
机构信息
Department of Oral and Maxillofacial Surgery, Xiang Ya Hospital, Hunan Medical University, Changsha, People's Republic of China.
出版信息
J Oral Maxillofac Surg. 1998 May;56(5):578-84. doi: 10.1016/s0278-2391(98)90456-6.
PURPOSE
This article describes a surgical approach to extensive tumors in the pterygopalatine fossa extending into the maxillary sinus.
TECHNIQUE
The Barbosa approach was modified by adding a lateral incision in the mandibular gingivobuccal fold from the canine tooth to the retromolar area.
RESULTS
This technique allowed a large, inferiorly based flap to be raised, which includes the parotid gland. The masseter and temporalis muscles was divided horizontally, and the ascending ramus of the mandible was osteotomized between the mandibular angle and the sigmoid notch and reflected to expose the tumor in the pterygopalatine fossa and maxillary sinus.
CONCLUSION
This technique is especially useful to tumors in the pterygopalatine fossa extending into the maxillary sinus.
目的
本文描述了一种针对翼腭窝内延伸至上颌窦的广泛性肿瘤的手术方法。
技术
通过在从尖牙至磨牙后区的下颌牙龈颊沟处增加一个外侧切口，对巴尔博萨手术方法进行了改良。
结果
该技术使得能够掀起一个以下方为基底的大型皮瓣，其中包括腮腺。咬肌和颞肌被水平切断，下颌骨升支在下颌角和乙状切迹之间进行截骨，并将其翻转以暴露翼腭窝和上颌窦内的肿瘤。
结论
该技术对于翼腭窝内延伸至上颌窦的肿瘤特别有用。
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