山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (5): 85-90.doi: 10.6040/j.issn.1673-3770.0.2014.159
胡娟娟, 洪育明
HU Juan-juan, HONG Yu-ming
摘要: 咽旁间隙解剖结构复杂、肿瘤病理类型繁多,临床表现各异。因此,咽旁间隙肿瘤的诊断和治疗皆较头颈部其他肿瘤困难。双合诊、影像学检查、细针穿刺细胞学、经口或经颈活检等综合诊断方法,可判定肿瘤性质、血液供给,了解肿瘤与周围重要组织的关系,为制定治疗方案提供可靠依据。就咽旁间隙肿瘤的临床诊断及治疗,尤其是手术径路的选择作了综述。
中图分类号:
[1] Almela Cortés R, Aldasoro Martín J, Gozalbo Navarro J M. Parapharyngeal space tumours: Presentation of three cases and literature review[J]. An Otorrinolaringol Ibero Am, 2003, 30(3):265-275. [2] Curtin H D. Separation of the masticator space from the parapharyngeal space[J]. Radiology, 1987, 163(1):195-204. [3] Chong V F, Fan Y F. Radiology of the parapharyngeal space[J]. Aust Rodio, 1998, 42(3):278-283. [4] 刘方舟,董明敏,张园,等.咽旁间隙原发肿瘤69例临床病理与解剖分析[J].临床耳鼻咽喉头颈外科杂志,2009,2(3):113-118. LIU Fangzhou, DONG Mingmin, ZHANG Yuan, et al. Clinical pathology and anatomy features of parapharyngeal region neoplasms:a report of 69 cases[J]. J Clin Otolaryngol Head Neck Surgery, 2009, 2 (3):113-118. [5] Batsakis J G, Sneige N. Parapharyngeal and retropharyngeal space diseases[J]. Ann Otol Rhinol Laryngol, 1989, 98(4 Pt 1):320-321. [6] Pensak M L, Gluckman J L, Shumrick K A. Parapharyngeal space tumors: an algorithm for evaluation and management[J]. Laryngoscope, 1994, 104(9):1170-1173. [7] Carrau R L, Johnson J T, Myers E N. Management of tumors of the parapharyngeal space[J]. Oncology, 1997, 11(5):633-640. [8] Cohen S M, Burkey B B, Netterville J L. Surgical management of parapharyngeal space masses[J]. Head Neck, 2005, 27(8):669-675. [9] Shahab R, Heliwell T, Jones A S. How we do it: a series of 114 primary pharyngeal space neoplasms[J]. Clin Otolaryngol, 2005, 30(4):364-367. [10] Luna-Ortiz K, Navarrete-Alemán J E, Granados-García M, et al. Primary parapharyngeal space tumors in a Mexican cancer center[J]. Otolaryngol Head Neck Surg, 2005, 132(4):587-591. [11] Shahab R, Heliwell T, Jones A S. How we do it: a series of 114 primary pharyngeal space neoplasms[J].Clin 0tolaryngol, 2005, 30(4):364-367. [12] Patetsios P, Gable D R, Garrett W V, et al. Management of carotid body paraganglioma and review of a 30-year experience[J]. Ann Vasc surg, 2002, 16(3):331-338. [13] Farrag T Y, Lin F R, Koch W M, et al. The role of pre-operative CT-guided FNAB for parapharyngeal space tumors[J]. Otolaryngol Head Neck Surg, 2007, 136(3):411-414. [14] 刘绍严.颈部肿瘤[M]//屠规益,徐国镇.头颈恶性肿瘤的规范性治疗.北京:人民卫生出版社,2003:246-241. [15] Gupta A, Chazen J L, Phillips C D. Imaging evaluation of the parapharyngeal space[J]. Otolaryngol Clin North Am, 2012, 45(6):1223-1232. [16] Saito D M, Glastonbury C M, El-Sayed I H, et al. Parapharyngeal space schwannomas:preoperative imaging determination of the nerve of origin[J]. ArchOtotolaryngol Head Neck Surg, 2007, 133(7):662-667. [17] Oliai B R, Sheth S, Burroughs F H, et al.