青少年鼻咽血管纤维瘤：上颌骨摆动入路。

文献信息

中文摘要

引言： 上颌骨摆动入路是治疗晚期青少年鼻咽血管纤维瘤（JNA）的一种非常有效的手术方法。它允许广泛进入翼腭窝、颞下窝和颅底，从而能够完全切除具有相当局部延伸的恶性肿瘤。
材料和方法： 本研究旨在评估上颌骨摆动技术治疗广泛鼻咽血管纤维瘤的疗效和结果。本文对上颌骨摆动入路治疗晚期JNA的临床表现、手术技术、结果和并发症进行了观察性研究。
结果： 共有11名接受上颌骨摆动入路治疗的患者纳入研究，其中6名分类为Radkowski IIIA期，5名为IIIB期。无围手术期死亡，所有患者术后均通过鼻内镜和影像学进行监测。
结论： 上颌骨摆动方法，是经上颌入路的一种变体，允许更广泛地进入鼻咽、翼腭窝和翼上颌裂。它为接近广泛性JNA提供了一种安全有效的途径，从而降低了发病率和复发风险。

英文摘要

INTRODUCTION: The maxillary swing approach is a very efficient surgical procedure for treating advanced-stage juvenile nasopharyngeal angiofibroma (JNA). It allows wide access to the pterygopalatine fossa, infratemporal fossa, and skull base, allowing for the entire removal of malignancies with considerable local extension.
MATERIALS AND METHODS: The purpose of this study was to assess the efficacy and outcomes of the maxillary swing technique for the treatment of extensive nasopharyngeal angiofibroma. An observational study on the presenting features, surgical technique, outcomes, and complications of the maxillary swing approach in advanced-stage JNA is presented.
RESULT: A total of 11 patients treated with the maxillary swing approach were included in the study, with 6 classified as Radkowski stage IIIA and 5 as stage IIIB. There were no perioperative mortalities, and all patients were monitored postoperatively through nasal endoscopy and imaging.
CONCLUSION: The maxillary swing method, a version of the trans-maxillary approach, allows for wider access to the nasopharynx, pterygopalatine fossa, and pterygomaxillary fissure. It provides a safe and effective route for approaching extensive JNAs, thereby reducing morbidity and the risk of recurrence.