Golden Brent A, Zide Michael F
Oral and Maxillofacial Surgery, University of North Carolina, Chapel Hill, NC, USA.
J Oral Maxillofac Surg. 2005 Nov;63(11):1613-9. doi: 10.1016/j.joms.2005.08.002.
This article reviews the types of cutaneous cysts in patients referred to the Facial Lesion Clinic at John Peter Smith Hospital in Fort Worth, TX, and proposes effective treatment modalities based on lesion and patient variables. Cyst variables included proper identification, size of the lesion, and acute or chronic processes. Patient considerations included age, skin type, and location. Medical and social histories were not noted.
Eighty-two patients who had 1 or more cysts removed over the 5-year period from July 15, 1998 to July 14, 2003 were reviewed for age, gender, histologic diagnosis, anatomic location of the lesion, and complications.
Patients with epidermal inclusion cysts (79%), followed by pilar cysts (9%), hidrocystomas and dermoid cysts (3% each), and multiple other diagnoses (less than 2%) were treated. Neither complications nor recurrent infections were reported during the 5-year interval. There were no recurrent cyst formations noted by return appointment.
Cystic lesions of the head and neck may be treated effectively as long as they are correctly identified and treated in a specific manner.
本文回顾了得克萨斯州沃思堡市约翰·彼得·史密斯医院面部病变诊所接诊患者的皮肤囊肿类型，并根据病变情况和患者变量提出有效的治疗方式。囊肿变量包括正确识别、病变大小以及急性或慢性病程。患者因素包括年龄、皮肤类型和病变部位。未记录患者的病史和社会史。
对1998年7月15日至2003年7月14日这5年间接受1个或多个囊肿切除手术的82例患者进行回顾性分析，记录其年龄、性别、组织学诊断、病变的解剖位置及并发症情况。
接受治疗的患者中，表皮样囊肿患者占79%，其次是毛囊囊肿患者占9%，汗腺囊瘤和皮样囊肿患者各占3%，其他多种诊断的患者占比不到2%。在这5年期间，未报告有并发症或反复感染情况。复诊时未发现囊肿复发。
只要对头颈部囊性病变进行正确识别并采取特定的治疗方式，就可以有效治疗。
