关键词: Lower lip Mucocele Self-healing Surgical excision

Mesh : Humans Mucocele / surgery Female Male Prospective Studies Lip Diseases / surgery Middle Aged Adult Aged Wound Healing Treatment Outcome Watchful Waiting

来  源:   DOI:10.1007/s00784-024-05766-4

Abstract:
OBJECTIVE: Oral mucoceles are most frequently encountered on the lower lip. A variety of treatment options are currently employed, including surgical excision, pharmacological injections, and laser therapy. However, each of these approaches may introduce risks and potential complications. Clinical practice has demonstrated a potential for self-healing in lower lip mucoceles, making a conservative observational approach more appealing. This research is a prospective study aimed at evaluating the self-healing capacity of lower lip mucoceles.
METHODS: In this prospective study, patients with mucoceles were encouraged to intentionally delay medical intervention and to wait for self-healing. Disappearance of the mucocele for at least 3 months was defined as self-healing.
RESULTS: Thirty patients with lower lip mucoceles were included. With no intervention, 24 patients (80%) reported self-healing of lower lip mucoceles. The mean natural duration of the mucoceles was 3.63 (± 4.7; 1-24) months. After self-healing of the mucocele, the patients were followed up for 17.21 (± 9.45; 2-30) months and there were no reported recurrences.
CONCLUSIONS: Lower lip mucoceles have a high potential for self-healing and patients may be routinely encouraged to wait for self-healing.
CONCLUSIONS: The high self-healing rate observed in this study suggests that a conservative, non-interventional approach might be considered as the first-line management for lower lip mucoceles.
摘要:
目的:口腔黏液囊肿最常见于下唇。目前采用了多种治疗方案,包括手术切除,药物注射,和激光治疗。然而,这些方法中的每一种都可能带来风险和潜在的并发症.临床实践已经证明了下唇黏液囊肿自我修复的潜力,使保守的观察方法更具吸引力。这项研究是一项前瞻性研究,旨在评估下唇粘液囊肿的自我修复能力。
方法:在这项前瞻性研究中,我们鼓励黏液囊肿患者有意延迟医疗干预并等待自我修复.粘液囊肿消失至少3个月被定义为自我修复。
结果:包括30例下唇黏液囊肿患者。没有干预,24例患者(80%)报告了下唇粘液囊肿的自我修复。粘膜囊肿的平均自然持续时间为3.63(±4.7;1-24)个月。粘液囊肿自我修复后,随访17.21(±9.45;2~30)个月,无复发报告.
结论:下唇黏液囊肿具有很高的自我修复潜力,患者可能会被常规鼓励等待自我修复。
结论:在这项研究中观察到的高自愈率表明,保守,非介入方法可能被认为是下唇黏液囊肿的一线治疗方法。
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