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黏液囊肿、唾液囊肿和舌下囊肿的处理。

Management of Mucoceles, Sialoceles, and Ranulas.

机构信息

Department of Otolaryngology, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, 3350 Terrace Street, Pittsburgh, PA 15213, USA.

Department of Otolaryngology, University of Pittsburgh Medical Center, Shadyside Hospital, Suite 211, 5200 Centre Avenue, Pittsburgh, PA 15232, USA.

出版信息

Otolaryngol Clin North Am. 2021 Jun;54(3):543-551. doi: 10.1016/j.otc.2021.03.002.

Abstract

Mucoceles are common salivary gland disorders. Mucoceles are benign, mucus-filled extravasation pseudocysts that commonly arise on the lower lip of children and young adults. Although surgical excision is commonly performed to remove these lesions, other treatments include marsupialization, micromarsupialization laser ablation, cryotherapy, intralesional steroid injection, and sclerosing agents. Traumatic sialoceles commonly arise from injury to the parotid duct. Treatment of sialoceles from acute parotid duct injury and for delayed presentations after injury are discussed. Ranulas are a subtype of mucocele from the sublingual gland classified as superficial or plunging. Treatment of ranulas must address the sublingual gland.

摘要

黏液囊肿是常见的唾液腺疾病。黏液囊肿是良性的、充满黏液的外渗假性囊肿,常见于儿童和青年的下唇。虽然手术切除是常见的治疗方法,但其他治疗方法包括袋形缝合术、微袋形缝合术激光消融术、冷冻疗法、病灶内皮质类固醇注射和硬化剂。创伤性涎瘘通常由腮腺管损伤引起。讨论了急性腮腺管损伤后和损伤后延迟出现的涎瘘的治疗方法。舌下腺黏液囊肿是黏液囊肿的一种亚型,分为浅表型和深陷型。治疗舌下腺黏液囊肿必须解决舌下腺问题。

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