舌前腺囊肿治疗后复发34例临床分析

目的:探讨舌前腺囊肿复发的相关因素和临床治疗方法。方法:对34例舌前腺囊肿治疗后复发的病例进行回顾性分析。结果:34例复发病例中,非手术治疗后复发10例,手术治疗后复发24例。再次手术行囊肿及舌前腺一并摘除术,术后随访0.5～1年,2例复发,其余病例均未见复发。结论:治疗方法选择不当和不规范的手术方法是导致舌前腺囊肿复发的直接原因,采用舌前腺及囊肿一并摘除的术式效果确切。     

复发舌前腺囊肿的手术治疗

目的探讨复发舌前腺囊肿的病因和临床治疗方法。方法对20例复发舌前腺囊肿采取囊肿及同侧或双侧舌前腺完整摘除的手术方式进行治疗。结果 20例患者术后均I期愈合出院,术后随访6个月无复发。结论舌前腺有其自身的解剖生理特点,舌前腺囊肿不宜按一般黏液囊肿治疗原则进行,舌前腺囊肿及同侧或双侧舌前腺完整摘除是治疗舌前腺囊肿的可靠手段。     

舌前腺囊肿手术治疗98例报告

舌前腺位于舌腹前部舌系带两侧，表面有薄层黏膜覆盖，是粘液腺囊肿的好发区域。传统手术只摘除囊肿，对舌前腺未予处理，故术后复发率较高。近年来，我科共收治了98例舌前腺囊肿患者，分别采用单纯囊肿摘除术和舌前腺及囊肿摘除术术式，进行临床疗效对比研究，报道如下：     

两种治疗舌前腺囊肿方法的临床探讨

舌前腺是位于舌尖腹部的一对小诞腺，该区腺体分泌的粘液潴留致腺泡膨胀而形成的囊肿，称为舌前腺囊肿。资料显示，舌前腺囊肿治疗后复发机率明显大于唇、颊等部位的粘液腺囊肿。目前普遍认为，单纯切除囊肿及周围部分腺泡组织较易复发，我们多年来采用微波烧灼囊肿及腺组织、手术切除囊肿及摘除同侧全部舌前腺组织两种方法治疗舌前腺囊肿，取得了较好的效果，现就这两种方法治疗进行探讨。     

舌前腺囊肿治疗后复发因素分析

舌前腺是一对位于舌尖腹侧中线两侧的腺体,以粘液性腺泡为主,呈纺棰形,无包膜,两侧腺体间仅相隔一层菲薄的结缔组织。对舌前腺囊肿的治疗方法众多,大致可分为保守治疗组,包括药物腐蚀（2％～3％碘酊,三氯醋酸,碘酚等）,冷冻治疗,微波治疗等;手术治疗包括囊肿梭形切除术、囊肿及同侧舌前腺一并切除术、囊肿及双侧舌前腺一并切除术等术式。基于舌前腺属于小粘液腺的一贯认识,对其治疗一直按小粘液腺囊肿治疗方法进行,临床疗效不理想,治疗后复发率甚高。现将本研究治疗舌前腺囊肿后出现复发的临床资料进行总结分析。     

微波热凝治疗舌前腺粘液囊肿的疗效观察

舌前腺位于舌尖腹面粘膜下层，为粘液腺，发生于小唾液腺的粘液囊肿目前主要采用手术将囊肿彻底切除后严密缝合手术切口的传统术式治疗。但舌前腺粘液囊肿的术后复发率较高，笔者采用微波热凝法治疗舌前腺粘液囊肿61例取得了较好的疗效，术后6个月随访无复发病例。     

舌腹正中切口行舌前腺摘除术

目的探讨一种改良的舌前腺摘除术式。方法选择5年来有完整随访记录的舌前腺囊肿患者43例,其中应用常规舌前腺表面切口摘除舌前腺23例,应用舌腹正中切口摘除舌前腺20例。两组病例进行对比分析。结果经统计分析,应用舌腹正中切口较舌前腺表面切口摘除舌前腺,在手术时间、术中出血、术后局部反应诸方面有明显优势。结论舌腹正中切口可作为舌前腺摘除术常规切口设计,在临床推广应用。     

舌前腺囊肿74例改良手术疗效分析

目的 总结舌前腺囊肿改良手术方法的临床疗效。方法 采用改良手术即在常规手术方法基础上加以切除舌前腺治疗舌前腺囊肿,观察随访3年复发率并与常规术式疗效相比,结果经统计学处理。结果 74例患者经改良术式治疗3年复发率1.35％,常规术式治疗复发率47.73％,差异有统计学意义。结论 舌前腺囊肿改良手术方法简单、疗效确切。     

103例舌前腺囊肿临床治疗的体会

<正>舌前腺囊肿为口腔粘液腺囊肿,是口腔粘液腺管阻塞而致粘液潴留于腺泡内而形成的囊肿[1]。舌前腺囊肿治疗方法有手术治疗和非手术治疗两种。手术方法有囊肿摘除、囊肿+舌前腺摘除及激光治疗;非手术方法主要为囊腔内注射硬化剂,使用药物有5％鱼肝油酸钠、4％碘酊+2％利多卡因混合液     

168例舌前腺囊肿手术治疗体会

我科自2002年以来,用两种手术方法治疗舌前腺囊肿,并对168例舌前腺囊肿手术的结果进行分析比较。1临床资料1.1一般资料病人全部选自我院口腔科门诊就诊病人,自2002年7月至2005年7月共收治168例,随机分为两组,Ⅰ组:囊肿摘除组58例(系早期手术病人);Ⅱ组:囊肿摘除加腺体摘除组110     

