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口腔底部皮样囊肿。文献综述与病例报告

Dermoid cyst in the floor of the mouth. Review of the literature and case reports.

作者信息

King R C, Smith B R, Burk J L

机构信息

Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center-San Antonio.

出版信息

Oral Surg Oral Med Oral Pathol. 1994 Nov;78(5):567-76. doi: 10.1016/0030-4220(94)90166-x.

Abstract

Dermoid cyst, frequently used to describe three closely related histologic cysts, the dermoid, epidermoid, and teratoma, is commonly considered a rare finding in the floor of the mouth. This review, which identifies 195 case reports of dermoid cysts in the floor of the mouth, has unveiled some findings that do not support conclusions expressed in previous articles. Examination of the literature includes muscle influence on clinical presentation and surgical approaches, locations, age distribution, histologic distribution, infection rate, incidence of multiple cysts, fibrous attachments, airway problems, anesthesia administration, surgical difficulties, and diagnostic aids. Brief suggestions in treatment are made in light of the clinical, radiographic, and historic findings. Three clinical cases are also included.

摘要

皮样囊肿通常用于描述三种密切相关的组织学囊肿,即皮样囊肿、表皮样囊肿和畸胎瘤,通常被认为是口腔底部的罕见病变。本综述通过对195例口腔底部皮样囊肿病例报告的分析,揭示了一些与既往文献结论不符的发现。文献研究涵盖了肌肉对临床表现和手术方式的影响、病变位置、年龄分布、组织学类型、感染率、多发囊肿的发生率、纤维附着情况、气道问题、麻醉方式、手术难度以及诊断辅助手段等方面。结合临床、影像学及病史资料,给出了简要的治疗建议。文中还包含了三个临床病例。

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