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악하선 공간에 생긴 동정맥 기형의 후이개 내시경 접근법을 이용한 절제술 1례
반명진(Myung Jin Ban),이치규(Chi Kyou Lee),이지혜(Ji Hye Lee),박재홍(Jae Hong Park) 대한두경부종양학회 2016 대한두경부 종양학회지 Vol.32 No.1
A 54-year-old female presented with a 4cm sized painless, submandibular gland area mass. Vascular lesion was suspected in computed tomography scan. Surgical excision was performed via retroauricular approach for its excellent cosmetic outcome. The vascular mass with peripheral focal calcification was clearly resected without complication such as bleeding or neural damage. Histopathological examination of the specimen revealed an arterio-venous malformation(AVM) with abnormal communications between arteries and veins without the normal inter-vening capillary bed. We report a successful excision of AVM in the submandibular space via retroauricular approach.
경구강 악하선 절제술 후 발생한 반대측 설하신경 마비 1례
반원우(Won Woo Ban),반명진(Myung Jin Ban),이치규(Chi Kyou Lee),박재홍(Jae Hong Park) 대한두경부종양학회 2016 대한두경부 종양학회지 Vol.32 No.1
The resection of submandibular gland is usually performed via trascervical, transoral approach. The authors suspected the stenosis of Wharton's duct of 54 years old female patient after transoral removal of submandibular stone and the resection of submandibular gland was decided. Because of cosmetic need, the resection was per-formed transorally. The operation was completed successfully without any injury to unilateral lingual nerve or hypoglossal nerve but contralateral paralysis of hypoglossal nerve was seen. In our knowledge, this is the first report of contralateral hypoglossal nerve palsy during transoral resection of submandibular gland.