中国耳鼻咽喉颅底外科杂志2018，Vol.24Issue(2)：114-118,5.DOI:10.11798/j.issn.1007-1520.201802005
内镜经口入路腮腺深叶多形性腺瘤切除术
Resection of deep-lobe parotid pleomorphic adenoma via a pure endoscopic transoral approach
吕海丽 1张秋航 1严波 1王振霖 1杨晓彤1
作者信息
- 1. 首都医科大学宣武医院耳鼻咽喉颅底外科中心,北京100053
- 折叠
摘要
Abstract
Objective To explore the feasibility and curative effect of resection of deep-lobe parotid pleomorphic adenoma via a pure endoscopic transoral approach.Methods Six patients with pleomorphic adenoma of deep-lobe parotid gland (4 males and 2 females,ranging in age from 18 to 56 years old with an average of 36) received direct surgical resection of tumor via endoscopic transoral approach.As for the symptoms and signs,lateral pharyngeal wall bulging was detected in 2 patients in health examinations,one patient complained of headache,and the other 3 complained of throat indisposition.Results Complete removal of the tumor was achieved in all the 6 cases,and no complications such as facial paralysis,hoarseness and dysphagia occurred.Postoperative swelling and pain in the parotid area occurred in one patient and got improved through anti-infective therapy combined with pressure dressing.All patients had been followed up for 12 months to 40 months with an average of 24.Tumor recurrence occurred in one patient due to malignant transformation 2 years after operation.Conclusion Pleomorphic adenoma of deep-lobe parotid gland can be resected completely via endoscopic transoral approach which is safe,minimally invasive,and capable of reserving facial nerve function.Nonetheless,open surgical approach is recommended for the resection of malignant parotid tumors.关键词
内镜经口入路/多形性腺瘤/腮腺深叶Key words
Endoscopic transoral approach/Pleomorphic adenoma/Parotid gland deep lobe分类
医药卫生引用本文复制引用
吕海丽,张秋航,严波,王振霖,杨晓彤..内镜经口入路腮腺深叶多形性腺瘤切除术[J].中国耳鼻咽喉颅底外科杂志,2018,24(2):114-118,5.
