Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제36권6호
  • /
  • Pages.548-552
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  • 2010
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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구강 내 접근법에 의한 심부 악하선 타석제거술

Transoral removal of proximal submandibular stone: report of 5 cases and review of the literature

  • 임경민 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이승준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 길태준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 최은주 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 남웅 (연세대학교 치과대학 구강악안면외과학교실)
  • Lim, Kyoung-Min (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lee, Seung-June (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kil1, Tae-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Choi, Eun-Ju (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cha, In-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 투고 : 2010.09.13
  • 심사 : 2010.12.22
  • 발행 : 2010.12.31
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초록

The submandibular gland is the second largest major salivary gland, which secretes 40% of the total daily saliva. Owing to its anatomic characteristics as well as the high viscosity and basicity of the saliva, sialolithiasis is found most commonly in the submandibular gland. Sialolithiasis that cannot be treated by conservative treatment is conventionally removed by an excision of the submandibular gland. Generally, an excision of the submandibular gland is performed via an extra-oral approach but the disadvantages of this treatment include a risk of injuring the facial nerve and scar formation. Case reports have revealed an even less invasive intraoral surgical technique for the removal of sialolith that does not affect the submandibular gland function. The functional recovery of the gland, complications and recurrence rates after surgery with this conservative intraoral procedure were all successful. We report 5 patients from the department of Oral and Maxillofacial Surgery at Dental Hospital, Yonsei University, who had undergone a resection of the sialolith though the intraoral approach with successful results.

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참고문헌

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