頁籤選單縮合
題名 | 鼻唇囊腫的手術經驗=Surgical Experience of Nasolabial Cyst |
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作者姓名(中文) | 吳哲民; 蘇志英; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 32:2 1997.04[民86.04] |
頁次 | 頁19-22 |
分類號 | 416.871 |
關鍵詞 | 鼻唇囊腫; Nasolabial cyst; |
語文 | 中文(Chinese) |
中文摘要 | 文獻上報告鼻唇囊腫的發生率並不高。在1989-1996年之間,著者共經驗了25位的 病人。 病人年齡分佈從 30 歲到 62 歲,平均 45 歲,其中男性 5 位,女性 20 位。單側 23 位,雙側 2 位。多數鼻唇囊腫術前即能以臨床症狀及位置加以診斷,而不需要借助較昂 貴且費時的鼻部電腦斷層檢查。手術治療採經口切除方式。一般文獻建議在避免囊腫破裂的 情況下,沿著囊腫外圍逐步剝雜。而著者則在初步分離出囊壁後,即將囊腫切開,排除積液 ,如此可由內而外確認囊腫的邊界。在良好的手術視野下,即能輕易地沿著囊腫外圍快速的 剝離囊腫,也可有效降低對周邊軟組織的傷害。 |
英文摘要 | Nasolabial cyst is not a common disease. From 1989 to 1996, twenty-five cases were diagnosed and treated by the author. There were five men and twenty women. The age ranged from 30 to 62 with a mena of 45. In these cases, 23 were unilateral and 2 bilateral. Most nasolabial cysts can be diagnosed by clinical manifestations and topography. Although computed tomography is useful in analyzing this cystic lesion and its relationship with surrounding structures, it is expensive and time-consuming. CT scan should be reserved only for those cases which can not be definitely diagnosed at initial consultation. All cysts were excised completely via a transoral, sublabial approach. When the cyst was identified, we immediately cut the cyst wall and drain out the content to completely expose the cyst inner linings, then proceeded to remove the cyst by direct vision of the cyst wall and the surrounding soft tissue. This procedure was slightly different from those described in the previous literature which always tried to keep the cyst wall intact and dissect the cyst along its outer cyst wall. Because this method is an easy and quick procedure to be carried out, we suggest that the surgeons do not hesitate to widly open the cyst whenever it is ruptured during manipulation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。