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目的:对经口内镜辅助下切除咽旁间隙肿物的手术方法进行评价。方法:选择6例咽旁间隙良性肿瘤患者(男4例,女2例,平均年龄41.7岁),经口内镜辅助下切除肿物。其中多形性腺瘤4例,腺淋巴瘤1例,神经鞘瘤1例。肿瘤大小4 cm×4 cm~7 cm×7 cm不等。结果:肿瘤均被完整切除,术后未出现面神经损伤、涎漏或开口受限等并发症。该术式极好地保护了患者的容貌外观。随访8~21个月(平均14.7个月),均无复发。结论:经口内镜辅助下切除咽旁间隙巨大良性肿物简单、安全,美观和功能良好。
Objective: To evaluate the surgical methods of resection of parapharyngeal space with the assistance of endoscope. Methods: Six patients with benign parapharyngeal space were selected (4 males and 2 females, mean age 41.7 years). The tumors were resected with the aid of endoscope. One pleomorphic adenoma in 4 cases, 1 case of adenolymphoma, schwannoma in 1 case. Tumor size 4 cm × 4 cm ~ 7 cm × 7 cm range. Results: The tumors were completely resected without any facial nerve injury, salivary leak or limited opening. The procedure is excellent to protect the appearance of the patient’s appearance. All the patients were followed up for 8-21 months (average 14.7 months). No recurrence occurred. Conclusion: The removal of parapharyngeal space huge benign tumor with the aid of endoscopic assisted is simple, safe, beautiful and function well.