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1.
P. P. Singh A. Sharma N. Gupta 《Indian journal of otolaryngology and head and neck surgery》2004,56(2):152-154
I ipomas of the Para-pharyngeal space are rare lesions Very few cases of such tumors have be en reported in the literature
Definitive diagnosis and decision regarding the surgical approach Here difficult in the pre CT scan era This was further compounded
by the complex anatomy of the Para pharyngeal space A case of Para pharyngeal lipoma is being presented because of its ratity
and characteristic radiological features After confirmation of the diagnosis the tumor was excised via a transcertical approach 相似文献
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咽旁间隙肿瘤48例报告 总被引:6,自引:2,他引:4
目的:提高对临床少见的咽旁间隙肿瘤的诊断与治疗水平。方法:对收治的48例咽旁间肿瘤的临床资料进行回顾性分析。结果:全部患者随访6个月 ̄9年,复发4例,2例为良性肿瘤,再次手术治愈;2例恶性者分别死亡于术后3年、1年3个月、余均治愈。其中,并发声嘶3例,呛咳3例,伸舌偏斜1例,Horner综合征4例,结论:原发性咽旁间隙肿瘤中,以神经源性肿瘤居多,CT、MRI对肿块的大小,形态,位置,周围的关系及继 相似文献
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目的讨论临床罕见的咽旁间隙肿瘤。方法总结1986年~1997年7月收治的59例患者的回顾性资料。结果原发性咽旁间隙肿瘤中,以神经源性肿瘤居多,约占60%。高分辨CT及MRI对临床诊断及手术径路的选择有重要作用。颈侧切开广泛应用于75%的良性病变;应用下颌骨正中裂开切除2例局限于隙上部的良性肿瘤和1例侵及颅底的颈动脉体瘤;应用侧颅底入路切除1例起源于颈静脉孔生长至咽旁间隙的神经鞘瘤。结论认为经口径路仅用于较小的肿瘤切除;经颈腮腺径路主要用于侵入咽旁间隙的腮腺深叶肿瘤的切除;经颈下颌骨正中裂开径路是切除咽旁间隙特殊肿瘤安全有效的入路。 相似文献
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Parapharyngeal space foreign body 总被引:1,自引:0,他引:1
Pawel Krzysztof Burduk 《European archives of oto-rhino-laryngology》2006,263(8):772-774
We present a case of an unusual toothbrush foreign body in the parapharyngeal space in a 1.5-year-old child. Children are most affected by this kind of trauma. Quicker and exact diagnosis guarantee proper treatment and recovery. The toothbrush had broken and one-third (about 6 cm) of it was left in the child’s mouth, causing some swallowing problems. We do not observe any injury of neurovascular structures or inflammation complications. Under general anesthesia, neck exploration was undertaken and the toothbrush removed. External exploration of the neck is the method of choice in the treatment of big parapharyngeal space foreign body as we demonstrated in our case. This method guarantees a good exposure of the neurovascular structures of the neck. 相似文献
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患者女,56岁,因打鼾2年伴说话含糊20d以右咽旁间隙肿瘤于2005年3月2日收入长海医院.患者于2年前睡眠打鼾,但无憋气,无白天嗜睡等症状,一直未予重视. 相似文献
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Suryanarayana KV Balakrishnan R Rao L Rahim TA 《International journal of pediatric otorhinolaryngology》1999,50(1):69-72
A case of extra osseous mesenchymal chondrosarcoma occuring in the parapharyngeal space in a 7-year-old girl, is being presented for its rarity. It is a slow growing, locally aggressive tumour with a high incidence of local recurrence as well as distant metastasis. It is rare in the pediatric age group and rarer in the parapharyngeal space. It has a poor prognosis, the 5-year survival rate varies between 30 and 50%. Radical surgery is the treatment of choice. Radiotherapy and chemotherapy have an adjuvant role. More experience with this tumour is required to evaluate the most effective treatment. Current literature on this subject has been reviewed. 相似文献
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Satyawati Gupta A. K. Nehru V. L. Kandelwal N. K. Mann S. B. S. 《Indian journal of otolaryngology and head and neck surgery》2006,58(2):120-127
The parapharyngeal space is a deeply situated space on either side of head. Clinical assessment of lesions in this space in
very difficult. 28 patients with parapharyngeal space masses diagnosed and managed in the department of Otorhinolaryngology
and Head & Neck Surgery of Postgraduate Institute of Medical Education and Research. Chandigarh were studied. 8 patients were
excluded as the tumour could not be removed en-bloc in these. 20 were analysed further. 相似文献
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咽旁间隙肿瘤及手术入路 总被引:8,自引:2,他引:8
