https://scholars.lib.ntu.edu.tw/handle/123456789/518247
標題: | Extracapsular dissection for minimal resection of benign parapharyngeal tumor | 作者: | TSUNG-LIN YANG Hsiao T.-Y CHENG-PING WANG PEI-JEN LOU JENG-YUH KO |
公開日期: | 2012 | 卷: | 269 | 期: | 9 | 起(迄)頁: | 2097-2102 | 來源出版物: | European Archives of Oto-Rhino-Laryngology | 摘要: | Extracapsular dissection (ECD) is thought to be eVective in treating benign tumors and minimally invasive. Nonetheless, its application and feasibility in treating benign parapharyngeal space (PPS) tumor, the neoplasm located in the complex anatomical space, have never been investigated. The aim of this study is to evaluate the utility and eYcacy of transcervical ECD in treating benign PPS tumors. From 1996 to 2009, 54 patients with PPS tumors were treated by the designated surgeon. Excluding nine patients who were initially regarded as the potential candidates for ECD treatment but failed to meet the inclusion criteria, 22 patients who received the procedure were retrospectively analyzed. In 22 enrolled patients, 10 had pleomorphic adenoma while 6 had neurilemmoma. There were 13 PPS tumors located in the prestyloid space and 9 in the poststyloid space. The median volume of PPS tumors was 22.6 cm3, and the median distance from tumor to skull base was 2.3 cm. The median length of incision was 4.5 cm with the ECD intervention. No major intra- or post-operative complications were noted and post-operative courses were unremarkable in long-term follow-up. This study demonstrates that ECD is an eVective and safe treatment for selected benign PPS tumors. It has a favorable clinical outcome and an acceptable aesthetic result, and can be performed in a minimally invasive fashion. Therefore, it is suggested that ECD be included in the treatment modalities of benign PPS tumors. ? Springer-Verlag 2011. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867254380&doi=10.1007%2fs00405-011-1855-9&partnerID=40&md5=3f7d92e5b0d398ea044755903dfbf7a6 https://scholars.lib.ntu.edu.tw/handle/123456789/518247 |
ISSN: | 0937-4477 | DOI: | 10.1007/s00405-011-1855-9 | SDG/關鍵字: | gadolinium; adult; aged; arm weakness; article; cancer surgery; clinical article; dysphagia; esthetics; female; follow up; head and neck surgery; hoarseness; human; human tissue; incision; male; medical record review; minimally invasive surgery; neurilemoma; nuclear magnetic resonance imaging; outcome assessment; peroperative complication; pharynx tumor; pleomorphic adenoma; postoperative complication; priority journal; skull base; surgeon; surgical technique; transcervical extracapsular dissection; tumor volume; Adenoma, Pleomorphic; Adult; Aged; Female; Humans; Male; Middle Aged; Neurilemmoma; Otorhinolaryngologic Neoplasms; Otorhinolaryngologic Surgical Procedures; Retrospective Studies; Treatment Outcome |
顯示於: | 醫學系 |
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