Anatomical signs and adjacent relationship of parapharyngeal space through endoscopic transoral approach

LIU Juan; LIU Quan; WANG Huan; SUN Xi-cai; YU Hong-meng

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Anatomical signs and adjacent relationship of parapharyngeal space through endoscopic transoral approach

更新时间：2022-06-24

- Anatomical signs and adjacent relationship of parapharyngeal space through endoscopic transoral approach
- null Issue 4, Pages: 279(2022)
- 作者机构：
  
  复旦大学附属眼耳鼻喉科医院耳鼻喉科,上海,200031
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LIU Juan, LIU Quan, WANG Huan, et al. Anatomical signs and adjacent relationship of parapharyngeal space through endoscopic transoral approach. [J]. null (4):279(2022)
DOI：

LIU Juan, LIU Quan, WANG Huan, et al. Anatomical signs and adjacent relationship of parapharyngeal space through endoscopic transoral approach. [J]. null (4):279(2022) DOI：

摘要

目的研究内镜下经口入路咽旁间隙的解剖标志及毗邻关系，为该入路手术提供解剖形态学参考。方法对6例（12侧）新鲜尸头进行内镜下经口入路咽旁间隙解剖，寻找该入路的解剖标志，观察该入路的毗邻关系，了解其解剖变异。结果内镜下经口入路时，咽上缩肌和翼内肌是进入茎突前间隙的解剖标志，茎突舌肌和茎突咽肌是进入茎突后间隙的重要解剖标志。内镜下经口入路可充分暴露茎突后间隙的许多重要血管和神经，如颈内动脉、咽升动脉、颈交感干和第Ⅸ、Ⅹ、Ⅻ对颅神经。此外，我们观察到2例咽旁段颈内动脉走行变异的现象。结论内镜下经口入路可充分暴露咽旁间隙，解剖层次清晰，茎突舌肌和茎突咽肌可作为定位茎突后间隙的解剖标志。仔细辨认解剖标志有利于准确定位及保护重要的神经和血管。颈内动脉走行变异是该入路需要注意的事项。

Abstract

关键词

咽旁间隙尸体解剖颈内动脉内镜颅底

Keywords

parapharyngeal spaceautopsyinternal carotid arteryendoscopeskull base

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