Department of Oral and Maxillofacial Surgery, Lille Teaching Hospital, Roger Salengro Hospital, Lille Teaching Hospital, 59000 Lille, France.
Department of Oral and Maxillofacial Surgery, Lille Teaching Hospital, Roger Salengro Hospital, Lille Teaching Hospital, 59000 Lille, France; Inserm U 1008, Controlled Drug Delivery Systems and Biomaterials, Roger Salengro Hospital, Lille Teaching Hospital, 59000 Lille, France.
J Stomatol Oral Maxillofac Surg. 2018 Jun;119(3):172-176. doi: 10.1016/j.jormas.2018.02.011. Epub 2018 Mar 1.
The aim of this study was to analyze the clinical features and treatment outcomes in order to determine the optimal management of ranulas in our Oral and Maxillofacial Surgery department with long-term results.
A retrospective study was performed to evaluate patients with a final diagnosis of a simple or plunging ranula at Lille Teaching Hospital from May 2000 to January 2017. Clinical data on ranulas that were reviewed included gender, age, symptoms, location of the lesion, surgical procedures, complications, recurrence and follow-up.
The 26 patients included in the study comprised 18 males and 8 females, ranging from 3-months to 38 years of age. A total of 27 ranulas were managed: 25 oral ranula and 2 plunging ranulas. Twelve patients had undergone marsupialization (44.4%), 7 patients had complete excisions of the ranula (25.9%) or partial excisions combined with marsupialization (14.8%) and 4 patients (14.8%) had undergone excision of the sublingual gland (SLG). Seven ranulas recurred (25.9%). Not a single case recurred following the excision of the SLG. Treatments that included marsupialization were associated with the lowest recurrence rate (16.7%) after SLG excision, followed by combined marsupialization and ranula excision (25%) and by ranula excision alone (57%). There were no major complications.
Long-term outcomes confirm the different surgical procedures available in the outpatient clinic for the management of ranulas based on our surgical experience. Transoral resection of the SLG should be the optimal treatment, producing the lowest recurrence rate.
本研究旨在分析临床特征和治疗结果，以确定我院口腔颌面外科处理黏液囊肿的最佳方法，并获得长期结果。
回顾性分析 2000 年 5 月至 2017 年 1 月里尔教学医院经最终诊断为单纯性或潜水性黏液囊肿的患者。回顾性分析黏液囊肿的临床资料包括性别、年龄、症状、病变部位、手术方式、并发症、复发和随访情况。
本研究共纳入 26 例患者，其中男 18 例，女 8 例，年龄 3 个月至 38 岁。共处理了 27 个黏液囊肿：25 个口外型黏液囊肿和 2 个潜水性黏液囊肿。12 例行黏液囊肿造袋术（44.4%），7 例行黏液囊肿完整切除术（25.9%）或部分切除术联合黏液囊肿造袋术（14.8%），4 例行舌下腺切除术（14.8%）。7 例黏液囊肿复发（25.9%）。行舌下腺切除术无一例复发。行黏液囊肿造袋术的复发率最低（16.7%），其次是联合黏液囊肿造袋术和黏液囊肿切除术（25%），单纯黏液囊肿切除术（57%）。无严重并发症。
长期结果证实，根据我们的手术经验，门诊有多种不同的手术方法可用于处理黏液囊肿。经口切除舌下腺应是最佳治疗方法，复发率最低。
