Kumar Sudesh, Gupta Ashok K, Bakshi Jayamanti
Department of Otolaryngology-Head and Neck Surgery, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
Ear Nose Throat J. 2010 Nov;89(11):E14-7. doi: 10.1177/014556131008901105.
We conducted a retrospective study to determine the incidence and characteristics of submandibular gland hemangioma at our institution. We reviewed the records of all patients who had undergone submandibular gland excision from January 1998 through December 2006. We found a total of 230 such cases. Of these, submandibular gland hemangioma was found in 4 patients (1.7%)-3 women and 1 man, aged 20 to 47 years (mean 34.8). Their duration of symptoms had ranged from 26 to 78 months (mean: 49.3). These symptoms had included submandibular swelling, pain or discomfort, and features of sialadenitis. Computed tomographic angiography had revealed that the hemangiomas were supplied by the facial and lingual arteries. Two of the 4 patients had undergone preoperative vascular embolization, but it had failed to significantly reduce the amount of intraoperative blood loss. Final histopathologic examination had revealed that all 4 lesions were cavernous hemangiomas and that they had replaced the normal glandular structure. No recurrence was seen during a follow-up that ranged from 47 to 72 months (mean: 56.3).
我们进行了一项回顾性研究，以确定我院下颌下腺血管瘤的发病率和特征。我们回顾了1998年1月至2006年12月期间所有接受下颌下腺切除术患者的记录。我们共发现230例此类病例。其中，4例（1.7%）为下颌下腺血管瘤，3名女性和1名男性，年龄在20至47岁之间（平均34.8岁）。他们的症状持续时间为26至78个月（平均49.3个月）。这些症状包括下颌下肿胀、疼痛或不适以及涎腺炎的特征。计算机断层血管造影显示，血管瘤由面动脉和舌动脉供血。4例患者中有2例接受了术前血管栓塞，但未能显著减少术中失血量。最终组织病理学检查显示，所有4个病变均为海绵状血管瘤，且它们取代了正常腺结构。在47至72个月（平均56.3个月）的随访期间未见复发。
