Nguyen Michelle-Linh T, Orloff Lisa A
Department of Otolaryngology, Stanford University School of Medicine, Stanford, California, U.S.A.
Laryngoscope. 2017 Oct;127(10):2239-2241. doi: 10.1002/lary.26505. Epub 2017 Apr 13.
Evidence supporting any one treatment for plunging ranula is limited. Standard treatment-complete excision of the sublingual gland and ranula-is invasive and morbid given the close operative proximity to the submandibular duct and lingual nerve. OK-432 (Picibanil; Chugai Pharmaceutical Co., Tokyo, Japan) sclerotherapy has been studied as a less invasive treatment but is inaccessible in the United States. This report illustrates the successful management of a plunging ranula using ultrasound-guided percutaneous ethanol injection. Within 2 months of the procedure, the patient had complete resolution of the plunging ranula, with no associated side effects. We propose that ultrasound-guided percutaneous ethanol injection be considered for the management of plunging ranula. Laryngoscope, 127:2239-2241, 2017.
支持任何一种治疗舌下囊肿的证据都很有限。标准治疗方法——舌下腺和舌下囊肿的完全切除——由于手术操作与下颌下腺导管和舌神经距离很近，具有侵入性且存在风险。OK-432（沙培林；日本东京中外制药株式会社）硬化疗法已作为一种侵入性较小的治疗方法进行了研究，但在美国无法获得。本报告阐述了使用超声引导下经皮乙醇注射成功治疗舌下囊肿的案例。在该操作后的2个月内，患者的舌下囊肿完全消退，且无相关副作用。我们建议考虑将超声引导下经皮乙醇注射用于舌下囊肿的治疗。《喉镜》，2017年，第127卷：2239 - 2241页。
