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常规手术治疗口腔黏液囊肿:23 例系列研究。

Conventional surgical treatment of oral mucocele: a series of 23 cases.

机构信息

Department of Paediatric and Preventive Dentistry, Sharad Pawar Dental College, Sawangi Meghe, Wardha (Maharashtra), India.

出版信息

Eur J Paediatr Dent. 2012 Jun;13(2):143-6.

PMID:22762178
Abstract

AIM

Mucocele is a common lesion of the oral mucosa that results from alterations of the minor salivary glands due to mucous accumulation, causing swelling. Conventional surgical treatment was planned for these lesions in a group of children and the success rates of the therapy during the transitional period from mixed to permanent dentition were assessed with a series of follow-ups.

MATERIALS AND METHODS

A series of 23 cases of mucocele was observed in children under 10 years of age. Clinically the lesions consisted of a soft, bluish and transparent cystic swelling which normally resolved spontaneously and reappeared after rupture in few days. All cases were treated by conventional surgical procedure with excision of minor salivary glands and underwent a 3-year follow-up.

RESULTS

Out of the 23 cases, 19 (82.6%) were in the lower lip, 2 (8.6%) in the cheek, 1 (4.3%) in the retromolar area and 1 (4.3%) in the upper lip. Those in the lower lip, 15 (79%) were away from the midline and 4 (21%) at midline. One (4.3%) recurrence was seen at the 6-month follow-up. After 3 years, recurrence rate remained the same.

CONCLUSION

Conventional surgical excision with removal of affected minor salivary glands in paediatric patients is a definite treatment for mucocele.

摘要

目的

黏液囊肿是口腔黏膜的一种常见病变,由于小唾液腺的黏液积聚导致的改变而引起,导致肿胀。计划对一组儿童的这些病变进行常规手术治疗,并通过一系列随访评估混合牙列向恒牙列过渡期间治疗的成功率。

材料和方法

观察了 23 例年龄在 10 岁以下的儿童黏液囊肿。临床上,病变表现为柔软、蓝紫色透明的囊性肿胀,通常会自行消退,但在破裂后几天内会再次出现。所有病例均采用切除小唾液腺的常规手术治疗,并进行了 3 年的随访。

结果

23 例中,19 例(82.6%)位于下唇,2 例(8.6%)位于颊部,1 例(4.3%)位于磨牙后区,1 例(4.3%)位于上唇。下唇的 15 例(79%)远离中线,4 例(21%)位于中线。1 例(4.3%)在 6 个月随访时复发。3 年后,复发率保持不变。

结论

对于儿科患者,切除受影响的小唾液腺的常规手术切除是黏液囊肿的一种明确治疗方法。

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