内視鏡補助下に経口的摘出術を施行した副咽頭間隙腫瘍の1例  [in Japanese] Endoscopic-assisted resection of a parapharyngeal space tumor by transoral approach: A case report  [in Japanese]

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Author(s)

    • 西村 文吾 Nishimura Bungo
    • 筑波大学医学医療系耳鼻咽喉科・頭頸部外科 Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tsukuba
    • 田中 秀峰 Tanaka Shuho
    • 筑波大学医学医療系耳鼻咽喉科・頭頸部外科 Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tsukuba
    • 中山 雅博 Nakayama Masahiro
    • 筑波大学医学医療系耳鼻咽喉科・頭頸部外科 Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tsukuba
    • 和田 哲郎 Wada Tetsuro
    • 筑波大学医学医療系耳鼻咽喉科・頭頸部外科 Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tsukuba
    • 原 晃 Hara Akira
    • 筑波大学医学医療系耳鼻咽喉科・頭頸部外科 Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tsukuba

Abstract

副咽頭間隙腫瘍の手術はその解剖学的特徴から技術的に困難で合併症を来たす可能性も高い。従来頸部外切開による経頸部法や経耳下腺法が一般的に行われてきたが,今回われわれは副咽頭間隙多形腺腫に対し,内視鏡補助下に経口法による摘出を行った。症例は36歳男性で,左副咽頭間隙に約6×5×4cm大の腫瘍を認め,生検により多形腺腫と診断された。内視鏡を補助的に用いて経口的に摘出した。術後合併症を来たすことなく,翌日から経口摂取を開始し,術後4日目に退院した。内視鏡補助下の経口法による摘出はより低侵襲な治療法として有効であると考えられ,その適応や方法については今後も検討を重ねる必要がある。

Surgery of the parapharyngeal space tumor is technically difficult because of its anatomical features and the possibility of causing complications. Conventionally, the transcervical approach and the transparotid approach have been performed. In the present case, we performed extirpation by the transoral approach under endoscopic assistance for a parapharyngeal pleomorphic adenoma. A 36-year-old man was found to have a tumor of 6×5×4cm in the left parapharyngeal space which was diagnosed as a pleomorphic adenoma by biopsy. The tumor was removed orally using an endoscope to obtain a better view. Oral intake began the day after surgery without postoperative complications, and he was discharged on the fourth day after surgery. It is considered that transoral removal under endoscopic assistance is an effective and minimally invasive treatment. Further investigations on the indications, effectiveness and safety are necessary.

Journal

  • JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY

    JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY 28(3), 335-341, 2019

    JAPAN SOCIETY FOR HEAD AND NECK SURGERY

Codes

  • NII Article ID (NAID)
    130007632079
  • Text Lang
    JPN
  • ISSN
    1349-581X
  • Data Source
    J-STAGE 
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