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中华口腔医学研究杂志(电子版) ›› 2015, Vol. 09 ›› Issue (02) : 162 -165. doi: 10.3877/cma.j.issn.1674-1366.2015.02.016

所属专题: 口腔医学 文献

综述

累及颞下间隙的颞下颌关节肿瘤的手术进路
叶周熹1, 杨驰1,(), 陈敏洁1   
  1. 1. 200125 上海交通大学医学院附属第九人民医院口腔医学院口腔外科,上海市口腔医学重点实验室
  • 收稿日期:2015-01-21 出版日期:2015-04-01
  • 通信作者: 杨驰

Surgical approaches to temporomandibular joint tumor involving infratemporal space

Zhouxi Ye1, Chi Yang1,(), Minjie Chen1   

  1. 1. Shanghai Jiao Tong University School of Medicine, Department of Oral Surgery, Ninth People′s Hospital, Shanghai Key Lab of Stomatology, Shanghai 200011, China
  • Received:2015-01-21 Published:2015-04-01
  • Corresponding author: Chi Yang
  • About author:
    Corresponding author: Yang Chi, Email:
引用本文:

叶周熹, 杨驰, 陈敏洁. 累及颞下间隙的颞下颌关节肿瘤的手术进路[J]. 中华口腔医学研究杂志(电子版), 2015, 09(02): 162-165.

Zhouxi Ye, Chi Yang, Minjie Chen. Surgical approaches to temporomandibular joint tumor involving infratemporal space[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2015, 09(02): 162-165.

颞下间隙(ITS)位于半侧颌面部中央,内含重要神经血管,既切除此间隙内肿瘤又保存颞下颌关节(TMJ)结构的手术进路是一项挑战。常见ITS进路包括侧方进路、前方进路和下方进路。对于不仅累及ITS还侵犯其他重要结构的肿瘤,需设计联合进路。目前,尚缺乏对切除累及ITS的TMJ肿瘤手术进路的总结。本研究通过回顾近年文献,综述累及ITS的TMJ肿瘤的手术进路。

Infratemporal space (ITS) is in the center of hemi-maxilloface, containing major nerves and vessels. Thus, surgical approaches to tumors inside the space, as well as the protection of temporomandibular joint (TMJ) is difficult. Lateral, anterior and inferior approaches are common surgical approaches to the ITS. But for tumors also involving other major structures, multi-disciplinary cooperation is needed. No summary on different surgical approaches for TMJ tumors extending to the ITS was found. Recent literatures on those approaches were reviewed in this paper.

图1 暂时离断髁突以切除颞下间隙区肿瘤[19]
图2 三维CT示累及颞下间隙的颞下颌关节肿瘤的髁突、颧弓和颞骨联合手术进路[18]
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