대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제37권1호
  • /
  • Pages.29-32
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  • 2021
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  • 1229-5183(pISSN)
  • /
  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
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악하선 절제술 후 발생한 역설적 아랫 입술 경련

Paradoxical Lower Lip Twitching after Removal of the Submandibular Gland

  • 유지섭 (전북대학교 의과대학 이비인후과학교실) ;
  • 홍용태 (전북대학교 의과대학 이비인후과학교실)
  • Yoo, Ji Seob (Department of Otolaryngology-HNS, Research Institute for Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital) ;
  • Hong, Yong Tae (Department of Otolaryngology-HNS, Research Institute for Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital)
  • 투고 : 2020.11.03
  • 심사 : 2021.04.06
  • 발행 : 2021.05.31
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초록

Benign submandibular gland tumor is a common disease in the head and neck region and can be completely removed by transcervical approach. Typical submandibular gland resection can lead to neurological complications. The most common complications are damage to the marginal mandibular branch of the facial nerve and weakening of the lower lip. We report a case of ipsilateral lower lip twitching occurring 3 months after surgery. There was no difficulty during the operation, and there were no neurologic complications immediate after surgery. However, in the present case, the patient experienced lower lip twitching paradoxically after surgery which has not been reported in the literature yet. Therefore, we reported this case with a review of relevant literature.

키워드

과제정보

This paper was supported by Fund of Biomedical Research Institute of Jeonbuk National University Hospital.

참고문헌

  1. Leonardo BA, Cosme GE. Morbidity associated with removal of the submandibular gland. J Cranio-maxillo-facial Surg. 1992;20: 216-219. https://doi.org/10.1016/S1010-5182(05)80318-X
  2. Jannetta PJ. Typical or atypical hemifacial spasm. J Neurosurg. 1998;89:346-347.
  3. Zappia JJ, Wiet RJ, Chouhan A, Zhao JC. Pitfalls in the diagnosis of hemifacial spasm. Laryngoscope. 1997;107:461-465. https://doi.org/10.1097/00005537-199704000-00007
  4. Lorentz IT. Treatment of hemifacial spasm with botulinum toxin. J Clin Neurosci. 1995;2:132-135. https://doi.org/10.1016/0967-5868(95)90005-5
  5. Wang A, Jankovic J. Hemifacial spasm: clinical findings and treatment. Muscle Nerve. 1998;21:1740-1747. https://doi.org/10.1002/(SICI)1097-4598(199812)21:12<1740::AID-MUS17>3.0.CO;2-V
  6. Colosimo C, Bologna M, Lamberti S. A comparative study of primary and secondary hemifacial spasm. Arch Neurol. 2006;63: 441-444. https://doi.org/10.1001/archneur.63.3.441
  7. Yamamoto E, Nishimura H, Hirono Y. Occurrence of sequelae in Bell's palsy. Acta Otolaryngol. 1987;446:93-96. https://doi.org/10.3109/00016488709121848
  8. Celik M, Forta H, Vural C. The development of synkinesis after facial nerve paralysis. European Neurology. 2000;43:147-151. https://doi.org/10.1159/000008154
  9. Jankovic J. Peripherally induced movement disorders. Neurol Clin. 2009;27:821-832. https://doi.org/10.1016/j.ncl.2009.04.005
  10. Valls-Sole J, Tolosa E, Ribera G. Blink reflex studies of patients with blepharospasm before and after treatment with botulinum toxin. J Neurol Neurosurg Psychiatry. 1991;54:310-313. https://doi.org/10.1136/jnnp.54.4.310