颏下皮样及表皮样囊肿：附76例报告

本文报告76例临床较少见的颏下皮样囊肿和表皮样囊肿。对其发病机理、临床症状及病理所见、诊断及其鉴别诊断作了较详细的讨论,对治疗问题也进行了简短的讨论。     

面颊部皮样囊肿伴皮瘘1例报道

皮样囊肿在口腔颌面部比较常见,但不因继发感染而形成瘘管者少见。本文报道1例我院2014年收治的颊部皮样囊肿伴皮瘘的病例,复习相关文献并对其鉴别诊断、发生原因进行探讨。     

口底皮样囊肿伴舌瘘1例

口底皮样囊肿比较常见,但伴有舌瘘者少见。本文报道1例口底皮样囊肿伴舌瘘的病例,并复习相关文献对其诊断、治疗及发生原因进行探讨。     

颞下颌关节囊肿—附2例临床病理分析

作者报道2例颞颌关节区囊肿，同时复习了11例颞颌关节区囊肿的文献，从病因、病理及临床特征、诊断、治疗进行了讨论。认为：该病临床上较罕见，女性多于男性，B超可作为首选检查方法，而最终诊断需依靠病理，手术切除则是最佳治疗方案．     

颞下颌关节腱鞘囊肿1例报告及文献复习

颞下颌关节腱鞘囊肿临床上比较罕见,作者报道1例左侧耳前区椭圆形肿块的40岁中年女性患者,最终病理诊断为腱鞘囊肿.结合文献复习,从病因学、临床病理特征、影像学检查和治疗方法等方面进行了讨论.     

左颈根部乳糜囊肿的诊断与治疗：附1例报告

回顾分析1例发生于左颈根部的乳糜囊肿,并结合相关文献进行讨论。于B超引导下行局部硬化注射治疗,治疗后囊肿明显缩小,颈部外形改善、组织器官压迫现象缓解。     

复发性颞颌关节前脱位的两种硬化治疗方法(附18例临床随访报告)

复发性颞颌关节前脱位俗称习惯性下颌关节前脱位．由于症状频繁反复出现,使得患者的身心健康屡遭创伤．在治疗方法上,传统的关节囊内硬化剂注射是简单有效的保守治疗方法［１］．我们用５％鱼肝油酸钠和平阳霉素针剂［２］作为硬化剂共治疗１８例,经１～１５年随访,效果同样令人满意     

口腔颌面部常见囊肿的针吸细胞学诊断：附50例报告

口腔颌面部的组织结构复杂,为囊肿高发区,且种类繁多,结构大小各异,不宜活检。现就我科资料完整并有病理诊断的50例囊肿,针吸细胞学涂片的特点和初步经验介绍如下。     

Nasofrontal dermoid cyst: rare presentation of a philtrum sinus

Congenital midline nasal lesions are extremely rare, and nasal dermoids are their most common presentation. To the best of our knowledge, only two cases of a philtrum sinus with skull base extension have been reported previously. A 3-year-old boy presented to the maxillofacial department with a discharging upper lip sinus that had been present from birth. No other congenital abnormalities were reported. Initially this sinus was assumed to be blind-ended and excised under general anaesthetic, but the area then failed to heal. Radiological work-up showed a patent dermal sinus that extended from the infranasal region through the nasal septum into the basal aspect of the anterior cranial fossa. The patient was referred for multidisciplinary management. A high index of suspicion of nasofrontal dermoid should be exercised when a patient presents with an upper lip sinus and recurrent discharge, until it is proven otherwise.     

Branchial cleft cyst versus dermoid cyst of digastric triangle: report of two cases

Lateral neck soft tissue masses manifests with variable etiologies, clinical signs and symptoms. Although these lesions are congenital in nature, manifestations of these may not occur until adulthood. Also some of these lesions may undergo malignant transformations. We present two cases with lateral neck swellings which were excised successfully under general anaesthesia and later confirmed histopathologically as dermoid and branchial cleft cysts. Formulation of an appropriate diagnosis is necessary and requires a clinician to bear a host of skills to systematically arrive at a correct treatment plan. Use of advanced imaging techniques such as ultrasonography and magnetic resonance imaging along with proper knowledge of anatomy, pathology and application of basic surgical principles goes a long way in successful and uneventful management of such lesions, as these may overlap many important neurovascular structures or may in turn be wrapped by them.     

Anterior cranial fossa dermoid cyst: case report

We report a case of an intracranial mass that presented with proptosis and diplopia, and proved to be a dermoid cyst. Resection was successful and there had been no recurrence after 5 years.     

