Miyake Yusuke, Shinozuka Keiji, Ueki Kosuke, Teraoka Jun, Zama Manabu, Ogisawa Shouhei, Shinozaki Yasuhisa, Aoki Junya, Yanagawa Keiichi, Shimizu Osamu, Kaneko Tadayoshi, Tonogi Morio, Ohki Hidero
Division of Oral Structural and Functional Biology, Nihon University Graduate School of Dentistry.
Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry.
J Oral Sci. 2018 Dec 27;60(4):574-578. doi: 10.2334/josnusd.17-0317. Epub 2018 Nov 15.
To better understand the clinical features of mass lesions of the tongue, we retrospectively evaluated frequency, recurrence rate, and complications in 296 patients who had undergone surgery for such lesions. The diagnoses were fibroma (43.6%), mucous cyst (14.2%), papilloma (11.8%), hemangioma (7.8%), granuloma (6.4%), lipoma (1.4%), schwannoma (1.0%), ectopic tonsil (0.7%), and other (13.2%). Recurrence was noted in two patients (0.7%). Twenty-two patients (7.4%) developed surgical complications, including lingual nerve paralysis (6.4%), glossodynia (0.6%), and postoperative infection (0.3%). Lingual nerve paralysis was observed in the ventral portion (42.1%) of the tongue, apex (36.8%), lateral border (10.5%), and dorsum (10.5%). When all sites were considered together, there was no significant difference in the number of patients presenting with lingual nerve paralysis (P = 0.075). However, there were significant differences in lingual nerve paralysis at the lateral border (P < 0.05), apex (P < 0.05), and dorsum (P < 0.001) but not at the ventral portion (P > 0.05) in the size of the patients with versus without it which suggests that the risk of lingual nerve paralysis is higher at the ventral tongue, regardless of tumor size. These results shed light on the clinical features of mass lesions of the tongue.
为了更好地了解舌部肿块病变的临床特征，我们回顾性评估了296例接受此类病变手术患者的发生率、复发率和并发症情况。诊断结果为纤维瘤（43.6%）、黏液囊肿（14.2%）、乳头状瘤（11.8%）、血管瘤（7.8%）、肉芽肿（6.4%）、脂肪瘤（1.4%）、神经鞘瘤（1.0%）、异位扁桃体（0.7%）以及其他（13.2%）。有2例患者（0.7%）出现复发。22例患者（7.4%）发生手术并发症，包括舌神经麻痹（6.4%）、舌痛（0.6%）和术后感染（0.3%）。舌神经麻痹见于舌腹侧（42.1%）、舌尖（36.8%）、外侧缘（10.5%）和舌背（10.5%）。综合所有部位来看，出现舌神经麻痹的患者数量无显著差异（P = 0.075）。然而，有或无舌神经麻痹的患者在病变大小方面，外侧缘（P < 0.05）、舌尖（P < 0.05）和舌背（P < 0.001）存在显著差异，但舌腹侧无显著差异（P > 0.05），这表明无论肿瘤大小，舌腹侧发生舌神经麻痹的风险更高。这些结果揭示了舌部肿块病变的临床特征。
