• Title/Summary/Keyword: 낭종적출술

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SURGICAL TREATMENT OF JAW CYSTS IN CHILDREN (소아의 악골내 발생한 낭종의 외과적 처치)

  • Kim, Jae-Gon;Kim, Young-Jin;Kim, Mi-Ra;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.1-7
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    • 2001
  • The Dentigerous cyst is reported to be one of the most common lesions of the jaw. It is derived from reduced enamel epithelium that surrounds the crown of an unerupted tooth. Dentigerous cysts usually remains asymptomatic and presents as well-circumscribed radiolucencies surrounding the crown of a tooth. Most dentigerous cysts are treated by surgical enucleation or marsupialization of the cyst to allow eruption of the permanent tooth. The nasopalatine duct cysts derived from the islands of epithelium remaining after closure of the embryonic nasopalatine duct. The cyst presents as a well-circumscribed oval or heart-shaped radiolucency located in the midline of the anterior maxilla between the roots of the central incisors. Treatment is by surgical enucleation, employing a palatal approach. This report present two cases. One case was diagnosed with dentigerous cyst and treated by enucleation. 12 Months later, affected second premolar was erupted normally. The other case was diagnosed with nasopalation duct cyst. Histological examination of the enucleated cyst confirmed a nasopalatine duct cyst. There was no recurrence during follow up period.

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CASE OF BILATERAL DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION (양측에서 발생된 함치성 낭종의 치험례)

  • Yoo, Jung-Eun;Choi, Yeong-Chul;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.2
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    • pp.196-203
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    • 2002
  • Most dentigerous cysts are solitary. Bilateral and multiple dentigerous cysts are rare and occur typically in association with a number of syndromes such as Maroteaux-Lamy syndrome, Hunter's syndrome, Basal cell nevus syndrome, Marfan syndrome, cleidocranial dysplasia. The presented case is of bilateral nonsyndromic, dentigerous cysts associated with mandibular right and left first premolars. A marsupialization procedure may be a choice of treatment for a large sized dentigerous cyst rather than an enucleation. The marsupialization procedure is recommended during the age when the erupting force of the teeth is still strong. We can expect the unerupted tooth to erupt normally. Although most of bilateral or multiple dentigerous cysts which are not associated with syndromes are rare, a bilateral dentigerous cyst without syndrome is seen. Therefore, it is wise to explain a possibility of development of new one to patient / parents in advance.

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TREATMENT OF ODONTOGENIC CYST USING DECOMPRESSION (감압술을 이용한 치성 낭종의 치료)

  • Choi, Byung-Jai;Suh, Moon-Sun;Kim, Seong-Oh;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.418-422
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    • 2002
  • Cyst is a cavity filled with fluids and semi-fluids that is lined with epithelial cells. Odontogenic cysts are those that form within the jaw which origin from dental follicles, enamel epithelium remnants of the crown, Malassez epithelial cell rest and basal cell layer of the oral epithelium. In such cases, treatment methods such as enucleation, marsupialization, decompression, surgical excision etc. can be used according to the lesion's characteristics, size, relationship with the surrounding tissue, patient's age and developmental status. This case was to report an odontogenic cyst caused by an impacted immature permannent tooth and its treatment. The cyst was removed by decompression. Cystic cavity was healed with bone tissue and the impacted permanent tooth erupted without any recurred cystic lesion.

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Retrospective Study of Characteristics and Treatment of Dentigerous Cysts Involving the Maxillary Anterior Tooth (상악 전치부에 발생한 함치성 낭종의 임상적 특징과 치료에 대한 후향적 연구)

  • Seo, YeJin;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.280-288
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    • 2017
  • The aim of the present study was to identify the clinical characteristics and treatment outcomes associated with maxillary anterior dentigerous cysts in children. Among 55 patients who had been diagnosed with maxillary anterior dentigerous cysts, 33 patients had cysts located in the incisor region and 22 had cysts located in the canine region. Cysts in the incisor region were 7.2-fold more prevalent in male patients, while cysts in the canine region were 1.75-fold more prevalent in female patients. For cysts in the incisor region, marsupialization was performed in 21 cases and enucleation in 12 cases. In the canine region, marsupialization was performed in 20 cases and enucleation in 2 cases. Spontaneous eruptions of the displaced teeth in the incisor and canine region were 90% and 54.5%, respectively. Among patients which spontaneous eruption occurred, patients with cysts in the incisor region underwent orthodontic treatment more often due to malocclusion. This study is expected to be used as fundamental data for establishing future treatment plans by providing the analyzed results of distribution and characteristics of dentigerous cysts involving the maxillary anterior tooth.

