Abdel-Aziz Mosaad, Khalifa Badawy, Nassar Ahmed, Kamel Ahmed, Naguib Nader, El-Tahan Abdel-Rahman
Department of Otolaryngology, Cairo University, Cairo, Egypt.
Department of Otolaryngology, Cairo University, Cairo, Egypt.
Int J Pediatr Otorhinolaryngol. 2016 Jun;85:46-9. doi: 10.1016/j.ijporl.2016.03.007. Epub 2016 Mar 18.
Mucus retention cyst of the hard palate may result from obstruction of the ducts of the minor salivary glands, and it was defined as a mucocele. Although, the disease is not common in the hard palate, it was previously reported by many authors in the soft palate. The aim of our study was to present pediatric patients who were diagnosed to have mucocele of the hard palate, and to evaluate the outcome of the surgical excision of this lesion.
This is a case series study included 8 pediatric patients who presented with cystic lesions on the hard palate which were removed surgically, and were diagnosed as mucoceles. Preoperative data, surgical procedures, and postoperative outcome were presented. Follow up of patients was performed for at least one year.
The swelling was detected as a single isolated lesion, on the side of the hard palate, covered with healthy mucosa, not tender, oval or round in shape, and measuring 0.4 to 1.7cm in its greatest dimension. Computed tomography showed a well defined cavity which was not invading the bone, and not disrupting the muscles of the palate. Histopathological examination confirmed that the lesion was a cavity that is lined with an epithelial layer with pseudoepitheliomatous hyperplasia. No patients developed intraoperative or postoperative complications, and no recurrence was detected in any patient.
Oral mucoceles can develop on the hard palate of the children, the lesions are mucus retention cysts. Complete surgical removal of the lesions with their cystic wall is a good treatment options, it carries no risk of recurrence.
硬腭黏液潴留囊肿可能由小唾液腺导管阻塞引起，被定义为黏液囊肿。尽管该疾病在硬腭并不常见，但此前有许多作者在软腭中报道过。我们研究的目的是介绍被诊断为硬腭黏液囊肿的儿科患者，并评估该病变手术切除的结果。
这是一项病例系列研究，纳入了8例儿科患者，他们硬腭出现囊性病变，接受了手术切除，并被诊断为黏液囊肿。呈现了术前数据、手术过程和术后结果。对患者进行了至少一年的随访。
肿胀表现为单个孤立病变，位于硬腭一侧，覆盖健康黏膜，无压痛，呈椭圆形或圆形，最大直径为0.4至1.7厘米。计算机断层扫描显示一个边界清晰的腔隙，未侵犯骨质，也未破坏腭部肌肉。组织病理学检查证实病变为一个内衬上皮层且伴有假上皮瘤样增生的腔隙。没有患者发生术中或术后并发症，且未发现任何患者复发。
儿童硬腭可发生口腔黏液囊肿，病变为黏液潴留囊肿。完整手术切除病变及其囊壁是一种良好的治疗选择，无复发风险。
