대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제49권1호
  • /
  • Pages.113-120
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  • 2022
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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소아환자의 점액종 치료 시 최소침습적 방법: 증례 보고

Minimally Invasive Techniques for the Treatment of Mucoceles in Young Patients: A Case Series

  • 김종성 (경북대학교 치의학대학원 소아치과학교실) ;
  • 김기민 (경북대학교 치의학대학원 소아치과학교실) ;
  • 이제식 (경북대학교 치의학대학원 소아치과학교실) ;
  • 김현정 (경북대학교 치의학대학원 소아치과학교실) ;
  • 남순현 (경북대학교 치의학대학원 소아치과학교실)
  • Kim, Jongsung (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Gimin (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Lee, Jaesik (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Hyunjung (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Nam, Soonhyeun (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University)
  • 투고 : 2021.06.21
  • 심사 : 2021.09.23
  • 발행 : 2022.02.28
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초록

구강 점액종은 구강의 소타액선의 병적인 변화로 인해 타액의 축적을 야기하며 발생하는 흔한 외향성 병소이다. 구강 점액종은 대개 증상이 없으며 무통성이며 반투과성의 구상의 파동성 결절모양인 것이 특징이다. 일반적인 구강 점액종의 치료방법으로는 외과적 제거술, 조대술, 냉동절제술, 그리고 스테로이드 주사 등이 있다. 본 증례는 치료 시 협조도를 얻기에 충분하지 못한 영아나 소아환자에서 외과적인 치료 대신에 최소침습적 방법의 일환으로 미세조대술과 봉합법을 사용하여 구강에 발생한 점액종을 성공적으로 치료한 증례를 보고한다. 본 증례를 바탕으로 영유아와 행동조절에 문제가 있는 아동를 대상으로 치료하는 소아치과분야에서 구강 점액종 치료 시 미세조대술과 봉합법은 하나의 대안적 방법이 될 수 있음을 시사한다.

Oral mucocele is a common exophytic lesion resulting from the accumulation of saliva due to pathological changes in the minor salivary glands. It is typically asymptomatic and painless and characterized by semipermeable, fluctuant nodules. General treatment methods for mucocele include surgical excision, marsupialization, cryosurgery, and steroid injection. This case report presents the treatment of oral mucocele using micro-marsupialization and a tying method as minimally invasive techniques rather than surgical treatment. Based on this case report, it is suggested that micro-marsupialization and the tying method can be used as alternative methods for the treatment of oral mucocele infants and children with behavioral control problems.

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