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題名 | 運用手術及低劑量放射線治療頸部巨大型蝦蟆腫--病例報告=Combined Surgery with Low-Dose Radiation Treatment for an Extensive Plunging Ranula of Neck--A Case Report |
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作者姓名(中文) | 許博智; 張立平; 許修銨; 施嘉霖; 李曉屏; 陳元武; 夏毅然; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 19:4 2008.12[民97.12] |
頁次 | 頁276-282 |
分類號 | 416.89 |
關鍵詞 | 頸部蝦蟆腫; 放射線治療; Plunging ranula; Radiation therapy; |
語文 | 中文(Chinese) |
中文摘要 | 蝦蟆腫 (Ranula) 主要是因為舌下腺之黏液漏出而形成之囊腫。它是一種假性囊腫,通常以兩種型式來表現:一是口底的蝦蟆腫,另一個是臨床上較少見的頸部蝦蟆腫 (Plunging ranula)。頸部蝦蟆腫是因為舌下腺所分泌之唾液 溢滿越過了下頷舌骨肌 (Mylohyoid muscle) 蓄積到頸部間隙所形成。本報告提出一罕見頸部蝦蟆腫病例,患者為一位五十歲男性,來院主訴為左側頸部腫脹,患者曾經有口腔化學藥物灼傷的病史,導致張口不全。經核磁共振核查後,懷疑是頸部蝦蟆腫,於是安排患者住院接受手術。手術時,因為口底嚴重纖維化無法由口內摘除口內的舌下腺及殘餘囊腫,於是在術後一星期傷口穩定後,安排進一步的放射治療,治療追蹤一年後無任何復發症狀。 |
英文摘要 | Most of ranulas are developed as extravasation of mucous from sublingual glands. They are classified as a kind of pseudocysts. These pseudocysts are subclassified into two types: oral ranula and plunging ranula. Plunging ranulas are mucous retention cysts from the sublingual glands that cross the mylohyoid muscle and extend into the facial space of the neck. A 50 years old man, who suffered mouth-opening limitation due to chemical burn injury in oral cavity before, came to our hospital because of swelling of his left neck for a while. After MRI examination, plunging ranula was suspected. He, therefore, was admitted for further treatment. During surgery, because of severe scar fibrosis at the mouth of floor, it is difficult to remove oral sublingual gland and residual cyst via oral cavity. We arranged low-dose radiation therapy one week after surgery finished. There were no recurrent signs or symptoms during OPD follow-up in the past one year. |
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