Lee Dong Hoon, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun, South Korea.
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun, South Korea.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Apr;119(4):e223-5. doi: 10.1016/j.oooo.2015.01.007. Epub 2015 Feb 3.
The study sought to determine the optimal surgical treatment of a simple ranula and analyzed the clinical characteristics and treatment outcomes of a simple ranula in our hospital.
A retrospective review was performed to evaluate patients with a diagnosis of a simple ranula at Chonnam National University Hwasun Hospital from November 2007 to August 2013. Clinical data on simple ranulas that were reviewed included gender, age, symptoms, duration of symptoms, location and size of lesion, surgical procedures, complications, recurrence, and follow-up.
The 24 patients included in the study comprised 10 males and 14 females. Sixteen patients (66.7%) did not have a prior treatment history. Eight patients had undergone previous treatment, which included Picibanil injection sclerotherapy, incision and drainage, and micromarsupialization. The simple ranula recurred after excision of the ranula and the sublingual gland in only one (4.2%) of 24 cases. In eight patients who had undergone previous treatment, there was no recurrence after excision of the ranula and sublingual gland. There were no major complications and recurrences in the patients with recurrent simple ranulas.
Excision of the ranula and the sublingual gland via intraoral approach is the optimal treatment for a simple ranula, even in the case of a recurrent simple ranula.
本研究旨在确定单纯性舌下囊肿的最佳手术治疗方法，并分析我院单纯性舌下囊肿的临床特征及治疗效果。
对2007年11月至2013年8月在全南国立大学和顺医院诊断为单纯性舌下囊肿的患者进行回顾性研究。回顾的单纯性舌下囊肿临床资料包括性别、年龄、症状、症状持续时间、病变部位和大小、手术方式、并发症、复发情况及随访情况。
本研究纳入的24例患者中，男性10例，女性14例。16例患者（66.7%）既往无治疗史。8例患者曾接受过治疗，包括注射消痔灵硬化治疗、切开引流和袋形缝合术。24例患者中仅1例（4.2%）在切除舌下囊肿及舌下腺后复发。8例曾接受过治疗的患者在切除舌下囊肿及舌下腺后未复发。复发性单纯性舌下囊肿患者无严重并发症及复发情况。
经口入路切除舌下囊肿及舌下腺是单纯性舌下囊肿的最佳治疗方法，即使是复发性单纯性舌下囊肿亦是如此。
