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目的 探讨咽旁隙肿瘤手术方法及入路的选择。方法 回顾性分析 1984~1997年经各种手术入路治疗的 2 7例咽旁隙肿瘤的临床资料。结果 经口入路仅适于较小肿瘤切除 ;经腮腺入路主要用于侵入咽旁隙的腮腺深叶肿瘤的切除 ;经颈或经颈合并下颌升支裂开入路具有手术适应症广、视野较清楚等优点。结论 经颈或经颈合并下颌升支裂开入路是一种切除咽旁隙肿瘤的理想入路 ,术后并发症少和手术安全、彻底
Objective To explore the surgical method and choice of approach for pharyngeal parapharyngeal space tumor. Methods The clinical data of 27 parapharyngeal tumors treated by various surgical approaches from 1984 to 1997 were retrospectively analyzed. The results of oral approach is only suitable for smaller tumor resection; the parotid approach is mainly used for invasion of the parapharyngeal parotid deep-leaf tumor resection; by the neck or neck by the mandibular ascending branch with surgical indication broad indications , Clearer vision and other advantages. Conclusion The transjugular or maxillofacial splinter approach is an ideal approach to resect the parapharyngeal space tumor with less postoperative complications and complete operation