微小切口排溢囊内物后摘除皮脂腺囊肿的效果评价

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

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。

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 enueleated 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 xl.56 era. 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.