Ranula:对尼日利亚西北部某三级卫生机构29例病例进行回顾性临床外科分析

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
M. Abdullahi, Abdurrazaq Taiwo, Kurfre Iseh, S. Amutta
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引用次数: 0

摘要

背景:牛皮瘤可能长到相当大的尺寸,引起梗阻性症状,特别是在婴儿被忽视时。目的是描述临床表现,治疗和结果的牛痘。方法:回顾性研究2000年1月至2019年12月在尼日利亚西北部索科托Usmanu Danfodiyo大学教学医院耳鼻喉科、牙科和颌面外科就诊的牛痘患者。结果:本研究共纳入29例患者,其中男性12例(41.4%),女性17例(58.6%)。年龄范围从3天到48岁(中位3岁)。19例(65.5%)患者年龄在10岁以下。单纯性口腔小毛疹21例(72.4%),先天性小毛疹8例(38.1.6%),主要表现为舌突、吞咽困难。8例(27.5%)患者出现突降瘤,其中2例(25%)为HIV感染者。10例(34.5%)患者进行了简单的有袋化,其中1例患者因插管困难而进行了择期气管切开术。16例(55.2%)患者行舌下腺切除和囊肿清除术。其中1例输卵管突陷患者选择保守治疗。只有12例(41.4%)患者来随访:1例患者在切除下陷瘘管2年后复发。结论:小儿若忽视牛耳,可引起以舌突为表现的梗阻性症状。大多数患者随访不足。充分的随访,以确定复发,特别是那些有袋化,是最可取的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ranula: A retrospective clinicosurgical analysis of 29 cases from a tertiary health institution, Northwest, Nigeria
Background: Ranula may grow into a considerable size as to cause obstructive symptoms, especially in infants when neglected. The aim is to describe the clinical presentation, treatment, and outcome of ranulas. Methods: This is a retrospective study of patients with ranulas that presented during the periods of January 2000 to December 2019 in the Department of Otorhinolaryngology, Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Northwest, Nigeria. Results: A total of 29 patients were seen during the review period: twelve (41.4%) males and 17 (58.6%) females. Age ranged from 3 days to 48 years (median 3 years). Most of the patients 19 (65.5%) were below the age of 10 years. Twenty-one (72.4%) patients had simple oral ranulas: 8 (38.1.6%) patients were congenital ranulas characterized by tongue protrusion and dysphagia. Plunging ranulas were seen in 8 (27.5%) patients, and 2 (25%) of these patients were HIV infected. Simple marsupialization was done for 10 (34.5%) patients, and one of these patients had an elective tracheostomy for difficult intubation. Sublingual gland excision and with the evacuation of the cyst were done for 16 (55.2%) patients. One of the patients with plunging ranula opted for conservative management. Only 12 (41.4%) patients came for follow up: a patient had recurrence 2 years after excision of plunging ranula. Conclusion: Ranula, when neglected can cause obstructive symptoms presenting as tongue protrusion in children. Inadequate follow up was seen in the majority of the patients. Adequate follow up to determine the recurrence, especially those who had marsupialization, is most desirable.
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
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审稿时长
45 weeks
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