查詢結果分析
相關文獻
- Calcified Nodules in Parapharyngeal Space--A Case Report
- 咽旁間隙之滑膜肉瘤--病例報告
- 咽旁間隙之迷走神經鞘瘤--病例報告
- 咽旁間隙腫瘤
- Neurilemmoma of the Parapharyngeal Space--Case Report
- Giant Parapharyngeal Pleomorphic Adenoma with Intracranial Extension: A Case Report
- 頸部廓清手術後發生初次咀嚼症候群
- 咽旁間隙侵犯對鼻咽癌預後之影響
- 頸-腮腺腫瘤切除術切除顱內侵犯之咽旁間隙許旺氏細胞瘤--病例報告
- Pleomorphic Adenoma of Deep Lobe of Parotid Gland Involving the Parapharyngeal Space--A Case Report
頁籤選單縮合
題 名 | Calcified Nodules in Parapharyngeal Space--A Case Report=咽旁間隙中的鈣化性結核--病例報告 |
---|---|
作 者 | 游淳凱; 陳怡伶; 于恩浩; 涂曦丰; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 28:3 2017.09[民106.09] |
頁 次 | 頁203-217 |
分類號 | 416.95 |
關鍵詞 | 咽旁間隙; 鈣化性結核; 經頸手術法; 下顎骨切開術; Parapharyngeal space; Calcified nodules; Transcervical approach; Mandibulotomy; |
語 文 | 英文(English) |
中文摘要 | 咽喉間隙是頭頸部最難到達的區域之一。本篇病例中一位60歲的女性病患於2009年時主訴有輕微吞嚥困難以及左耳前區域有輕微搔癢及疼痛感。口外觀察並無明顯之腫脹異狀;而在電腦斷層掃描檢查及環口式放射片中可以看到,在左側咽旁間隙的區域有多顆放射線無法穿透的病灶。在經由手術摘除部分病灶並送至病理科檢驗,結果為鈣化性結核同時排除有任何惡性的表徵。由於病人希望能夠獲得更好的生活品質,於2010年以及2015年分別利用經頸手術方法以及下顎骨切開術到達咽旁間隙來進行第二次、第三次的病灶摘除手術。再將更多的鈣化性結核送至病理科檢驗後,結果為鈣化以及纖維化的碎片,同時也沒有發現增生或惡性的表徵。至今依然有在門診為病人做手術後的診察追蹤。此外,我們將病人的臨床表徵以及組織切片拿來和伊格式症候群、血管瘤合併靜脈結石以及創傷性骨化肌炎做比較,發現到此病灶與上述提及的疾病皆不盡相同。後續需要有更多的案例追蹤及討論。 |
英文摘要 | Parapharyngeal space (PPS) is one of the most difficultly approached regions among head and neck area. We reported a case of 54-year-old female patient who suffered mild dysphagia, itching and painful over left preauricular area in 2009. No obvious extraoral swelling or changing was noted, while computed tomography (CT) and panoramic film revealed multiple radiopaque in left side parapharyngeal space. Incision biopsy was performed and histological examination proved calcified nodules without evidence of neoplasm or malignancy. Due to chasing for a better life quality from the patient, second and third surgery via transcervical and mandibulotomy approach was performed respectively in 2010 and 2015 to access parapharyngeal space. As a result of greater amount of calcified nodules were removed. Pathologic report reveal calcified and fibrous fragment with negative result for dysplasia or malignancy. Post-surgery regular observation was still arranged at out-patient department. Comparison between our case and eagle syndrome, hemangioma with phleboliths, and myositis ossificans traumatica concluded that this calcified lesion was not similar to above diseases. |
本系統中英文摘要資訊取自各篇刊載內容。