为探讨咽旁间隙肿瘤的手术方法及入路的选择。报告66例经各种手术入路治疗的良、恶性肿瘤。结果表明,经颈或经颈合并下颌及正中裂开外旋入路较之其他几种手术入路具有手术适应证广、安全、术后并发症少等优点。认为经颈或经颈合并下颌正中裂开外旋入路是一种安全、彻底切除咽旁间隙原发肿瘤效果最好的入路。 相似文献
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G Mizojiri Y Shiba N Akazawa K Inoue T Hoshino T Nozaki K Yamada 《Nihon Jibiinkoka Gakkai kaiho》1991,94(5):685-692
We received seven cases of parapharyngeal space lesions and discussed on necessity of biopsy. Tumors originating in the parapharyngeal space were represented by parotid pleomorphic adenomas which showed bulging of soft palate and tonsillar fossa, and benign neurogenic tumors which showed bulging of the lateral wall of the meso-pharynx. In these cases, preoperative biopsy was not necessary unless the lesion was suspected, of malignancy by CT, MRI and so on. In the case of bulging of soft palate and tonsillar fossa, if CT or MRI finding shows that the tumor is localized in the median portion of the parapharyngeal space and is separated from greater vessels and nerves existing in the parapharyngeal space, therapeutic protocol might be planned after an establishment of histological diagnosis with biopsy. In the case of a bulging lateral wall of the meso-pharynx with a history of malignant neoplasm of the head and neck, lymph node metastasis should be thought about. 相似文献
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Joseph Y. Chan Chris K.C. Lai Victor J. Abdullah Micheal C.F. Tong C.A. vanHasselt 《International Journal of Pediatric Otorhinolaryngology Extra》2010,5(4):155-158
Introduction: Neuroglial heterotopia is a rare condition in which mature neuroglial tissue is found in the body other than in the central nervous system. Nasal glioma is neuroglial heterotopia in the nasal cavity. We report an extremely rare case of heterotopic neuroglial tissue in the temporal bone with tumoral transformation. Case report: Our patient was a 1-year-old Chinese girl. She was born with a left facial swelling. CT and MRI revealed a heterogeneous mass with cystic component occupying the parapharyngeal space. The upper airway was significantly compromised by the mass which extended into the middle cranial fossa. A combined approach to its resection was undertaken by ENT and neurosurgeons which was uneventful with all cranial nerves in its vicinity preserved. Intraoperative findings confirmed the absence of direct communication between the mass and the brain. Pathological examination confirmed mature neural tissue with tumoral differentiation. Conclusion: Heterotopic neuroglial tissue is a rare condition in the temporal bone. Ganglioglioma formation within the heterotopic neuroglial tissue is an even rarer condition. Careful pre-operative investigations and planning is the key to successful and complete excision of the abnormal tissue whilst preserving normal function. 相似文献
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目的总结诊治咽旁间隙肿瘤的经验.方法回顾分析咽旁间隙肿瘤89例.术前为32例患者行针吸活检术,50例行CT检查;全部患者均行手术治疗,经腮腺入路29例,经颈入路45例,经颈-下颌骨外旋入路15例,术后全部标本作病理检查.结果针吸活检32例中27例诊断正确,CT检查50例中46例可准确判断肿瘤的位置;组织学检查良性肿瘤72例(81%),以恶性肿瘤、混合瘤多见37(42%).良性肿瘤术后10例复发(14%),恶性肿瘤12例复发或转移(74%).结论术前针吸活检和CT检查对诊断咽旁肿瘤有意义,经腮腺和经颈部入路是最常用手术进路. 相似文献
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U. K. Nayak S. Choudary J. J. Rao E. C. Vinay Kumar 《Indian journal of otolaryngology and head and neck surgery》2001,53(4):281-284
We present out experience with the surgical management of 8 cases parapharyngeal tumors which were successfully operated using
various approaches. Most tumors were quite large and presented special surgical challenges to safegaurd important structures
and ensure complete tumors excision. Included in the series are 3 rare tumors, a myoepethilioma of the deep lobe of parotid,
a Glomus intravagale tumor and a case of extra osseous Ewing’s sarcoma. Depending on tumors location and extent, the transcervical,
transparotid and midline mandibulotomy approaches were used and the techniques are described. All patients are currently doing
well without any evidence of disease. 相似文献
18.
