부인두강 종양의 진단 및 수술적 접근법

태경; 이근영; 이영석; 이용섭; 정승원; 박철원

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자료유형: 학술저널

저자정보: 태경 이근영 이영석 이용섭 정승원 박철원

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제51권 제5호

발행연도: 2008.1

수록면: 441 - 446 (6page)

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Tumors originating in the parapharyngeal space are rare, accounting for about 0.5% of all head and neck tumors. The anatomic characteristics of the parapharyngeal space makes clinical examination of this area difficult and unreliable method for assessment of these tumor. This study was performed to evaluate the proper diagnostic and surgical approaches for the parapharyngeal space tumors with our experiences. Subjects and Method：During the period from January 1998 to December 2006, 34 patients underwent surgery for parapharyngeal space tumors. We reviewed medical records and imaging study retrospectively. Results：82.4% (28/34) of the parapharyngeal space tumors were benign；17.6% (6/34) were malignant. 41.2% (14/34) were of salivary glandular origin, 35.3% (12/34) were of neurogenic origin, and 23.5% (8/34) were of miscellaneous origin. 76.5% (26/34) of cases had been performed fine needle aspiration cytology (FNAC) before surgery. 14 of 19 patients (73.7%) who had a diagnostic sample had a correct or highly suggestive diagnostic finding. Most of the parapharyngeal space tumors were treated with transcervical (44.1%；15/34) or transparotid (44.1%；15/34) approach, and transparotidcervical approach was performed in 4 patients (11.8%). All patients with salivary gland tumor were located in the prestyloid space, and most (92.9%) of them were treated with transparotid approach. Most patients (91.7%) with neurogenic tumor were located in the poststyloid space and treated with transcervical approach. Conclusion：In our study, the origin and location of the parapharyngeal space tumors were correlated with surgical approaches (p<0.05). Preoperative FNAC showed high accuracy to diagnose the tumor in the parapharyngeal space. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:441-6)

#Parapharyngeal space·Neoplasm·Surgical approach.

참고문헌 (20)

참고문헌 신청

Abemayor E / 2002 / Enhancing access to the parapharyngeal space / Laryngoscope 112 (4) : 757 ~ 759

Carrau RL / 1990 / Management of tumors arising in the parapharyngeal space / Laryngoscope 100 (6) : 583 ~ 589

Cohen SM / 2005 / Surgical management of parapharyngeal space masses / Head Neck 27 (8) : 669 ~ 675

Cross RR / 1989 / MRI of the parapharyngeal space / Radiol Clin North Am 27 (2) : 353 ~ 378

Farrag TY / 2007 / The role of pre-operative CT-guided FNAB for parapharyngeal space tumors / Otolaryngol Head Neck Surg 136 (3) : 411 ~ 414

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소속기관 한양대학교

주요연구분야 의약학 > 의학 일반 의약학 > 임상의학 > 이비인후과학

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