上颌窦及侧颅底腺样囊性癌切除、颏下岛状瓣修补硬颚1例

高鹏翀, 王赛, 罗扬拓, 等. 上颌窦及侧颅底腺样囊性癌切除、颏下岛状瓣修补硬颚1例[J]. 临床耳鼻咽喉头颈外科杂志, 2025, 39(1): 84-86. doi: 10.13201/j.issn.2096-7993.2025.01.017
引用本文: 高鹏翀, 王赛, 罗扬拓, 等. 上颌窦及侧颅底腺样囊性癌切除、颏下岛状瓣修补硬颚1例[J]. 临床耳鼻咽喉头颈外科杂志, 2025, 39(1): 84-86. doi: 10.13201/j.issn.2096-7993.2025.01.017
GAO Pengchong, WANG Sai, LUO Yangtuo, et al. Adenoid cystic carcinoma of the maxillary sinus and lateral skull base was removed and the submental artery island flap repaired the hard palate: a case report[J]. J Clin Otorhinolaryngol Head Neck Surg, 2025, 39(1): 84-86. doi: 10.13201/j.issn.2096-7993.2025.01.017
Citation: GAO Pengchong, WANG Sai, LUO Yangtuo, et al. Adenoid cystic carcinoma of the maxillary sinus and lateral skull base was removed and the submental artery island flap repaired the hard palate: a case report[J]. J Clin Otorhinolaryngol Head Neck Surg, 2025, 39(1): 84-86. doi: 10.13201/j.issn.2096-7993.2025.01.017

上颌窦及侧颅底腺样囊性癌切除、颏下岛状瓣修补硬颚1例

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Adenoid cystic carcinoma of the maxillary sinus and lateral skull base was removed and the submental artery island flap repaired the hard palate: a case report

More Information
  • 腺样囊性癌是好发于头颈部的恶性肿瘤,本文报道了1例病变累及蝶窦、蝶骨翼、翼腭窝、颞下窝和硬腭等结构的巨大颅底腺样囊性癌,治疗方案为手术切除、Ⅰ期修补术区缺损,配合术后放疗,患者预后良好。
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  • 图 1  肿瘤范围

    图 2  上颌骨及肿瘤重建

    图 3  术中处理肿瘤边界

    图 4  设计合适大小的皮瓣,解剖皮瓣动静脉

    图 5  术后病理符合ACC

    图 6  术后6个月MRI:翼腭窝、颞下窝肿瘤已被完整切除

    图 7  术后9个月颏下岛状皮瓣修补的硬腭及颈部愈合情况

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    Gurung S, Pathak BD, Karki S, et al. Adenoid cystic carcinoma of maxillary antrum: a case report[J]. Int J Surg Case Rep, 2022, 94: 107055. doi: 10.1016/j.ijscr.2022.107055

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    Mauthe T, Holzmann D, Soyka MB, et al. Overall and disease-specific survival of sinonasal adenoid cystic carcinoma: a systematic review and meta-analysis[J]. Rhinology, 2023, 61(6): 508-518.

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    Kashiwazaki R, Turner MT, Geltzeiler M, et al. The endoscopic endonasal approach for sinonasal and nasopharyngeal adenoid cystic carcinoma[J]. Laryngoscope, 2020, 130(6): 1414-1421. doi: 10.1002/lary.28100

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    刘全, 赖玉婷, 杨婧艺, 等. 内镜下上颌骨全切术在鼻腔鼻窦腺样囊性癌治疗中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2023, 37(4): 243-246, 251. https://lceh.whuhzzs.com/article/doi/10.13201/j.issn.2096-7993.2023.04.001

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    刘桐, 王西冉, 孙振, 等. 颏下岛状瓣修复口腔恶性肿瘤术后缺损的临床分析[J]. 山东第一医科大学(山东省医学科学院)学报, 2023, 44(1): 53-55.

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    程煜天, 徐乐, 马利, 等. 头颈部腺样囊性癌预后分析: 单中心经验[J]. 中国口腔颌面外科杂志, 2023, 21(5): 467-471.

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出版历程
收稿日期:  2024-02-05
修回日期:  2024-03-31
刊出日期:  2025-01-03

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