19例复发性鳃裂囊肿和瘘的手术治疗体会

目的 :总结 19例复发性鳃裂囊肿和瘘的手术治疗经验 ,以期提高鳃裂囊肿和瘘的治愈率。方法 :选择适当的瘘管示踪方式 ,第一鳃裂来源病例中 ,4例切除部分外耳道软骨 ,2例行保留面神经的腮腺浅叶和瘘管切除术。第二、三、四鳃裂来源病例中 ,按常规颈清扫术式解剖分离病理组织。对 4例多次复发者采用功能性颈清扫术。结果 :19例手术切口均Ⅰ期愈合 ,最长随访 8年 ,除 1例术后半年复发外 ,其余病例均治愈。再次复发病例经行根治性颈清扫术后痊愈。结论 :充分的术前准备和合理的手术方案是复发性鳃裂囊肿和瘘治愈的关键。     

上颌骨外科纤毛囊肿2例报告

上颌骨外科纤毛囊肿可发生于上颌窦手术后的6个月-50a，本文报告2例病例，分别发生于手术后4a和9a，对相关文献进行了回顾，并对此种疾病的病因，临床表现，影像学及组织病理学特点，诊断及治疗进行了讨论。     

颌面部动脉瘤样骨囊肿的诊断与治疗:附2例报道

目的:探讨颌面部动脉瘤样骨囊肿的临床诊断与治疗方法.方法:回顾分析2例发生于上、下颌骨的动脉瘤样骨囊肿病例,结合相关文献进行讨论.结果:2例患者均采用手术治疗.术后颌面部外形和功能恢复良好.随访la无复发.结论:发生于颌面部的动脉瘤样骨囊肿非常少见,确诊依赖于术后病理,手术治疗为其有效的治疗手段.     

口腔淋巴上皮囊肿3例报道

对3例口腔淋巴上皮囊肿进行临床病理分析,该囊肿的好发部位为口底,临床上常诊断为黏液腺囊肿等囊性疾病。镜下观察淋巴上皮囊肿以囊壁内衬复层鳞状上皮及纤维囊壁存在大量淋巴样组织为其特点。目前认为。口腔淋巴上皮囊肿可能来源于舌下腺或小唾液腺分泌管。由于慢性刺激,分泌管上皮发生鳞状化生,化生上皮的腔面细胞脱落后引起周围淋巴细胞浸润,表现为淋巴上皮囊肿。本文结合文献进行讨论,为类似病例的预防和诊断提供参考,为临床诊断和治疗提供借鉴。     

3种径路鼻内镜下治疗上颌窦囊肿150例疗效分析

目的：探讨3种径路鼻内镜下治疗上颌窦囊肿的疗效差异。方法：分析近年来收治的150例上颌窦囊肿病例的临床资料,依据囊肿不同位置及是否伴有其他病变,对其采取3种不同手术径路切除,即经上颌窦自然口径路切除58例,经下鼻道开窗径路切除39例,经上颌窦前壁径路切除53例,评价3种径路的治疗效果。结果：150例患者,经过6～12个月的随访,术后鼻腔通气良好,面部胀痛、头痛、头昏等临床症状消失,经鼻内镜及鼻窦CT检查,无脓性分泌物,无囊肿复发。结论：根据上颌窦囊肿位置类型及伴有的疾病不同,鼻内镜下选择不同径路手术,上颌窦囊肿的术后康复效果更理想。     

Dermoid cyst of the floor of the mouth with abundant hair: a case report

Dermoid cysts are developmental cysts and considered to develop from enslavement of epithelial debris in the midline during closure of the mandibular and hyoid brachial arches. These cysts are painless, slow growing and most commonly occur in young adults with no gender predilection. They are uncommon in the head and neck region. Oral dermoid cysts are found usually in the submental or sublingual triangle in variable relation to mylohyoid, geniohyoid, and genioglossus muscle. The cyst is lined by epidermis like epithelium and contains dermal adnexal structures in the cyst wall. We report a case of dermoid cyst arising in the sublingual region of a young adult male with abundance of hair which is rare finding.     

鼻内镜下两种手术径路治疗上颌窦囊肿80例临床分析

目的:探讨鼻内镜下两种手术径路治疗上颌窦囊肿的临床疗效。方法:通过比较35例采用上颌窦自然口径路与45例采用下鼻道开窗径路治疗上颌窦囊肿进行回顾性分析。结果:经鼻内镜下两种不同手术径路治疗,手术均获得成功,术中出血均少于50 mL,无明显手术并发症。继续随防6个月～1年,患者鼻腔通气良好,面部胀痛、头痛、头昏等临床症状消失,鼻内镜下检查见上颌窦腔光滑,无脓性分泌物,无复发。结论:鼻内镜下行上颌窦囊肿切除手术直观,创伤小,术后反应轻,根据上颌窦囊肿位置类型选择不同手术径路,效果更理想。