Department of Otolaryngology and Head and Neck Surgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico ('IRCCS') Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
J Laryngol Otol. 2022 Jan;136(1):68-72. doi: 10.1017/S0022215121003327. Epub 2021 Oct 27.
Oral floor ranulas are pseudocysts located in the floor of the mouth that result from the extravasation of mucus from a sublingual gland. Historically, there has been little consensus on the ideal first-line treatment. Currently, definitive treatment involves sublingual gland excision, which can injure the lingual nerve and submandibular duct. Minimally invasive surgical techniques have been proposed, but so far have been associated with a high rate of recurrence.
The so-called piercing-stretching suture technique was performed in 14 naïve adult and paediatric patients (6 females, with a mean age of 20.3 years (range, 7-55 years)). Clinical and ultrasonographic evaluations were performed in all patients; post-operative sialendoscopy was conducted in two paediatric patients.
The surgical procedure was successful in all patients, and complete recovery of the ranula was seen in all but one of the patients who underwent suture replacement. No major or minor complications were encountered.
This minimally invasive procedure may be considered a reliable and first-line treatment for management of simple oral floor ranulas.
口腔 floor 舌下囊肿是位于口腔 floor 处的假性囊肿，是由于舌下腺的黏液外渗所致。历史上，对于理想的一线治疗方法一直存在较少共识。目前，明确的治疗方法涉及舌下腺切除术，但该手术可能会损伤舌神经和下颌下腺管。已经提出了微创外科技术，但到目前为止，这些技术与高复发率相关。
在 14 名天真的成年和儿科患者（6 名女性，平均年龄 20.3 岁（范围，7-55 岁））中进行了所谓的穿刺拉伸缝合技术。所有患者均进行了临床和超声评估；两名儿科患者进行了术后涎管镜检查。
手术在所有患者中均成功完成，除了一名接受缝合更换的患者外，所有患者的舌下囊肿均完全消退。未发生重大或轻微并发症。
这种微创程序可被视为治疗单纯口腔 floor 舌下囊肿的可靠一线治疗方法。
