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Endoscopic transoral approach to the lateral poststyloid space

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机构: [1]Department of Otolaryngology – Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China [2]Department of Otolaryngology – Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA [3]Department of Otolaryngology – Head and Neck Surgery, The James Cancer Hospital, Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA [4]Department of Otolaryngology – Head and Neck Surgery, Xianghe People's Hospital, Langfang, China
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关键词: lateral parapharyngeal space poststyloid space styloid process transoral

摘要:
The lateral poststyloid space (LPSS) located at the posterolateral aspect of the styloid process. This study aims to explore the anatomical relationships in LPSS via a transoral corridor, providing reference for addressing lesions extending to this region. An endoscopic transoral approach for exposure of the LPSS was performed on 6 cadaveric specimens (12 sides). Related landmarks were explored, and transoral extirpation of tumors extended into LPSS was employed in 12 patients. The deep lobe of the parotid gland, extratemporal facial nerve, and the accompanying artery in the LPSS were sufficiently exposed via the transoral corridor in all 12 cadaveric sides. The transoral corridor provided adequate exposure for tumors extending to the LPSS, and en bloc resection was achieved in these 12 patients. No facial nerve or vascular injury occurred, and no recurrence observed in this cohort with an average follow-up of 26 months. An endoscopic transoral approach provides a direct access to the LPSS. Appreciation of the anatomical relationships within the LPSS is valuable for employing a transoral extirpation of tumors extending to this specific region.© 2022 Wiley Periodicals LLC.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 耳鼻喉科学 3 区 外科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 耳鼻喉科学 3 区 外科
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出版当年[2021]版:
Q1 OTORHINOLARYNGOLOGY Q1 SURGERY
最新[2023]版:
Q1 OTORHINOLARYNGOLOGY Q1 SURGERY Q2 SURGERY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Department of Otolaryngology – Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
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通讯机构: [1]Department of Otolaryngology – Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China [4]Department of Otolaryngology – Head and Neck Surgery, Xianghe People's Hospital, Langfang, China [*1]Department of Thyroid, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1 DongJiaoMinXiang, DongCheng District, Beijing 100730, China. [*2]Department of Otolaryngology – Head and Neck Surgery, Xianghe People's Hospital, Hebei 065400, China
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