低温等离子消融技术治疗舌前腺囊肿的临床体会

目的:探讨低温等离子消融技术治疗舌前腺囊肿的临床效果。方法:收治舌前腺囊肿患者20例,沿囊肿表面行梭形切口,显露囊肿及舌前腺后,采用低温等离子系统精确消融病变组织。结果:术后创口均愈合良好,创面无红肿、出血,舌体活动自如,随访6～12个月,无1例复发,有效率100%。结论:低温等离子消融技术治疗舌前腺囊肿为一种安全有效的治疗方法。     

Structural and morphometrical study in glandular parenchyma from alcoholic sialosis

BACKGROUND: The aim of this work was to determine morphometrical changes in lingual, labial and submaxillar salivary glands from alcoholic chronics. METHODS: Five samples of each type of gland were obtained from autopsies of chronic alcoholics and equal number of samples from individuals whose death cause was accidental (controls). Serous acini in von Ebner and submaxillar glands and mucous acini in labial and Blandin-Nühn glands were analysed. In the ductal system, intra and interlobular striated ducts were studied. A digital-image analyser was used to measure different parameters in the acini and ducts. RESULTS: Statistical analysis revealed that lingual and submaxillar salivary glands presented a significant acinar hypertrophy and hyperplasy. These changes were not observed in labial salivary glands. All studied glands showed significant structural modifications in the striated ducts. CONCLUSION: These results indicate that the significant variations together with the histological qualitative pattern could be useful as confident indicators for the differential histopathological diagnosis with other sialosis from different aetiology.     

Case report: anterior lingual mandibular cortical bone concavity

This paper presents a case of an anterior mandibular bone defect (synonym: Stafne's bone cavity, static bone cyst, lingual mandibular salivary gland depression) mistaken for periapical pathology and referred for treatment.     

A scanning and transmission electron microscope study of the human minor salivary glands

All human minor salivary glands, apart from the posterior deep lingual (von Ebner's) glands which were serous, contained a minor population of seromucous cells that increased from palatine and posterior superficial lingual (Weber's) to labial, anterior lingual (Blandin and Nuhn's) and buccal glands, in that order. Unlike the predominant mucous cells, whose structure was uniform, serous and seromucous cells exhibited, in each gland, peculiar cytological and cytoarchitectural characters.     

Statherin levels in saliva of patients with precancerous and cancerous lesions of the oral cavity: a preliminary report

OBJECTIVE: The aim of this study was to measure concentration of human salivary statherin in patients with oral cavity pathologies and salivary gland diseases. SUBJECTS AND METHODS: Levels of statherin were analysed with High Performance Liquid Chromatography (HPLC) in following groups of subjects: group A: 24 patients with neoplastic diseases of salivary glands, group B: 13 patients with inflammatory lesions of salivary glands, group C: 13 patients with precancerous and cancerous lesions of the oral cavity excluding salivary gland tumors, group D: 20 healthy volunteers (control group). RESULTS: Our preliminary data indicated a sensible reduction of the statherin level in the saliva of patients with precancerous and cancerous lesions of the oral cavity (group C) compared with the healthy subjects (group D). The statherin levels are not significantly reduced either in the inflammatory (group B) or in the salivary glands tumours (group A), compared with the healthy subjects (group D). CONCLUSION: Statherin could play a protective effect in oral cavity in association with its other functions.     

舌前腺囊肿的诊断与治疗

舌前腺囊肿是一种容易误诊的疾病,作者对115 例患者分别用常规手术方法和改良手术方法的治疗结果进行比较.结果显示常规手术方法复发率为35%,改良手术方法复发率为1.33%.改良方法采用囊肿及同侧舌前腺体的完整摘除术为最佳方案,且疗效确切.     

Anterior mandibular lingual salivary gland defect: a report of a case diagnosed with cone-beam computed tomography and magnetic resonance imaging

Anterior mandibular lingual salivary gland defects are rare. They may be evident on routine radiographic exam. Because the differential diagnosis can be exhaustive, differential interpretation and diagnosis are crucial. A case of large bilateral radiolucent lesions of the anterior mandible that was an anterior mandibular salivary gland defect is reported in a young female. This lesion was initially visualized on a panoramic radiograph. Further evaluation was undertaken with dental cone-beam computed tomography. Confirmation of bilateral anterior mandibular lingual salivary gland defects was made using magnetic resonance imaging, negating the need for surgical biopsy.     

Anterior lingual mandibular salivary gland defect (Stafne defect) presenting as a residual cyst

Lingual mandibular salivary gland inclusion (Stafne defect) is a developmental anomaly represented by a bone concavity usually containing submandibular gland tissue. The posterior mandible region, particularly at the angle and below the mandibular canal, is the common location, and the anterior mandibular variants occur rather seldom. The latter is usually observed in the premolar and cuspid region, or more rarely in the symphysis, as a round or ovoid radiolucency sometimes appearing superimposed over the teeth's apices, resembling a true cystic lesion or an odontogenic tumor. We report an additional case of anterior lingual mandibular salivary gland defect occurring in a 42-year-old white man. It presented as an asymptomatic radiolucency located on the left side of the mandible, in the region of an absent second premolar and first molar, above the alveolar canal, mimicking a residual cyst. Histopathologic examination of the "cyst" content revealed the absence of a cyst lining and the presence of normal sublingual gland tissue.