• Title/Summary/Keyword: 설암

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Prosthetic rehabilitation of a patient with tongue cancer using palatal augmentation prosthesis and mandibular implant-retained overdenture: A case report (구개 증대 보철물과 임플란트 피개의치를 이용한 설암 환자의 보철수복 증례)

  • Kim, Ye-Jin;Lee, Young-Hoon;Ko, Kyung-Ho;Park, Chan-Jin;Cho, Lee-Ra;Huh, Yoon-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.317-322
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    • 2018
  • The tongue, especially its lateral part, is the most common site of oral tumors. Patients who undergo glossectomy for the treatment of tongue cancer may experience difficulty in proper functioning for pronunciation, chewing, swallowing, and oral hygiene maintenance; therefore, a palatal augmentation prosthesis can be used to restore function of the tongue. In this case, an implant overdenture was used in a patient who had residual ridge resorption and obliteration of alveololingual sulcus after undergoing glossectomy for tongue cancer treatment. In addition, a palatal augmentation prosthesis with a metal framework, support, and retention part was fabricated. The palatal vault was reduced, so that even with limited tongue movement, adequate tongue-palate contact could be achieved. After placement of the definitive prostheses, the patient showed improvement in the functions of chewing, swallowing, and pronunciation.

구강설암의 방사선치료

  • Ryu, San-Yeol;Lee, Chang-Geol;Park, Gyeong-Ran;Kim, Su-Gon;Seong, Jin-Sil;Jo, Gwan-Ho;Seo, Chang-Ok;Kim, Gwi-Eon;No, Jun-Gyu
    • 대한두경부종양학회:학술대회논문집
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    • 1986.11a
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    • pp.20.2-22
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    • 1986
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Complete denture rehabilitation of partially glossectomized patient using palatal augmentation prosthesis: A case report (부분 혀 절제술을 받은 완전 무치악 환자에서 구개증대보철물을 이용한 수복 증례)

  • Hyeon-Kyeong Lee;Na-Hong Kim;Hee-Won Jang;Sun-Young Yim;Keun-Woo Lee;Sung-Yong Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.1
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    • pp.82-89
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    • 2023
  • The tongue is one of the most common sites of oral cancer. Glossectomy is known as the gold standard for tongue cancer treatment. However, surgical removal can lead to reduced mobility of the tongue and the patients may have difficulty performing normal oral functions like swallowing and pronunciation. Therefore, additional prosthetic consideration to supplement the function of the impaired tongue is needed for oral rehabilitation of such patients. Palatal augmentation prosthesis helps the tongue to reach the palate by lowering the position of the palatal polished surface. The oral functions of the patients with limited tongue mobility can be improved by the prosthesis. In this case, palatal augmented maxillary denture and conventional mandibular denture were fabricated for the completely edentulous patient with reduced tongue mobility after glossectomy due to tongue cancer. As a result, the oral functions of the patient were improved with the prosthesis.

A Case of Mandible Osteomyelitis Mimicking Recurrent Tongue Cancer (재발성 설암으로 오인된 하악골 골수염 1예)

  • Park, Sangheon;Jung, Kwangjin;Park, Min Woo;Jung, Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.65-67
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    • 2013
  • Osteomyelitis is an infection of bone or bone marrow, caused by pyogenic bacteria or mycobacterium. Osteomyelitis can be acute or chronic, inflammatory process of the bone and its structures. Chronic osteomyelitis will result in variable sclerosis and deformity of the affected bone. With an infection of the bone, the subsequent inflammatory response will elevate this overlying periosteum, leading to a loss of the nourishing vasculature, vascular thrombosis, and bone necrosis, resulting occasionally in formation of sequestra. These become areas that are more resistant to systemic antibiotic therapy due to lack of the normal Havesian canals that are blocked by scar tissue. At this aspect, not only systemic antibiotic therapy, but also surgical debridement maybe required to remove the affected bone and prevent disease propagation to adjacent areas. We experienced a patient who diagnosed tongue cancer and underwent wide partial glossectomy few years before, with an ulcerative lesion around right retromolar trigon. We diagnosed cancer recurrence because PET indicated hot uptake on mandible which was nearby previous tongue tumor site. The patient received hemiglossectomy via paramedian mandibulotomy, partial mandibulectomy and fibula osteocutaneous free flap reconstruction. But final diagnosis was mandible osteomyelitis on pathology report. Here, we present the case with a review of the related literatures.

Therapeutic Analysis of Squamous Cell Carcinoma of the Oral Tongue (구강설 편평상피암의 치료성적)

  • 최은창;이정준;김광문;홍원표
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.94-94
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    • 1993
  • Squamous cell carcinoma of the oral tongue was reviewed retrospectively for the evaluation of clinical features and for the comparison between treatment modalities. Medical records of 112 patients who underwent treatment between 1916 and 1989 at Yonsei University Severance Hospital were reviewed.22 eases were excluded from this study due to incomplete treatment. Minimum follow up period was 36 months and median follow up was 41 months(range 1 to 135 months). The most common site of the tumor was lateral border of the tongue. 45.6% of the patients showed nodal metastasis. The 5-year survival rate of the patients with stage I, II was 78.8%, and those with III, IV was 20.7%. Over all 5-year survival rate was 58.5% . Survival rate of the patients treated with radiation was 19.7% in contrast to 55.7%, 66.2% in surgery plus radiation and surgery alone. The most common sites of failures were the primary site. Reducing the rate of local recurrence and more radical therapy is desired to improve the survival of this cancer.

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