Choi Y-J, Byun J-S, Choi J-K, Jung J-K
Department of Oral medicine, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940, Korea,
Med Oral Patol Oral Cir Bucal. 2019 Mar 1;24(2):e231-e235. doi: 10.4317/medoral.22690.
Oral mucocele is the most common minor salivary gland lesion with good prognosis after surgical removal. However, its recurrence is not rare, sometimes bothersome. This study aimed to identify the possible predictive variables affecting the recurrence rate of oral mucocele.
The histoclinical data of 164 patients diagnosed with oral mucocele were retrospectively obtained by reviewing dental records. The predictive variables for its recurrence were identified by analyzing its recurrence rate according to clinical variables.
The recurrence rate showed the significant differences according to location and age. Oral mucocele recurred with significantly higher frequency on the ventral mucosa of tongue (50.0%) than on the labial/buccal mucosa (8.8%). Its recurrence was significantly more common in the younger patients (aged < 30 years, 16.0%) than in the older patients (aged > 30 years, 4.4%). However, there was no significant difference in recurrence rates between surgical procedures using scalpels and those using lasers.
Patients with oral mucocele should be more carefully informed of its possible recurrence, especially when it is found on the ventral surface of the tongue or in a younger population.
口腔黏液囊肿是最常见的小唾液腺病变,手术切除后预后良好。然而,其复发并不罕见,有时会令人困扰。本研究旨在确定影响口腔黏液囊肿复发率的可能预测变量。
通过回顾牙科记录,回顾性获取164例诊断为口腔黏液囊肿患者的组织临床资料。通过根据临床变量分析其复发率来确定其复发的预测变量。
复发率根据部位和年龄显示出显著差异。口腔黏液囊肿在舌腹黏膜的复发频率(50.0%)显著高于唇/颊黏膜(8.8%)。其复发在年轻患者(年龄<30岁,16.0%)中比老年患者(年龄>30岁,4.4%)中更为常见。然而,使用手术刀的手术和使用激光的手术之间的复发率没有显著差异。
对于口腔黏液囊肿患者,应更仔细地告知其可能复发的情况,尤其是当囊肿出现在舌腹表面或年轻人群中时。