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下颌升支截断切除咽旁间隙巨大肿瘤
引用本文:张少强,李随勤,赵继元,邵渊.下颌升支截断切除咽旁间隙巨大肿瘤[J].现代肿瘤医学,2006,14(8):946-947.
作者姓名:张少强  李随勤  赵继元  邵渊
作者单位:西安交通大学医学院第一附属医院耳鼻咽喉-头颈外科,陕西,西安,710061
摘    要:目的:探讨咽旁间隙巨大肿瘤的最佳手术入路。方法:经颈侧入路,切除腮腺浅叶同时切断下颌升支,切除咽旁间隙巨大肿瘤12例,肿瘤切除后复位固定下颌升支。术后下颌骨X-线摄片。结果:12例均完整切除肿瘤,1例术后出现Horner综合征,暂时性面瘫11例,无永久性面瘫和其他并发症。术后咬合关系正常,下颌骨对位良好。结论:经颈侧下颌升支截断切除巨大咽旁间隙肿瘤,视野良好、易于暴露,手术并发症少。

关 键 词:下颌升支截断  咽旁间隙肿瘤  外科手术
文章编号:1672-4992-(2006)08-0946-02
收稿时间:2006-03-15
修稿时间:2006年3月15日

Resection of the giant parapharyngeal space tumors via transcervical - parotid approach with ramus of mandibulotomy
ZHANG Shao-qiang,LI Sui-qin,ZHAO Ji-yuan,SHAO-Yuan.Resection of the giant parapharyngeal space tumors via transcervical - parotid approach with ramus of mandibulotomy[J].Journal of Modern Oncology,2006,14(8):946-947.
Authors:ZHANG Shao-qiang  LI Sui-qin  ZHAO Ji-yuan  SHAO-Yuan
Abstract:Objective:To explore the best approach for removing giant parapharyngeal space tumors.Methods: Twelve cases of giant parapharyngeal space tumors were removed via transcervical-parotid approach with ramus of mandibulotomy,and the ramus was fixed after the tumor resection.X-ray film of mandibular was taken after operation.Results: Remove the tumors completely in all cases,and 1 case with Horner syndrome,11cases with temporary facial paralysis.No permanent facial palsy and other post-operation complication developed.Conclusion: Transcervical-parotid approach with ramus of mandibulotomy is the best way for resection giant parapharyngeal space tumor.
Keywords:ramus of mandibulotomy  parapharyngeal space tumor  surgical operation
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