通过显微外科修复术保留沃顿氏管并将其移至口底,切除口底牙源性囊肿--临床病例报告。

National journal of maxillofacial surgery Pub Date : 2024-01-01 Epub Date: 2024-03-19 DOI:10.4103/njms.njms_124_22
Nathiya Balasubramaniyan, Rinku G Kurian, Umesh R Somasundaram, Shamala Sivanandham
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引用次数: 0

摘要

一名 20 岁的女性因无痛、进行性、正常颜色、表面光滑的舌下肿物延伸至下巴而就诊,肿物在过去两个月中逐渐增大,严重影响了她的言语和吞咽。细针穿刺活检提示为良性囊性病变。手术切除后发现,肿块中含有大量皮脂腺角蛋白物质,整个囊肿的囊膜也被切除。组织学检查证实了最终诊断。我们报告了一例通过口腔内方法进行手术治疗的类皮样囊肿病例,利用显微外科修复术将沃顿氏管保留并移至口腔底部,从而为患者带来了良好的外观和功能效果。
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Dysontogenic cyst of the oral floor excision by preserving Wharton's duct by micro-surgical repair and relocation to floor of the mouth - A clinical case report.

A 20-year-old female presents with a painless, progressive, normal color smooth surface sublingual swelling extending to chin that had gradually increased in size over the preceding 2 months, which severely impaired her speech and swallowing. Fine-needle aspiration biopsy was suggestive of benign cystic lesion. Following surgical excision, the mass was found to contain a large amount of sebaceous keratin material removed along with the entire capsule of the cyst. Definitive diagnosis was confirmed with histological examination. We report a case of dermoid cyst treated surgically through an intra-oral approach by preserving and relocating the Wharton's duct using micro-surgical repair to the floor of the mouth, thereby leading to a good cosmetic and functional result for the patient.

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