鼻唇囊腫的手術經驗

Surgical Experience of Nasolabial Cyst

吳哲民(Che-Ming Wu) ； 蘇志英(Chih-Ying Su)

《中華民國耳鼻喉科醫學會雜誌》 32卷2期 (1997/04) Pp. 121-124

https://doi.org/10.6286/1997.32.2.121

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。隻側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離。而著者則在初步分離出囊壁，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。

關鍵字

鼻唇囊腫

並列摘要

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 mean of 45. In these cases, 23 were unilateral and 2 bilateral. Most nasolabial cysts can be diagnosed by clini-cal manifestations and topography. Although computed tomography is useful in analyzing this cystic lesion and its rela-tionship 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 spproach. 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.

並列關鍵字

nasolabial cyst