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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">neurosurgery</journal-id><journal-title-group><journal-title xml:lang="ru">Нейрохирургия</journal-title><trans-title-group xml:lang="en"><trans-title>Russian journal of neurosurgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1683-3295</issn><issn pub-type="epub">2587-7569</issn><publisher><publisher-name>Издательский дом "МедИНК"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17650/1683-3295-2020-22-2-67-71</article-id><article-id custom-type="elpub" pub-id-type="custom">neurosurgery-892</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАБЛЮДЕНИЕ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>FROM PRACTICE</subject></subj-group></article-categories><title-group><article-title>Трансоральное удаление гигантской липомы парафарингеального пространства с распространением на позвонки C1-C4</article-title><trans-title-group xml:lang="en"><trans-title>Transoral removal of a parapharyngeal space giant lipoma with spread to the C1-C4 vertebrae</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3445-3115</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкарубо</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkarubo</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексей Николаевич Шкарубо</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16</p></bio><bio xml:lang="en"><p>16 4th Tverskaya-Yamskaya St., Moscow 125047</p></bio><email xlink:type="simple">ashkarubo@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2953-9902</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гизатуллин</surname><given-names>Ш. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Gizatullin</surname><given-names>Sh. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>105229 Москва, Госпитальная пл., 3</p></bio><bio xml:lang="en"><p>3 Gospitalnaya Sq., Moscow 105229</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4882-2444</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чернов</surname><given-names>В. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernov</surname><given-names>V. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>105229 Москва, Госпитальная пл., 3</p></bio><bio xml:lang="en"><p>3 Gospitalnaya Sq., Moscow 105229</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9392-0425</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кристостуров</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kristosturov</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>105229 Москва, Госпитальная пл., 3</p></bio><bio xml:lang="en"><p>3 Gospitalnaya Sq., Moscow 105229</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9789-3452</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чернов</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernov</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>125047 Москва, ул. 4-я Тверская-Ямская, 16</p></bio><bio xml:lang="en"><p>16 4th Tverskaya-Yamskaya St., Moscow 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4618-1970</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Красиков</surname><given-names>К. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Krasikov</surname><given-names>K. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>105229 Москва, Госпитальная пл., 3</p></bio><bio xml:lang="en"><p>3 Gospitalnaya Sq., Moscow 105229</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. Н.Н. Бурденко» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Главный военный клинический госпиталь им. Н.Н. Бурденко» Минобороны России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Burdenko Main Military Clinical Hospital, Ministry of Defense of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>30</day><month>07</month><year>2020</year></pub-date><volume>22</volume><issue>2</issue><fpage>67</fpage><lpage>71</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шкарубо А.Н., Гизатуллин Ш.Х., Чернов В.Е., Кристостуров А.С., Чернов И.В., Красиков К.Н., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Шкарубо А.Н., Гизатуллин Ш.Х., Чернов В.Е., Кристостуров А.С., Чернов И.В., Красиков К.Н.</copyright-holder><copyright-holder xml:lang="en">Shkarubo A.N., Gizatullin S.K., Chernov V.E., Kristosturov S.A., Chernov I.V., Krasikov K.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.therjn.com/jour/article/view/892">https://www.therjn.com/jour/article/view/892</self-uri><abstract><p>Описано клиническое наблюдение успешного трансорального удаления гигантской липомы, располагавшейся на передней поверхности тел позвонков C1—C4 с прорастанием в их структуры. Представленный случай демонстрирует, что использование малоинвазивных хирургических методик и доступов позволяет добиться хороших клинических результатов при локализации патологии в парафарингеальном пространстве на значительном протяжении.</p></abstract><trans-abstract xml:lang="en"><p>A clinical observation of successful transoral removal of a giant tumor (lipoma) located on the anterior surface of the C1—C4 vertebral bodies with spreading into their structures is described. The presented case demonstrates that the use of minimally invasive surgical techniques and approaches can achieve good clinical results of surgical treatment when the pathology is localized in the parapharyngeal space for a significant length.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>трансоральный доступ</kwd><kwd>опухоль парафарингеального пространства</kwd><kwd>липома</kwd></kwd-group><kwd-group xml:lang="en"><kwd>transoral approach</kwd><kwd>tumor of a parapharyngeal space</kwd><kwd>lipoma</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Heaton C.M., Ahmed S.R., Ryan W.R. Transoral robotic surgery (TORS) for excision of a retropharyngeal intramuscular lipoma. Auris Nasus Larynx 2017;44(6):742-4. DOI: 10.1016/j.anl.2016.10.010.</mixed-citation><mixed-citation xml:lang="en">Heaton C.M., Ahmed S.R., Ryan W.R. 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