“Parapharyngeal space”tumors: a cytopathological study of 24 cases on fine-needle aspiration[J]. Diagn Cytopathol, 2005, 32(1):11-15. [18] Ducic Y, Oxford L, Pontius A T. Transoral approach to the superomedial parapharyngeal space[J]. Otolaryngol Head Neck Surg, 2006, 134(3):466-470. [19] Hart D M, Ferlito A, Silver C E, et al. Milimally invasive tecniques for head and neck malignancies: Current indictions,outco mes and future directions[J]. Eur Arch Otorhinolaryngol, 2011, 268(9):1249-1257. [20] Rigby M H,Taytor S M. Review of transoral laser microsurgery for cancer of the uper aerodigestive tract[J]. J Otolaryngol Head Neck Surg, 2011, 40(2):113-121. [21] Arshad H, Durmus K, Ozer E. Transoral robotic resection of selected parapharyngeal space tumors[J]. Eur Arch Otorhinolaryngol, 2013, 270(5):1737-1740. [22] Lee H S, Kim J, Lee H J, et al. Transoral robotic surgery for neurogenic tumorsof the prestyloid parapharyngeal space[J]. Auris Nasus Larynx, 2012, 39(4):434-437. [23] De Virgilio A, Park Y M, Kim W S, et al. Transoral robotic surgery for the resection of parapharyngeal tumour:our experience in ten patients[J]. Clin Otolaryngol, 2012, 37(6):483-486. [24] Betka J, Chovanec M, Klozar J, et al.Transoral and combined transoral-transcervical approach in the surgery of parapharyngeal tumors[J]. Eur Arch Otorhinolaryngol, 2010, 267(5):765-772. [25] Chang S S, Goldenberg D, Koch W M. Transcervical approach to benign parapharyngeal space tumors[J]. Ann Otol Rhinol Laryngol, 2012, 121(9):620-624. [26] Papadogeorgakis N 1, Petsinis V, Goutzanis L, et al. Parapharyngeal space tumors:Surgical approaches in a series of 13 cases[J]. Int J Oral Maxillofac Surg, 2010, 39(3):243-250. [27] 张俊毅,谢志海,章华,等.经茎突隔膜入路切除咽旁间隙肿瘤[J].中华耳鼻咽喉头颈外科杂志,2013,48(8):654-657. ZHANG Junyi, XIE Zhihai, ZHANG Hua, et al. Resection of parapharyngeal neoplasms via styloid diaphragm approach[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2013, 48(8):654-657. [28] Hughes K V, Olsen K D, Mc Caffrey T V. Parapharyngeal space neoplasms[J]. Head Neck, 1995, 17(2):124-130. [29] Miller F R, Wanamaker J R, Lavertu P, et al. Magnetic resonance imaging and the management of parapharyngeal space tumors[J]. Head Neck, 1996, 18(1):67-77. [30] 陈雷,王刚,王荣光.鼻内镜下颅底占位性病变的微创手术[J].中华耳鼻咽喉头颈外科杂志,2007,42(5):341-344. CHEN Lei, WANG Gang, WANG Rongguang. Endoscopic surgery in occupation lesions of the skull base[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2007, 42 (5):341-344. [31] 刘善,杜伟,冯露,等.咽旁间隙肿瘤的影像学诊断与手术入路的选择[J].中华口腔医学杂志,2013,45(5):308-320. LIU Shan, DU Wei, FENG Lu, et al. Diagnosis and operation approach of parapharyngeal space tumor[J]. Chin J Stomatol, 2013, 45(5):308-320. [32] Jungehuelsing M, Guntinas-Lichius O, Klussmann J P, et al. Modifications of the midline mandibulotomy for access to the parapharyngeal space[J]. Laryngoscope, 2010, 120(8):1557-1562. [33] Bozza F, Vigili M G, Ruscito P, et al. Surgical management of parapharyngeal space