Giraddi Girish B, Saifi Aamir Malick
Department of Oral and Maxillofacial Surgery, Government Dental College and Research Institute, Bengaluru, Karnataka, India.
Ann Maxillofac Surg. 2016 Jul-Dec;6(2):204-209. doi: 10.4103/2231-0746.200324.
Mucocele is a common disorder of minor salivary glands which arises due to mucous accumulation resulting from their alteration. Several techniques have been described for the treatment. However, most of them are invasive or require costly armamentarium.
The present study was conducted to evaluate the efficacy of micro-marsupialization technique as an alternative to surgical excision for the treatment of mucoceles.
A prospective study was conducted. A total of twenty patients were selected based on clinical diagnosis of mucoceles and were randomly divided into two groups comprising ten patients each. Micro-marsupialization was done in Group 1 patients and surgical excision in Group 2. Patient's gender, age, size, location, duration, complications, and recurrences were evaluated during various visits. Data between the two groups were analyzed by descriptive and analytical (Chi-square tests) statistics.
The mean age of the patients in Group 1 was 19.6 ± 9.6 years while in Group 2 was 21.9 ± 11 years. The most common location for mucocele in Group 1 as well as Group 2 patients was lower lip (60% and 80%, respectively). In Group 1, two patients had recurrence while in Group 2, one patient had a recurrence. All recurrent cases were subsequently treated by surgical excision. No statistically significant difference was found between the two methods.
Micro-marsupialization technique is as efficacious as surgical excision for the treatment of mucocele. It is advantageous over surgical excision as it is simple to perform, is less invasive therefore not associated with complications associated with invasive procedure, and is well tolerated by patients.
黏液囊肿是小唾液腺的一种常见疾病，由腺体改变导致黏液积聚引起。已经描述了几种治疗技术。然而，其中大多数是侵入性的或需要昂贵的设备。
本研究旨在评估微袋形缝合技术作为手术切除治疗黏液囊肿的替代方法的疗效。
进行了一项前瞻性研究。根据黏液囊肿的临床诊断共选择了20例患者，并随机分为两组，每组10例。第1组患者采用微袋形缝合术，第2组患者采用手术切除术。在不同的随访期间评估患者的性别、年龄、大小、位置、病程、并发症和复发情况。两组之间的数据通过描述性和分析性（卡方检验）统计进行分析。
第1组患者的平均年龄为19.6±9.6岁，第2组为21.9±11岁。第1组和第2组患者黏液囊肿最常见的部位是下唇（分别为60%和80%）。第1组有2例复发，第2组有1例复发。所有复发病例随后均接受手术切除治疗。两种方法之间未发现统计学上的显著差异。
微袋形缝合技术在治疗黏液囊肿方面与手术切除同样有效。它比手术切除更具优势，因为它操作简单，侵入性较小，因此与侵入性手术相关的并发症无关，并且患者耐受性良好。
