Tahim Arpan, Ali Sarah, Cheng Leo
Department of Oral and Maxillofacial Surgery, The Royal London Hospital, Whitechapel, London, E11BB, UK.
Department of Oral and Maxillofacial Surgery, 250 Euston Rd, Bloomsbury, London, NW1 2BU, UK.
Oral Maxillofac Surg. 2018 Sep;22(3):285-288. doi: 10.1007/s10006-018-0702-1. Epub 2018 Jun 16.
The aim of surgical management of benign facial skin lumps is to remove the lesion in its entirety, with minimal damage to adjacent tissue structures, while maintaining facial aesthetics. A method to achieve these goals is to remove peri-oral lesions in the labial and buccal zones via an intra-oral approach. We report an extended cases series of facial skin lumps that were excised using an intra-oral approach.
A retrospective analysis was performed on all patients who underwent excisions of benign cutaneous lesions on the face via an intra-oral approach. Patient demographics, indication for surgery and complications were noted.
Forty-seven lesions were excised over a 15-year period. Indications for surgery included benign lesion with minimal skin involvement, risks of keloid/scar hypertrophy and cosmetic factors. Lesions were predominantly epidermoid cysts and lipomas. Mean follow-up was 2.9 years with a 6.4% recurrence rate and 2.1% rate of haematoma and transient facial nerve weakness.
There are established techniques to remove facial skin lumps. We believe that in selected cases, an intra-oral approach to such lesions, particularly in cases with high risk of scar pathology or where there is strong patient preference, may be an important tool in the oral and maxillofacial surgeon's armamentarium.
良性面部皮肤肿物手术治疗的目的是完整切除病变，对相邻组织结构造成最小损伤，同时保持面部美观。实现这些目标的一种方法是通过口内入路切除唇区和颊区的口周病变。我们报告了一系列采用口内入路切除的面部皮肤肿物病例。
对所有通过口内入路切除面部良性皮肤病变的患者进行回顾性分析。记录患者的人口统计学资料、手术指征和并发症。
在15年期间共切除47个肿物。手术指征包括皮肤受累最小的良性病变、瘢痕疙瘩/瘢痕增生风险和美容因素。病变主要为表皮样囊肿和脂肪瘤。平均随访2.9年，复发率为6.4%，血肿和短暂性面神经麻痹发生率为2.1%。
已有多种切除面部皮肤肿物的技术。我们认为，在某些特定情况下，对口周病变采用口内入路，特别是在瘢痕形成风险高或患者有强烈偏好的情况下，可能是口腔颌面外科医生的重要手段。
