不是所有的舌下胀都是Ranula,一个案例报告
Mahmoud Khalefa1, Marwa Saeed Yassin2, Sarah Magdy Abdelmohsen3
1Otorhinolaryngology department, faculty of medicine, Aswan university, Aswan, Egypt.
International journal of surgery case reports
|May 13, 2025
概括
舌下表皮质囊是一种罕见的良性病变,可以引起显著的症状,如失食症和阻塞性睡眠呼吸暂停 (OSA). 及时诊断和手术切除是有效管理这些不常见的口腔囊的关键.
科学领域:
- 口腔病理学 口腔病理学
- 头部和部手术的手术.
- 诊断成像诊断成像的使用
背景情况:
- 舌下表皮囊是罕见的,良性外皮病变.
- 它们可能会导致食欲失调,发言和困难,以及阻塞性睡眠呼吸暂停 (OSA).
- 准确的诊断至关重要,因为症状可能会模仿其他语言下胀,如ranulas.
研究的目的:
- 报告一个有症状的舌下表皮囊的病例.
- 突出这一罕见疾病的诊断和管理挑战.
- 强调在分化诊断下舌下群体时考虑表皮囊的重要性.
主要方法:
- 一个22岁的男性的病例介绍,他患有持续的舌下扩大.
- 身体检查和磁共振成像 (MRI) 用于诊断.
- 通过跨口方法进行外科切除,然后进行组织病理学检查.
主要成果:
- 这位患者出现了消化不良,言语和困难,以及OSA.
- 核磁共振扫描证实了5x3.5厘米的中线囊性质.
- 组织病理学证实了化舌下表皮囊.
- 手术切除是成功的.
结论:
- 舌下表皮囊非常罕见,占口腔囊的<0.01%.
- 它们可以是先天性或获得的.
- 磁力共振成像对于诊断和治疗计划至关重要.
- 手术切除是最终的治疗方法,对于较小的囊来说,更喜欢口内治疗方法.
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