An imported case of hepatic unilocular hydatid disease (해외에서 유입된 간 포충 낭종증 1례)

  • CHAI, Jong-Yil;SEO, Min;SUH, Kyung-Suk;LEE, Soon-Hyung
    • Parasites, Hosts and Diseases
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    • v.33 no.2
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    • pp.125-130
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    • 1995
  • A 38-year old man visited a private clinic complaining of epigastric discomfort for 2 months A huge hepatic cyst was found by sonography and computerized tomography. An exploratory Laparotomy was performed under the impression of hydatid disease. The cyst was successfully removed. A lot of living protoscolices of Echinocucur Sranulosus were found from the cystic fluid under light microscopy. During the operation, however. the cyst was accidentally ruptured and the cystic fluid spilled out. The patient was medicated with albendazole, and had been well without any signs of anaphylaxis or recurrence for 1 year follow-up period. He had been in Saudi Arabia for 3 years. This is the 16th case of hydatid disease reported in Korea and a case without immediate complication in spite of rupture of the cyst.

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ERUPTION GUIDENCE OF THE TEETH DISPLACED BY CYSTIC LESIONS (낭종에 의해 변위된 영구치의 맹출 유도)

  • Park, Chang-Hyun;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.67-71
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    • 2001
  • A cyst that develops in children's jaw occasionally disturbs the eruption of the succedaneous teeth. These teeth, however, usually have the potential of eruption. So, if the obstacles to eruption are eliminated, it is possible that the teeth erupt spontaneously to their normal position. In those cases, it usually requires the management of the cyst and the eruption guidance of the displaced teeth. Many surgical procedures have been described for the elimination of cysts. When the cyst is large and displaces the permanent teeth, marsupializaion is a surgical technique that may be preferred to enucleation in treatment of cysts. In marsupializaion, if the opening is maintained properly, it may be possible to manage the cyst and guide the displaced teeth into the normal position. In these cases, the cysts were managed with marsupialization in concomittent application of acrylic obturators, and as a result the displaced permanent teeth were guided into normal position. Even though the etiologic factors of the two cases are different, the treatment was the same. And both cases show that the potential for heal ing is remarkable with spontaneous relocation of displaced tooth, provided the opening is maintained during the eruption of the permanent tooth.

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MULTIPLE ODONTOGENIC KERATOCYST OF MANDIBLE WITH FAMILIAL TRAIT (가족력을 동반한 다발성 치성각화낭종)

  • Kim, Jong-Won;Kim, Yu-Jin;Pyun, Yung-Nam;Kim, Jong-Chull;Kim, Myung-Jin;Lee, Jong-Ho;Myoung, Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.1
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    • pp.74-80
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    • 1999
  • A family is presented in which multiple odontogenic keratocysts have been expressed. 3 members of the two generations of family with features of multiple keratocysts, suspected basal cell nevus syndrome have been investigated. The proband, 19-year-old woman and her mother, and her brother suffered from these cysts and two female patients' disease have been recurred multiply though careful treatments. Close attention to the family and routine follow up will alert the clinician to its recurrences and genetic counseling and serial screening for the development of other symptoms, that is malignant skin carcinoma etc.

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CASE REPORT OF UNICYSTIC AMELOBLASTOMA (단방성 법랑모세포종 환아에 대한 증례 보고)

  • Choi, Seo-Jung;Park, Ho-Won;Kim, Soung-Min
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.463-468
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    • 2002
  • The unicystic ameloblastoma deserves separate consideration on the basis of its clinical, radiologic, and pathologic features and its response to treatment. It refers to those cystic lesions that show clinical, radiographic, or gross features of a jaw cyst, but on histologic examination show a typical ameloblastomatous epithelium lining part of the cyst cavity. The lesion is most commonly found on the mandible posterior area, and often asymptomatic, although large lesions may cause a painless swelling of the jaws. The lesion typically appears as a circumscribed radiolucency that surrounds the crown of an unerupted molar. These are usually considered to be a dentigerous, residual cyst on the relationship of the lesion to teeth in the area. Three histopathologic variants of unicystic ameloblastoma may be seen. 1) Luminal type, 2) Intraluminal type, 3) Mural type. In this case, these tumor was treated as cysts by enucleation with iliac bone graft, and the diagnosis of ameloblastoma is made after microscopic examination of the presumed cyst.

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Idiopathic Localized Lipodystrophy of Subcutaneous Fat after Cyst Enucleation of Jaw: Report of 3 Cases (낭종적출술 후 발생한 원인 모를 국소적 지방이영양증: 증례보고)

  • Lee, Ba-Da;Na, Hye-Young;Kim, Nam-Kyoo;Kim, Hyung-Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.3
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    • pp.205-208
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    • 2012
  • Lipodystrophy is a disorder characterized by the loss of subcutaneous adipose tissue which is inherited or heterogeneously acquired. We report 3 uncommon cases of localized lipodystrophy on face which distinguished 1 year after cyst enucleation of mandibular posterior area.