Clinical application of endoscopy-assisted resection of tumors in parapharyngeal space
10.3760/cma.j.issn.1673-0860.2014.12.004
- VernacularTitle:内镜辅助咽旁间隙肿瘤切除术的临床应用
- Author:
Li LI
1
;
Peng LIN
;
Xianfeng WEI
;
Wei WANG
;
Shengchi ZHANG
Author Information
1. 300192,天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻咽喉科研究所
- Keywords:
Head and Neck neoplasms;
Endoscopy;
Otorhinolaryngologvc surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(12):986-989
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the advancement of the endoscopic video system in parapharyngeal space tumor resection.Methods Thirty cases parapharyngeal space tumor patients underwent endoscopy-assisted tumors resection in otorhinolaryngology-head and neck surgery of Tianjin First Central Hospital.The passway included trans-oral cavity in 6 cases,21 cases with trans-neck side and transneck-parotid gland in 3 cases.Results Tumors of all eases were completely resected,without residual tumor.It was included 23 cases of benign tumors (14 cases of parotid pleomorphic adenoma,8 cases of neurilemmoma,lymph node tuberculosis in 1 case),malignant tumor in 7 cases (2 cases of metastatic carcinoma,2 cases of malignant mixed tumor,1 case of malignant neurilemmoma,2 cases of adenoid cystic carcinoma).Tongue deflection was recorded in 2 cases.There were neither wound infection or bleeding.All the cases were followed up after operation without recurrence.Seven cases of malignant tumor patients were all alive with follow-up 1 year in 1 case,3 years in 4 cases,2 cases for five years.Conclusions Endoscopy-assisted tumors resection can deal with visual lesion comer and allow previous part no visibility surgery into all operation under direct vision.It contributed to improve the quality of operation,reduce the surgery complication.It was worth to be wide spreaded in clinic.
