儿童先天性鼻及上唇皮样囊肿及瘘管的临床特点及手术治疗  

Clinical characteristics and surgical treatment of congenital dermal sinuses/fistulas of the upperlip and nose in pediatric patients

作　　者：岳耀光 黄合银 李俊浩 黄丽芳 梁仕才 Yue Yaoguang;Huang Heyin;Li Junhao;Huang Lifang;Liang Shicai(Department of Otorhinolaryngology Head and Neck Surery,Hengli Hospital Dongguan,Dongguan 523460,China)

机构地区：[1]东莞市横沥医院耳鼻咽喉头颈外科,东莞523460

出　　处：《国际耳鼻咽喉头颈外科杂志》2024年第6期315-318,共4页International Journal of Otolaryngology-Head and Neck Surgery

摘　　要：目的分析儿童先天性鼻及上唇皮样囊肿及瘘管的临床特点及诊治方法。方法回顾性分析东莞市横沥医院耳鼻咽喉头颈外科2010年1月至2022年12月就诊的8例先天性鼻及上唇皮样囊肿及瘘管患者临床资料,男5例,女3例,平均年龄6.3岁。查阅患者术前、术中及术后的临床特征,术中瘘管位置,术后病理及随访结果,并结合相关文献进行分析。结果8例患者瘘管局部皮肤发生反复感染3例,曾行脓肿切开引流2例,未感染5例。瘘管组织深入前颅底1例。3例均在感染控制期手术切除治疗。随访观察6~24个月,患者无复发,术后外形恢复满意。结论鼻背皮样囊肿及瘘管与上唇皮样囊肿及瘘管均在出生后即出现,临床症状相似,需密切随访,手术切除是治疗皮样囊肿及瘘管的重要方法。Objective To analyze the clinical characteristics and treatment methods of the congenital dermoid cysts and fistulas in nasal and upper lip in children.Methods The clinical data of 8 patients with congenital dermoid cysts and fistulas in nasal and upper lip who were treated in Department of Otolaryngology of Hengli Hospital Dongguan from January 2010 to December 2022 were retrospectively analyzed.There were 5 males and 3 females with an average age of 6.3 years.The clinical characteristics of patients,the location of fistulas,postoperative pathology,and follow-up results were reviewed,and analyzed in conjunction with relevant literature.Results Among the 8 cases patients,three cases had recurrent infections in the fistula,two cases had undergone incision and drainage of the abscess,and 5 cases were not infected.One case of fistula tissue penetrating deep into the anterior skull base.All 3 cases underwent surgical resection during the infection control period.During the follow-up period of 6 to 24 months,the patient showed no recurrence and the appearance of the post-operative recovery was satisfactory.Conclusions Nasal dorsal dermoid cysts and fistulas and upper lip dermoid cysts and fistulas appear immediately after birth,with similar clinical symptoms,and require close follow-up.Surgical resection is an effective method for treating dermoid cysts and fistulas.

关 键 词：儿童 外科手术 瘘管 上唇 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]