A 10-year clinical review of submandibular triangle masses.

IF 1.5 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Quintessence international Pub Date : 2025-08-20 DOI:10.3290/j.qi.b6496130

Yu Wu, Zhiying He, Donghai Huang

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引用次数: 0

Abstract

Objectives: This study addresses the gap in retrospective analyses concerning submandibular triangle masses, utilizing a large Chinese cohort, to provide experience for preoperative diagnosis and a basis for individualized treatment.

Methods: We collected basic demographic information, medical histories, physical examination findings, imaging results, and histopathological diagnoses for 608 patients who underwent surgical procedures in the submandibular triangle at Xiangya Hospital, Central South University, from January 2009 to June 2019. Statistical analyses were conducted to identify differences between malignant and benign masses, employing both univariate and multivariate analyses.

Results: The cohort comprised 405 males and 203 females, with an average age of 43.17 ± 19.6 years (range 1 to 80 years). The prevalence of congenital masses, inflammatory masses, and tumors were 2.6%, 63.5%, and 33.9%, respectively. Among the identified tumors, benign, borderline, and malignant tumors represented 48.4%, 1.6%, and 50.0%, respectively. Pleomorphic adenoma and lymphoma emerged as the most frequent benign and malignant pathologies, respectively, with metastatic tumors primarily originating from head and neck cancers. Univariate analysis revealed significant differences based on gender, age, smoking status, alcohol consumption, betel nut chewing habits, mass characteristics (mobility and texture), and the presence of cervical lymph nodes. Multivariate analysis identified age, alcohol consumption, and betel nut chewing as significant risk factors for malignancy.

Conclusion: A comprehensive analysis of clinical parameters aids in the preoperative diagnosis of submandibular triangle masses.

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下颌下三角肿块10年临床回顾。

目的：本研究通过大量中国队列研究，弥补了关于下颌下三角肿块回顾性分析的空白，为术前诊断和个体化治疗提供经验。方法：收集2009年1月至2019年6月在中南大学湘雅医院接受下颌下三角手术的608例患者的基本人口统计学信息、病史、体格检查、影像学结果和组织病理学诊断。采用单变量和多变量分析进行统计分析，以确定恶性和良性肿块之间的差异。结果：男性405例，女性203例，平均年龄43.17±19.6岁（1 ~ 80岁）。先天性肿块、炎性肿块和肿瘤的患病率分别为2.6%、63.5%和33.9%。在确诊的肿瘤中，良性、交界性和恶性肿瘤分别占48.4%、1.6%和50.0%。多形性腺瘤和淋巴瘤分别是最常见的良性和恶性病理，转移性肿瘤主要起源于头颈部癌症。单变量分析显示，基于性别、年龄、吸烟状况、饮酒、槟榔咀嚼习惯、质量特征（流动性和质地）以及颈部淋巴结的存在，存在显著差异。多变量分析表明，年龄、饮酒和嚼槟榔是恶性肿瘤的重要危险因素。结论：综合分析临床参数有助于对下颌下三角肿块的术前诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quintessence international 医学-牙科与口腔外科

CiteScore

3.30

自引率

5.30%

发文量

审稿时长

1 months

期刊介绍： QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.