CAJ | 학술논문

目的研究咽旁颞下窝的解剖结构及毗邻关系,为咽旁颞下窝肿瘤选择合适的手术入路及手术方法提供解剖学依据,以减少并发症的发生.方法利用9个经10%福尔马林固定的国人成人头颅标本,对咽旁颞下窝相关解剖进行观察、摄像,同时结合7例临床咽旁颞下窝肿瘤患者,结合术前影像学检查,行耳前、下颌下切口手术切除肿瘤.结果以翼外肌上下头为参照,其浅及深面有重要的血管、神经分布.7例患者手术顺利,无术后并发症.术后随访2个月至3年,无1例复发.结论对于边界相对较清楚的咽旁颞下窝肿瘤,单纯耳前、下颌下切口可完全顺利切除肿瘤.熟知咽旁颞下窝的解剖层次可明显减少手术创伤及预防手术并发症的发生.
목적 연구인방섭하와적해부결구급비린관계,위인방섭하와종류선택합괄적수술입로급수술방법제공해부학의거,이감소병발증적발생.방법 이용9개경10%복이마림고정적국인성인두로표본,대인방섭하와상관해부진행관찰、섭상,동시결합7례림상인방섭하와종류환자,결합술전영상학검사,행이전、하합하절구수술절제종류.결과 이익외기상하두위삼조,기천급심면유중요적혈관、신경분포.7례환자수술순리,무술후병발증.술후수방2개월지3년,무1례복발.결론 대우변계상대교청초적인방섭하와종류,단순이전、하합하절구가완전순리절제종류.숙지인방섭하와적해부층차가명현감소수술창상급예방수술병발증적발생.
Objective To expatiate the anatomy of parapharyngeal and infratemporal fossa and the adjacent anatomical structure in order to provide anatomical basis for an appropriate surgical approach and surgical techniques of tumors in the parapharyngeal and infratemporal fossa so as to reduce complications.Methods Nine cases of Chinese adult cadavers fixed by 10% formalin were studied as well as seven patients who suffered from the tumor in the parapharyngeal and infratemporal fossa. Clinically, all patients were underwent the surgery applying with preauricular and submandibular incision combined with preoperative image examination.Results Referring to superior and inferior pterygoid muscle, there existed many important blood vessels and nerves. Surgery in all patients had been finished smoothly, and no obvious complications. Followed up from two months to three years, no recurrence was found in all patients.Conclusion Tumors in the parapharyngeal and infratemporal fossa with a clear boundary relatively could be successfully removed by only preauricular and submandibular incision. It is important for reducing surgical trauma and complication to be familiar with the anatomy of parapharyngeal and infratemporal fossa.