tumours: results of 10-year follow-up[J]. Acta Otorhinolaryngol Ital, 2009, 29(1):10-15. [34] Zhi K, Ren W, Zhou H, et al. Management of parapharyngeal-space tumors[J]. J Oral Maxillofac Surg, 2009, 67(6):1239-1244. [35] Senft C, Franz K, Blasel S, et al. Influence of iMRI-guidance on the extent of resection and survival of patients with glioblastoma multiforme[J]. Technol Cancer Res Treat, 2010, 9(4):339-346. [36] Chicoinc M R, Lim C C, Evans J A, et al. Implementation and preliminary clinical experience with the use of ceiling mounted mobile high field intraoprative magnetic renonance imaging between two operating rooms[J]. Acta Neurochir Suppl, 2011, 109:97-102. [37] Ganly I, Patel S G, Sinsh B, et al. Craniofacial resection for Malignant tumors involving the skull base in the elderly: an intenational collaborative study[J]. Cancer, 2011, 117(3):563-571. [38] 张建国,张杰,宋铁砾,等.放射性粒子组织间植入治疗口腔颌面部恶性肿瘤初探[J].中华口腔医学杂志,2006,41(8):464-466. ZHANG Jianguo, ZHANG Jie, SONG Tieli, et al. Radioactive seed implantation in treatment of oral and maxillofacial malignancy[J]. Chin J Stomatol, 2006, 41 (8):464-466. [39] Di Maio S, Temkin N, Ramanathan D, et al. Current comprehensive Management of cranialbase chordomas:10-year meta-analysis of observational studies[J]. J Neurosurg, 2011, 115(6):1094-1105. |
[1] | 吴静,刘业海. 头颈部鳞状细胞癌的靶向治疗研究进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 97-102. |
[2] | 沈勤峰,沈小燕,朱荣强,蒋斐斐,郎军添. 鼻内镜下中鼻甲功能性部分切除治疗慢性鼻窦炎76例分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 82-85. |
[3] | 朱明娟,邢凯,亢泽峰,刘健. 甲状腺相关性眼病的诊断及治疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 110-113. |
[4] | 王坛,武珂,李连庆,宫丽丽. 皮下免疫治疗注射后出现全身不良反应的伴发因素及处理[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 71-74. |
[5] | 代亚错,李靖,万保罗,臧艳姿,黄颖铭. 个体化治疗咽喉部海绵状血管瘤二例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 110-112. |
[6] | 刘义平,林远超. 负压引流防治腮腺术后涎瘘112例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 65-67. |
[7] | 陈鸣,俞雪飞. 浅谈伴有变应性鼻炎的慢性鼻窦炎的治疗[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 18-22. |
[8] | 张桂敏,林鹏. 慢性鼻-鼻窦炎的内在型:从基础到临床[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 14-17. |
[9] | 覃纲,梁灼萍. 变应性真菌性鼻-鼻窦炎免疫治疗现状[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 23-26. |
[10] | 吴湘萍. 患者管理方式对变应性鼻炎舌下含服粉尘螨滴剂疗效的影响[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 68-72. |
[11] | 王仙,李颖,赵博军. 息肉样脉络膜血管病变诊疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 103-106. |
[12] | 钟建文,刘大波,罗向前,黄振云,仇书要,程超,杨李强,易新华,曾锦鸿. 可穿戴设备在儿童阻塞性睡眠呼吸暂停诊断中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 30-33. |
[13] | 高进良,年婉清,李烁. 鼻内镜手术联合鼻用糖皮质激素治疗腺样体肥大性[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 38-42. |
[14] | 吕丹,李明霞,马兰枝,张馨元,肖浩,陈飞,刘均,李珍. 累及纵膈的头颈部丛状I型神经纤维瘤病两例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 82-86. |
[15] | 李俏丽,李超,王薇,蔡永聪,孙荣昊,周雨秋,税春燕, 黄璐,涂静. 术后放化疗后复发并侵及侧颅底的原发性腮腺鳞状细胞癌一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 87-88. |
|