咽旁多形性腺瘤前淀粉样变性切除术的颈部入路。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-09-01 DOI:10.1016/j.anorl.2024.03.005

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引用次数: 0

摘要

目的：描述咽旁多形性腺瘤颈部切除术的要点，并讨论现代影像学的作用：描述咽旁前叶多形性腺瘤颈部切除术的要点，并讨论现代影像学的作用：回顾性病例系列：10 例患者（4 名女性和 6 名男性，年龄 29-63 岁）均患有前淀粉样咽旁多形性腺瘤，磁共振成像显示其最大直径为 2-8 厘米，2000 年至 2020 年期间在一家法国三级大学转诊护理中心连续通过颈部入路进行了切除。七名患者接受了至少十年的随访，一名患者在术后第五年前失去了随访机会。围手术期和术后并发症包括大耳廓神经横断但随后没有症状的神经瘤（2 名患者）、相关经口方法游离腺瘤上极（2 名患者）、囊肿脱出（3 名患者）和血肿（1 名患者）。没有出现面瘫或麻痹、其他颅神经损伤、三叉神经痛、耳颞综合征或第一咬合综合征的病例。三名囊肿脱出患者中有一人在第 17 个月时出现局部复发：与之前的报道一致，本病例系列证实了颈部入路切除咽旁多形性腺瘤的作用，因此有必要继续开展相关教学。

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Cervical approach for prestyloid parapharyngeal pleomorphic adenoma resection

Objective

To describe the key points of cervical resection for prestyloid parapharyngeal pleomorphic adenoma and to discuss the role of modern imaging.

Observation

Retrospective case series of 10 patients (4 women and 6 men, age 29–63 years) with prestyloid parapharyngeal pleomorphic adenoma with 2 to 8 cm largest diameter on MRI, consecutively resected via a cervical approach between 2000 and 2020 in a French tertiary university referral care center. Seven patients had a minimum 10 years’ follow-up, and one was lost to follow-up before the fifth postoperative year. Peri- and postoperative complications comprised great auricular nerve transection without subsequent symptomatic neuroma (2 patients), associated transoral approach to free the upper pole of the adenoma (2 patients), capsule effraction (3 patients), and hematoma (1 patient). There were no cases of facial paresis or palsy, other cranial nerve impairment, trismus, auriculotemporal or first-bite syndrome. One of the three patients with capsule effraction showed local recurrence at month 17.

Conclusion

In agreement with previous reports, the present case series confirmed the role of the cervical approach to resect prestyloid parapharyngeal pleomorphic adenoma, and hence the need to continue teaching it.

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来源期刊

European Annals of Otorhinolaryngology-Head and Neck Diseases OTORHINOLARYNGOLOGY-

CiteScore

3.70

自引率

28.00%

发文量

审稿时长

12 days

期刊介绍： European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.