微小切口排溢囊内物后摘除皮脂腺囊肿的效果评价

中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (4): 365-367.

微小切口排溢囊内物后摘除皮脂腺囊肿的效果评价

热娜古孜·阿不都米吉提¹, 陈伟良², 黄志权², 阿布都克尤木·吾买尔³

1.喀什地区第一人民医院口腔颌面外科,新疆喀什 844000；
2.中山大学孙逸仙纪念医院口腔颌面外科,广东广州 510120；
3.喀什地区第一人民医院急诊医学科,新疆喀什 844000

出版日期:2017-08-10 发布日期:2017-08-14
通讯作者: 陈伟良,E-mail:drchen@vip.163.com
作者简介:热娜古孜·阿不都米吉提（1982-）,女,硕士,主治医师,E-mail:49076339@qq.com

Enucleation of facial sebaceous cyst by creating a minimal elliptical incision through a keratin-filled orifice

RENAGUZI Abdumijit¹, CHEN Wei-liang², HUANG Zhi-quan², ABDUKEYUM Omar³

1.Department of Oral and Maxillofacial Surgery, The First People's Hospital of Kasha. Kashi 844000, Xinjiang Uygur Autonomous Region；
2. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University. Guangzhou 510120, Guangdong Province；
3.Emergency Department, The First People's Hospital of Kasha. Kashi 844000, Xinjiang Uygur Autonomous Region, China

Online:2017-08-10 Published:2017-08-14

摘要/Abstract

摘要： 目的评价微小切口摘除皮脂腺囊肿的临床效果。方法对11例面部皮脂腺囊肿患者采用微小切口进行手术摘除。其中,男9例,女2例;年龄25~52岁,肿物大小为1.85 cm×1.56 cm。结果所有肿瘤均被完整切除,切口长度约0.93 cm,手术时间平均为15.2 min,未出现切口感染、神经及血管损伤。随访时间平均41.5个月,术后肿瘤无复发,所有患者均对术后美观效果满意。结论微小切口排溢囊内容物后摘除皮脂腺囊肿是一种安全有效的方法,也可用于面部表皮样囊肿的手术治疗。

关键词: 皮脂腺囊肿, 良性肿瘤, 手术切除, 微小切口

Abstract: PURPOSE: This study evaluated the clinical outcomes of patients with facial sebaceous cyst enucleated by creating minimal elliptical incisions through a keratin-filled orifice. METHODS: Eleven patients with facial sebaceous cyst enucleated by creating minimal elliptical incisions through a keratin-filled orifice were reviewed, including 9 males and 2 females aged 25-52 years. The mean cyst size was 1.85 cm ×1.56 cm. RESULTS: All cysts were successfully enucleated. The mean wound length was 0.93 cm. The mean operation time was 15.2 min. The mean follow-up duration was 41.5 months. No recurrence was noted and all patients were very satisfied with their esthetic outcomes. The mean elliptical wound length was 0.93 cm (range, 0.8-1.1 cm). No evidence of wound infection, nerve or vascular injury was found. CONCLUSIONS: Enucleation of facial sebaceous cyst via a minimal elliptical incision through the keratin-filled orifice was associated with high-level patient satisfaction and the method is safe and useful for treating facial epidermoid cysts.

Key words: Sebaceous cyst, Benign tumor, Surgical excision, Minimal elliptical incision

中图分类号:

R739.8

热娜古孜·阿不都米吉提, 陈伟良, 黄志权, 阿布都克尤木·吾买尔. 微小切口排溢囊内物后摘除皮脂腺囊肿的效果评价[J]. 中国口腔颌面外科杂志, 2017, 15(4): 365-367.

RENAGUZI Abdumijit, CHEN Wei-liang, HUANG Zhi-quan, ABDUKEYUM Omar. Enucleation of facial sebaceous cyst by creating a minimal elliptical incision through a keratin-filled orifice[J]. China J Oral Maxillofac Surg, 2017, 15(4): 365-367.

参考文献

[1] Boffano P, Roccia F, Campisi P, et al. Epidermoid cyst of the temporal region [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(6): e113-116.
[2] Kirkham N. Tumors and the cysts of the epidermis[C]//Elder D, Elenitsas R, Jaworsky C. Histopathology of the skin [M]. 8th Ed. Philadelphia: Lippincott, 1994: 694-695.
[3] Thomas VD, Swanson NA, Lee KK. Benign epithelial tumors, hamartomas and hyperplasias[C]//Fitzpatrick's dermatology in general Medicine[M]. 7th Ed. New York: McGraw Hill Medical, 2008: 1063-1064.
[4] Ghigliotti G, Cinotti E, Parodi A. Usefulness of dermoscopy for the diagnosis of epidermal cyst: the 'pore' sign[J]. Clin Exp Dermatol, 2014, 39(5): 649-650.
[5] Yang HJ, Yang KC. A new method for facial epidermoid cyst removal with minimal incision [J]. J Eur Acad Dermatol Venereol, 2009, 23(8): 887-890.
[6] Lee HE, Yang CH, Chen CH, et al. Comparison of the surgical outcomes of punch incision and elliptical excision in treating epidermal inclusion cysts: a prospective, randomized study [J]. Dermatol Surg, 2006, 32(4): 520-525.
[7] Mehrabi D, Leonhardt JM, Brodell RT. Removal of keratinous and pilar cysts with the punch incision technique: analysis of surgical outcomes [J]. Dermatol Surg, 2002, 28(8): 673-677.
[8] Im JT, Park BY, Lim SY, et al. Endoscopic excision of benign facial tumors: a decade of experience with 152 patients [J]. Ann Plast Surg, 2014, 72(5): 556-559.
[9] Meningaud JP, Pitak-Arnnop P, Rigolet A, et al. Endoscopic excision of forehead lipomas [J]. Int J Oral Maxillofac Surg, 2006, 35(10): 951-953.
[10] Lin SD, Lee SS, Chang KP. Endoscopic excision of benign tumors in the forehead and brow [J]. Ann Plast Surg, 2001, 46(1): 1-4.
[11] Guerrissi JO. Endoscopic excision of frontozygomaticdermoid cysts [J]. J Craniofac Surg, 2004, 15(4): 618-622.