中华口腔医学研究杂志（电子版）
中華口腔醫學研究雜誌（電子版）
중화구강의학연구잡지（전자판）
CHINESE JOURNAL OF STOMATOLOGICAL RESEARCH(ELECTRONIC VERSION)
2015年
2期
162-165
,共4页
颞下间隙%颞下颌关节%肿瘤%手术进路
顳下間隙%顳下頜關節%腫瘤%手術進路
섭하간극%섭하합관절%종류%수술진로
Infratemporal space%Temporomandibular joint%Tumor%Surgical approach
颞下间隙（ITS）位于半侧颌面部中央，内含重要神经血管，既切除此间隙内肿瘤又保存颞下颌关节（TMJ）结构的手术进路是一项挑战。常见ITS进路包括侧方进路、前方进路和下方进路。对于不仅累及ITS还侵犯其他重要结构的肿瘤，需设计联合进路。目前，尚缺乏对切除累及ITS的TMJ肿瘤手术进路的总结。本研究通过回顾近年文献，综述累及ITS的TMJ肿瘤的手术进路。
顳下間隙（ITS）位于半側頜麵部中央，內含重要神經血管，既切除此間隙內腫瘤又保存顳下頜關節（TMJ）結構的手術進路是一項挑戰。常見ITS進路包括側方進路、前方進路和下方進路。對于不僅纍及ITS還侵犯其他重要結構的腫瘤，需設計聯閤進路。目前，尚缺乏對切除纍及ITS的TMJ腫瘤手術進路的總結。本研究通過迴顧近年文獻，綜述纍及ITS的TMJ腫瘤的手術進路。
섭하간극（ITS）위우반측합면부중앙，내함중요신경혈관，기절제차간극내종류우보존섭하합관절（TMJ）결구적수술진로시일항도전。상견ITS진로포괄측방진로、전방진로화하방진로。대우불부루급ITS환침범기타중요결구적종류，수설계연합진로。목전，상결핍대절제루급ITS적TMJ종류수술진로적총결。본연구통과회고근년문헌，종술루급ITS적TMJ종류적수술진로。
Infratemporal space ( ITS ) is in the center of hemi-maxilloface , containing major nerves and vessels. Thus, surgical approaches to tumors inside the space, as well as the protection of temporomandibular joint (TMJ) is difficult. Lateral, anterior and inferior approaches are common surgical approaches to the ITS. But for tumors also involving other major structures, multi-disciplinary cooperation is needed. No summary on different surgical approaches for TMJ tumors extending to the ITS was found. Recent literatures on those approaches were reviewed in this paper .
