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좌측 상하악 구치 후방부에 발생한 다형성 선종의 치험례
우길상,이은진,김상규,김진수,변기정 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.2
Pleomorphic adenoma is a circumscribed tumor characterized microscopically by its pleomorphic or mixed appearance, and its clearly recognizable epithelial tissue intermingled with areas of mucoid, myxoid, or chondroid appearance. Plemorphic adenoma, the most common tumor of the salivary glands, is now generally accepted as epithelial and benign adenoma. The palate is the most common site for minor salivary gland tumor. We experienced a case of pleomorphic adenoma occuring in the left retromolar pad area of unusual location. It is unusually large size so that the patient cannot close his mouth. The tumor occupied his mouth fully so that he has much difficulty in closing his mouth and breathing his breath. The lesion was treated with complete excision and reconstruced with buccal fat pedicle flap immediately on the operation under general anesthesia. Histopathological finding indicated pleomorphic adenoma on the left retromolar pad area.
김상규,우길상,김진수,변기정 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.3
Warthin's tumor is a bunign neoplasm that occurs almost exclusively in the parotid gland. The tumor most frequently occurs in the tail of the parotid near the angle of the mandible. One unique feature of Warthin's tumor is the tendency of bilateral occurrence, which has been noted in 4 to 7 percent of cases. Most of these bilateral tumors do not occur simultaneously but are metachronous(occurring at different times). Histologically the tumor is composed of a mixture of ductal epithelium and a lymphoid stroma. Surgical removal is the treatment of choic for patients with Warthin's tumor. Warthin's tumor seldom recurs after removal. In our department, a 50-year old man, diagnosed as Warthin's tumor by fine needle aspiration biopsy, was treated by superficial parotidectomy on right side and subtotal parotidectomy on left side. For the treatment of Warthin's tumor, correct pretreatment diagnosis and the selection of appropriate surgical methods are important. We present a case report of the bilateral Warthin's tumor with the review of literatures.
김상규,이상한,장현중,우길상,이은진 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.1
Condylar hyperplasia is an uncommon malformation of the mandible created by excessive growth of one of the condyles. Condylar hyperplasia is a self-limiting condition, and treatment is determined by the degree of functional difficulty and aesthetic change. Some patients can be treated with unilateral condylectomy, whereas others require unilateral or bilateral mandibular osteotomies. Our method includes a condylectomy to arrest the continued condylar growth or to excise the neoplastic condyle, unilateral vertical ramus osteotomy to allow horizontal rotation of the mandible without significantly altering the temporomandibular articulations, and an arthroplasty by superior repositioning of the stump of the proximal condylar segment into the condylar fossa. Both the facial asymmetry and the occlusion were corrected by rotation of the mandible around the unaffected condyle.