摘要目的:探讨鼻内镜辅助下面中揭翻术切除翼腭窝及其毗邻区域肿瘤的优缺点，以提高疗效，减少并发症和后遗症。方法:采用鼻内镜辅助下面中揭翻进路手术治疗翼腭窝及其毗邻区域肿瘤患者28例，其中良性肿瘤21例、恶性肿瘤7例。结果:本组28例手术均顺利，肿瘤切除彻底。术后随访0.5～5 a ，21例良性肿瘤患者无一例复发；7例恶性肿瘤患者术后均行放化疗，其中2例分别于术后8个月和10个月死于局部侵犯及远处转移，生存期0.5～4 a 3例，5 a及以上2例。结论:鼻内镜辅助下面中揭翻术适用于鼻腔、鼻窦、鼻咽、翼腭窝的良性肿瘤及生长缓慢侵犯翼腭窝及其毗邻区域的恶性肿瘤，具有微创、恢复快、面部无疤痕等优点。
Abstract：Objective:To analyze the merits and demerits of midfacial degloving operation for the treatment of tumors in pterygopalatine fossa and its contiguous region. Methods:Endoscopic midfacial degloving operation was used in 28 cases of tumors in pterygopalatine fossa and its contiguous region. Of all the cases, 21 were benign, and 7 were malignant.Results:All the 28 cases of tumors were resected successfully, and followed up 0.5~5 years. In 21 cases of benign tumors, no recurrence was observed. In 7 cases of malignant tumors, survival time after radiotherapy was: 2 cases less than one year (succumbed to local aggression 8 months after operation and metastasis 10 months after operation respectively), 3 cases 0.5 ~ 4 years, 5 cases more than 5 year.Conclusions:Midfacial degloving operation applies to primary maxillary sinus benign or low-grade malignant tumors with pterygopalatine fossa or its contiguous region involvement. This operation is less invasive; recovers quicker and has no scars on face.
廖建春，邓彬华，陈进璜，胡建道，李永德，吕政纲，张健，刘环海，纪振华，彭浒，刘海斌. 鼻内镜辅助下面中揭翻术治疗翼腭窝及其毗邻区域肿瘤的临床研究[J]. 中华解剖与临床杂志, 2013, 18(6): 460-462.
LIAO Jian-chun,DENG Bin-hua,CHEN Jin-huang,HU Jian-dao,LI Yong-de,LV Zheng-gang,ZHANG Jian,LIU Huan-hai,JI Zhen-hua,PENG Hu,LIU Hai-bin. Clinical Study of Midfacial Degloving Operation under Nasal Endoscope for Treatment of Tumors in Pterygopalatine Fossa and Its Contiguous Region. Chinese Journal of Anatomy and Clinics, 2013, 18(6): 460-462.
2013, Vol. 18 
