Analysis of surgical approaches and mandibular treatment strategies for different types of tumors involving parapharyngeal space
10.3760/cma.j.cn112144-20240215-00073
- VernacularTitle:累及咽旁间隙不同类型肿瘤的手术入路及下颌骨处理策略分析
- Author:
Xingquan YAN
1
;
Xinrong NAN
;
Xiaoyan REN
;
Jiaxiong ZHAO
Author Information
1. 山西医科大学第一医院口腔颌面外科，太原 030001
- Keywords:
Neoplasms;
Parapharyngeal space;
Mandible;
Surgical approach
- From:
Chinese Journal of Stomatology
2024;59(4):374-377
- CountryChina
- Language:Chinese
-
Abstract:
In view of the surgical complexity of parapharyngeal space tumors involved, this paper summarized the disease data of patients with parapharyngeal space tumors involved in the Department of Oral and Maxillofacial Surgery, the First Hospital of Shanxi Medical University from January 2015 to January 2021. It also summarized the surgical approach and mandibular management, so as to explore surgical strategies for different characteristics of parapharyngeal space tumors involved. A total of 49 patients, including 28 males and 21 females, median age 52 years (range 24-72 years). They were treated with four surgical approaches for tumor resection, 25 cervical approach, 5 cheek and neck approach, 3 transoral approach, and 16 cervical-maxillary approach. Among the patients treated with cervical-maxillary approach, 3 patients were treated with mandible square resection, and 6 patients were treated with temporary mandible dissection. Seven cases were treated with tumor resection and partial mandibular resection. There are various surgical approaches and mandibular management methods involving tumors in the parapharyngeal space, and clinical decisions should be made based on tumor diameter, location, boundary, blood supply and pathological types.
