Ranula: Experience with 83 cases in Zimbabwe
Ranula: Experience with 83 cases in Zimbabwe
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DOI：
10.1016/j.joms.2005.10.058
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发表时间：
2007-01-01
影响因子：
1.9
通讯作者：
Mahomva, Leonard
中科院分区：
文献类型：
--
作者：
Chidzonga, Midion Mapfumo;Mahomva, Leonard
目的：记录津巴布韦牛痘的临床特征、治疗和预后。方法：回顾性分析1981年1月至2003年9月83例牛痘患者的临床和病理资料。结果：男性36例（43.4%），女性47例（56.6%）。61例（73.5%）为0- 10岁年龄组。92.8%的口腔毛囊均匀分布于左右舌下区。6例（7.2%）为突降毛茛。在38名患者的研究组中，88.5%的ranula患者为hiv阳性，其中95%为0至10岁年龄组。80.7%的病例行舌下腺切除术，复发率为0%；12% （n = 10）的患者（n = 2）的复发患者（n = 2）进行了有袋化（空腔保持开放和空腔填充）。结论：女性占优势，没有右或左舌下区偏好。Ranula在0 ~ 10岁年龄组最为常见；95%的人是HIV阳性。HIV唾液腺疾病可能是一个病因。在切除瘘管并切除舌下腺后，未见复发。下陷的ranula并不常见。(c) 2007年美国口腔颌面外科医师协会。
Purpose: To document the clinical features, management, and outcome of ranulas in Zimbabwe.Methods: A retrospective review of clinical and pathologic records of 83 patients with ranulas who presented during the period of January 1981 to September 2003 was undertaken.Results: Thirty-six (43.4%) of the ranulas were in males and 47 (56.6%) in females. Sixty-one (73.5%) were in the 0 to 10-year-old age group. Oral ranulas (92.8%) were equally distributed on the right and left sublingual region. Six (7.2%) were plunging ranulas. In a study group of 38 patients, 88.5% of ranula patients were HIV-positive with 95% of them in the 0 to 10-year-old age groups. Excision of ranula with sublingual gland removal was done in 80.7% of the cases with 0% recurrence; marsupialization (cavity left open and cavity packed) was done in 12% (n = 10) of the patients with 20% (n = 2) recurrence.Conclusions: Female predominance with no right or left sublingual region predilection was noted. Ranula was most common in the 0 to 10-year-old age group; 95% of this group were HIV positive. HIV salivary gland disease could be an etiologic factor. No recurrence was observed when the ranula was excised along with removal of the sublingual gland. Plunging ranula is uncommon. (c) 2007 American Association of Oral and Maxillofacial Surgeons.