Neoplasms of the parapharyngeal space are uncommon and usually present as an intra-oral or neck mass. They often elude early diagnosis due to their deep-seated nature. Here we report a case presenting with recurrent oedema of the uvula. The pathophysiology of this previously unreported mode of presentation is discussed. 相似文献
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Parapharyngeal space tumours: an 18 year review 总被引:8,自引:0,他引:8
Parapharyngeal space tumours account for only 0.5 per cent of all head and neck tumours. Due to their inherent location, they present with varied non-specific signs and symptoms, resulting in a delay in diagnosis and unnecessary procedures, such as a 'tonsillectomy' or 'incision and drainage' of a 'quinsy'. Thirty-one patients, operated on over an 18-year period (1981 to 1998), in the Department of Otolaryngology, Singapore General Hospital, are presented. Their ages ranged from 21 to 86 years, with a mean of 52 years, with equal sex distribution. The commonest aetiology was a deep lobe of parotid tumour (44 per cent), followed by neurilemmomas (18 per cent), there was only one paraganglioma. The transcervical and transparotid approaches were the commonest used. The mean surgical time was three hours, mean hospital stay was 5.3 days and post-operative complications were minimal. The average follow-up time was 5.6 years. Although parapharyngeal space tumours are uncommon, recognizing them would enable the correct sequence of investigations, instead of unnecessary procedures resulting in an increased morbidity for the patient. 相似文献
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Livio Presutti Gabriele Molteni Laura Malvè Daniele Marchioni Angelo Ghidini Sauro Tassi Luigi Chiarini Matteo Alicandri-Ciufelli 《European archives of oto-rhino-laryngology》2012,269(1):265-273
Parapharyngeal space (PPS) tumors are rare and benign in 80% of cases. Since surgeons first resected this anatomical region, the surgical approach to PPS bulks has been a hot topic due to their shape and the important structures involved. We present a series of patients treated with a transcervical or transcervical-transparotid approach to benign PPS tumors without mandibulotomy. Between May 2003 and March 2009, 18 patients (11 male and 7 female) with benign PPS tumors underwent a surgical resection, avoiding mandibulotomy. Average age of the patients was 49 years (range 3–76), average tumor size was 5.5 × 4 × 3 cm and histological examination of the resected tumors showed: seven pleomorphic adenomas of the deep parotid lobe, four schwannomas, two mycobacteriosis, two paragangliomas of the vagus nerve, one lipoma, one neurofibroma and one cavernous hemangioma. Seven patients underwent a transcervical approach, while 11 patients underwent a transcervical-transparotid approach. Excision of benign PPS tumors is possible without mandibulotomy even in the case of a large tumor mass, but exposure with the mandible in situ is certainly poor. Avoiding mandibulotomy reduces patient morbidity and hospital stay. In our experience, mandibulotomy can be avoided in most cases of benign PPS tumors leaving this procedure for malignant tumors or in patients with very poor exposure. 相似文献