Oral and plunging ranulas: What is the most effective treatment?
Oral and plunging ranulas: What is the most effective treatment?
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DOI：
10.1002/lary.20291
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发表时间：
2009-08
期刊：
影响因子：
2.6
通讯作者：
Shockley, William W.
中科院分区：
文献类型：
--
作者：
Patel, Mihir R.;Deal, Allison M.;Shockley, William W.
口腔/凹陷性口疮的首选治疗方法仍存在争议。我们提出我们的经验，在北卡罗来纳州（北卡罗来纳州）大学和审查的文献。回顾性审查。从1990年到2007年，16个口腔癣和10个陷入癣在口腔科治疗。结合临床系列和文献，确定了864例病例进行综述。进行了一项在线调查，以确定目前的治疗模式。在口咽囊肿的治疗中，有50%的患者行口咽囊肿切除术，44%的患者行口咽囊肿和舌下腺联合切除术，6%的患者行口咽囊肿沿着舌下腺和颌下腺切除术。颈部的方法被用于9个陷入性囊肿的情况下。1例经口行舌下腺摘除及囊肿清除术。除此之外，还沿着摘除了舌下腺（20%）、颌下腺（50%）或两者（20%）。从文献中识别出151例并发症。复发被认为是一种并发症，并且最常见（63%）。非复发性并发症包括舌感觉迟钝（26%）、出血/血肿（7%）、术后感染（3%）和沃顿管损伤（1%）。舌下腺切除术的并发症最少（3%）。手术和相关并发症发生率为：经口舌下腺切除术（3%）;经口舌下腺和舌下腺囊肿切除术（12%）;造袋术（24%）;经宫颈舌下腺、颌下腺和舌下腺囊肿切除术（33%）; OK-432（49%）;以及抽吸术（82%）。根据我们的综述，对于所有的舌下腺囊肿，最有效的治疗方法是经口切除同侧舌下腺并清除囊肿。
Preferred treatment of oral/plunging ranulas remains controversial. We present our experience with ranulas at the University of North Carolina (UNC) and review the literature. Retrospective review. From 1990 to 2007, 16 oral ranulas and 10 plunging ranulas were treated at UNC. Combining the UNC series with the literature identified 864 cases for review. An online survey was conducted to identify current treatment patterns. In the UNC series, procedures for oral ranulas varied from ranula excision (50%), combined ranula and sublingual gland excision (44%), excision of the ranula along with the sublingual gland and submandibular gland (6%). A cervical approach was used in nine plunging ranula cases. One case was treated transorally with sublingual gland removal and evacuation of the ranula. Otherwise, the plunging ranula was removed along with the sublingual gland (20%), submandibular gland (50%), or both (20%). One hundred fifty-one complications were identified from the literature. Recurrence was considered a complication and was most prevalent (63%). Nonrecurrent complications included tongue hypesthesia (26%), bleeding/hematoma (7%), postoperative infection (3%), and Wharton’s duct injury (1%). Sublingual gland excision yielded the fewest complications (3%). Procedures and associated complication rates were: transoral excision of sublingual gland (3%); transoral excision of sublingual gland and ranula (12%); marsupialization (24%); transcervical excision of sublingual gland, submandibular gland, and ranula (33%); OK-432 (49%); and aspiration (82%). Based on our review, definitive treatment yielding lowest recurrence and complication rates for all ranulas is transoral excision of the ipsilateral sublingual gland with ranula evacuation.
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发表时间：
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影响因子：
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作者：
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发表时间：
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影响因子：
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