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作者在1961—1971共收治青年鼻咽血管纤维瘤25例,皆男性,年龄10—18岁,术前21例作颈动脉造影,其中4例外加椎动脉造影,9例术前接受雌激素(Stilberstrol 2.5—5mg,日三次,用2—3周)治疗。手术方法:全麻,Rose体位,用开口器,暂时夹住颈外动脉,在硬腭及双侧腭大孔处注射1:100,000肾上腺素,腭部作Owens马蹄形切口,向后剥离粘骨膜瓣到腭骨后缘,从此处用咬骨钳咬除部分腭骨以明视肿物。肿物周围注射赛罗卡因肾上腺素。在肿物周围小心切开粘骨膜,从四方向肿物剥离,到达骨质后继续剥离而将肿物取出。肿物若向侧方翼颌窝扩展,应作(Sardana氏)龈颊粘膜切口。
The authors in 1961-1971 were treated a total of 25 cases of nasopharyngeal angiofibroma, all men, aged 10-18 years old, 21 cases before carotid angiography, of which 4 cases plus vertebral artery angiography, 9 cases received preoperative estrogen ( Stilberstrol 2.5-5 mg three times daily for 2-3 weeks). Surgical methods: general anesthesia, Rose body position, with the opening device, temporary clamping of the external carotid artery, hard palate and bilateral palatal hole at the injection of 1: 100,000 epinephrine, palatal Owens horseshoe incision, the mucoperiosteal flap to the posterior peel Cleft palate bone edge, from here with bite forceps bite removal of part of the palatal bone to clear the tumor. Injection of cerocain epinephrine around the tumor. Carefully cut the mucoperiosteum around the tumor, peel the tumor from the four directions, continue to peel after reaching the bone and remove the tumor. If the expansion of the tumor to the lateral wing of the jaw, should be (Sardana) gingival buccal mucosa incision.