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首页> 外文期刊>Advances in Surgical Sciences >Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours
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Endoscopic-assisted Transoral Approach to Parapharyngeal Space Tumours

机译：内窥镜辅助传感器方法进行后颌骨空间肿瘤

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Parapharyngeal space tumours are rare, mostly benign and present few symptoms, being difficult to diagnose it early. CT scan and MR are necessary for topographical diagnosis. Surgical resection is the best possible treatment option, but the approach remains a challenge, as there are several vital elements contained in the parapharyngeal space and, thus, adequate visualization is needed. Different surgical approaches have been described: transcervical-submandibular, transparotid, transmandibular, transoral and combined approaches. Transoral approach is the most controversial one due to cited limited exposure, which can lead to neurovascular injury or incomplete removal of the lesion. It is seldom performed and only for small, extra-parotid and non-vascular tumours of the parapharyngeal space. Wide access to endoscopic equipment in our institute allowed us to perform medium to large benign parapharyngeal tumour resection usig the transoral approach. The use of endoscopic assistance for transoral approach provided direct and magnified visualization of the parapharyngeal space, reducing tissue damage, ensuring adequate hemostasis (which lead to less amount of bleeding) and also confirming complete resection prior to closure. In addition, compared to transcervical approach, transoral approach shortened hospitalization time and improved cosmetic appearance. Benign parapharyngeal space tumours not involving critical structures from the parapharyngeal space can be completely resected by an endoscopic-assisted transoral approach with good functional and cosmetic outcome.
机译：滑动术空间肿瘤是罕见的，大多数良性，甚至很少有症状，难以提前诊断。 CT扫描和MR对于地形诊断是必要的。手术切除是最佳的治疗方法，但该方法仍然是一个挑战，因为舌腔空间中有几种重要元素，因此需要足够的可视化。已经描述了不同的手术方法：经晶状体 - 颌下，透明的，经变性，传输和组合方法。传输方法是由于引用的有限暴露导致的最有争议的一个，这可能导致神经血管损伤或不完全除去病变。很少进行，并且仅针对术的小型，腮腺炎和非血管肿瘤。我们研究所中的内窥镜设备广泛访问允许我们对大型良性术语肿瘤切除USIG进行传输方法。使用内窥镜辅助对近似的方法进行直接和放大的臂静脉空间的可视化，减少组织损伤，确保足够的止血（导致少量出血），并且在关闭之前还确认完全切除。此外，与跨诊断方法相比，传输方法缩短了住院时间和改善的化妆品外观。良性的曲线空间肿瘤不涉及来自旋翼空间的关键结构，可以通过内窥镜辅助的传输方法完全切除具有良好的功能和化妆品结果。

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