内镜辅助下切除颌面部良性肿瘤的效果评价

中国口腔颌面外科杂志 ›› 2015, Vol. 13 ›› Issue (6): 554-557.

内镜辅助下切除颌面部良性肿瘤的效果评价

张大明，杨朝晖，王友元, 梁启祥，范松，林钊宇，陈伟良，张彬

中山大学孙逸仙纪念医院口腔颌面外科，广东广州 510120

收稿日期:2014-09-28 出版日期:2015-11-20 发布日期:2015-12-03
通讯作者: 张彬，Tel: 020-81332429，E-mail:13682263011@126.com
作者简介:张大明(1983- )，男，博士研究生，主治医师， E-mail:lpg53372083@163.com

Clinical research on endoscopic-assisted resection of benign maxillofacial tumors

ZHANG Da-ming, YANG Zhao-hui, WANG You-yuan, LIANG Qi-xiang, FAN Song, LIN Zhao-yu, CHEN Wei-liang, ZHANG Bin.

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province, China

Received:2014-09-28 Online:2015-11-20 Published:2015-12-03

摘要/Abstract

摘要： 目的：探讨内镜辅助下颌面部良性肿瘤切除的可靠性。方法：18例颌面部良性肿瘤患者，男7例，女11例；年龄5～34岁，平均16.8岁。前额部纤维瘤3例、脂肪瘤4例；颧部脂肪瘤2例、肌内静脉畸形3例、皮样囊肿6例。肿物大小1.7 cm×2.2 cm～2.0 cm×3.2 cm。全部病例在内镜辅助下耳屏前或发际切口切除。结果：全部肿瘤完整切除，手术时间45～75 min，平均54 min。术中出血量6～15 mL，平均8.5 mL。手术过程顺利，切口一期愈合。随访2～8个月，肿瘤无复发，瘢痕隐蔽，美容效果好。结论：内镜辅助下耳屏前或额部单通道小切口切除颌面部良性肿瘤安全、可靠，瘢痕隐蔽，美容效果好。

关键词: 内镜技术, 良性肿瘤, 颌面部

Abstract: PURPOSE : To assess the reliability and usefulness of endoscopic-assisted resection of benign tumors in the maxillofacial region. METHODS : Eighteen benign tumors were located in the maxillofacial region. Among them, seven patients were males and eleven patients were females; the age of the patients ranged from 5 to 34 years (average 16.8 years). The sizes of tumors ranged from 1.7 cm×2.2 cm to 2.0 cm×3.2 cm. Endoscopic-assisted minimally invasive approaches were used for tumor resection. RESULTS : All tumors were successfully resected using an endoscopic-assisted technique. The operation time was 45-75 min while an estimated blood loss was about 6-15 mL(average 8.5 mL). The patients were followed up for 2-8 months, there was no recurrence, and postoperative facial appearance was good. CONCLUSIONS : Endoscopic-assisted resection of benign tumours of the maxillofacial region is a simple and safe technique that achieves excellent aesthetic results.

Key words: Endoscopy, Benign tumor, Maxillofacial region

中图分类号:

R739.8

张大明，杨朝晖，王友元, 梁启祥，范松，林钊宇，陈伟良，张彬. 内镜辅助下切除颌面部良性肿瘤的效果评价[J]. 中国口腔颌面外科杂志, 2015, 13(6): 554-557.

ZHANG Da-ming, YANG Zhao-hui, WANG You-yuan, LIANG Qi-xiang, FAN Song, LIN Zhao-yu, CHEN Wei-liang, ZHANG Bin.. Clinical research on endoscopic-assisted resection of benign maxillofacial tumors[J]. China J Oral Maxillofac Surg, 2015, 13(6): 554-557.

参考文献

[1] Chen WL, Wang YY, Zhang DM. Endoscopy-assisted transoral resection of large benign parapharyngeal space tumors [J]. Br J Oral Maxillofac Surg, 2014, 52(10): 970-973.
[2] 黄志权, 黄晓明, 陈伟良, 等. 内镜辅助取出下颌骨舌侧软组织间隙内残留牙根 [J]. 中国口腔颌面外科杂志, 2010, 8(3): 225-228.
[3] Chen J, Chen W, Zhang J, et al. Modified endoscope-assisted partial-superficial parotidectomy through a retroauricular incision[J]. ORL J Otorhinolaryngol Relat Spec, 2014, 76(3): 121-126.
[4] Fan S, Liang FY, Chen WL, et al. Minimally invasive selective neck dissection: a prospective study of endoscopically assisted dissection via a small submandibular approach in cT1-2N0 oral squamous cell carcinoma [J]. Ann Surg Oncol, 2014, 21(12): 3876-3881.
[5] Lauer G, Schmelzeisen R. Endoscope-assisted fixation of mandibular condylar process fractures [J]. J Oral Maxillofac Surg, 1999, 57(1): 36-39.
[6] Barrett G, Toynton S. Endoscopically assisted branchial fistula excision [J]. Int J Pediatr Otorhinolaryngol, 2013, 77(6): 1048-1050.
[7] M?trai Z, Kunos C, Pukancsik D, et al. Modern breast reconstruction with endoscopically assisted latissimus dorsi flap harvesting [J]. Orv Hetil, 2014, 155(3): 106-113.
[8] Li JS, Chen WL, Zhang DM, et al. Extracapsular dissection of pleomorphic adenoma of the parotid gland through minimal preauricular and retroauricular incisions in children [J]. J Craniofac Surg, 2012, 23(3): 661-663.
[9] Roh JL. Extracapsular dissection of benign parotid tumors using a retroauricular hairline incision approach [J]. Am J Surg, 2009, 197(5): e53-56.
[10] Grover N, D'Souza A. Facelift approach for parotidectomy: an evolving aesthetic technique [J]. Otolaryngol Head Neck Surg, 2013, 148(4): 548-556.
[11] Li B, Zhang L, Zhao Z, et al. Minimally invasive endoscopic resection of benign tumours of the accessory parotid gland: an updated approach [J]. Br J Oral Maxillofac Surg, 2013, 51(4): 342-346.
[12] Chotai S, Kshettry VR, Ammirati M. Endoscopic-assisted microsurgical techniques at the craniovertebral junction: 4 illustrative cases and literature review [J]. Clin Neurol Neurosurg, 2014, 121: 1-9.
[13] Yuen AP, Fan YW, Fung CF, et al. Endoscopic-assisted cranionasal resection of olfactory neuroblastoma [J]. Head Neck, 2005, 27(6): 488-493.
[14] Xie L, Zhang D, Lu MM, et al. Minimally invasive endoscopic-assisted resection of benign tumors in the accessory parotid gland: 5 case studies [J]. Head Neck, 2012, 34(8): 1194-1197.
[15] Mercante G, Battaglia P, Manciocco V, et al. Three-dimensional minimally invasive video-assisted thyroidectomy: preliminary report [J]. J Exp Clin Cancer Res, 2013, 32: 78.