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Intraparotid Facial Nerve Schwannoma

  • Cho, Hyung Rok;Kwon, Soon Sung;Chung, Seum;Choi, Yoon Jung
    • Archives of Craniofacial Surgery
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    • v.15 no.1
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    • pp.28-31
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    • 2014
  • Intraparotid facial nerve schwannoma is a rare benign neoplasm. Due to its rarity, it is not usually a prioritized diagnosis before surgery and may therefore lead to an unintentional treatment error. In this article, we report a single case of intraparotid facial nerve schwannoma. We were able to make a diagnosis with frozen biopsy. A complete resection of the mass while preserving the facial nerve was performed. Herein we present our clinical experience with regards to the treatment process of intraparotid facial nerve schwannoma.

Spindle Cell Lipoma: A Rare, Misunderstood Entity

  • Seo, Bommie Florence;Kang, In Sook;Oh, Deuk Young
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.102-104
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    • 2014
  • Spindle cell lipoma, a rare variant of lipoma, is a benign tumor found in the posterior neck and shoulder. A 24-year-old man with a close family history of malignant lymphoma had presented with a large, firm, nodular mass found in the right supraclavicular area. Excision of the deeply located mass revealed a pale yellow, rubbery nodule which grossly resembled an enlarged lymph node, with a variant of lymphoma as a primary suspect. However, pathological studies revealed the lesion to be a spindle cell lipoma. Although atypical in location, spindle cell lipoma should always be kept in differential diagnosis of a newly-noted soft tissue mass, as this entity may be easily cured by simple excision.

Half-and-Half Palatoplasty

  • Han, Hyun Ho;Kang, In Sook;Rhie, Jong Won
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.105-108
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    • 2014
  • A 14-month-old child was diagnosed with a Veau Class II cleft palate. Von Langenbeck palatoplasty was performed for the right palate, and V-Y pushback palatoplasty was performed for the left palate. The child did not have a special problem during the surgery, and the authors were able to elongate the cleft by 10 mm. Contrary to preoperative concerns regarding the hybrid use of palatoplasties, the uvula and midline incisions remained balanced in the middle. The authors named this combination method "half-and-half palatoplasty" and plan to conduct a long-term follow up study as a potential solution that minimizes the complications of palatoplasty.

Unusual Sj${\ddot{o}}$gren's Syndrome with Bilateral Parotid Cysts

  • Seo, Bommie Florence;Ju, Rock Kuen;Kwok, Seung-Ki;Oh, Deuk Young
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.98-101
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    • 2014
  • Sj${\ddot{o}}$gren's syndrome is a chronic autoimmune exocrinopathy that destroys salivary and lacrimal gland tissue. We report an unusual case of this disease in a 54-year-old woman who presented with multiple and bilateral parotid cystic masses. The multiple, small, bead-like cysts were clearly evident in the computed tomography sections in this patient, a visible reminder that this may be the initial presentation in a patient with Sj${\ddot{o}}$gren's syndrome. As the case illustrates, Sj${\ddot{o}}$gren's syndrome should be included in the differential diagnosis of multiple and bilateral cystic parotid lesions.

Angiomyolipoma of the Glabellar Region

  • Kim, Hyo Joong;Chung, Chan Min;Park, Jae Yeon;Jung, Sung Gyun
    • Archives of Craniofacial Surgery
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    • v.18 no.3
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    • pp.202-206
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    • 2017
  • Angiomyolipomas are hamartomatous lesions consisting of smooth muscle bundles, thick-walled blood vessels, and mature adipocytes. They are usually found in the kidneys of tuberous sclerosis patients and more rarely in other organs, such as the liver, the oral cavity, the sinonasal tract, the heart, the large intestines, the lungs, and the skin. Cutaneous angiomyolipoma has shown to be very rare and generally occurs at the ends of the digits, the elbows, the ears, and the nose. Herein, we report the first documented case of angiomyolipoma of the glabellar region.

Eccrine Spiradenoma of the Scalp

  • Kim, Jaehee;Yang, Ho Jik;Pyo, Jung-Soo
    • Archives of Craniofacial Surgery
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    • v.18 no.3
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    • pp.211-213
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    • 2017
  • Eccrine spiradenoma is an uncommon benign adnexal tumor originating from the eccrine sweat gland. We diagnosed a eccrine spiradenoma on a 55-year-old man with histopathologic confirmation upon biopsy followed by complete resection, who had visited our clinic with a chief complain of occipital scalp mass. The solitary eccrine spiradenoma occurring in the scalp is rarely to be seen and should be considered as a differential diagnosis for a solitary cystic mass of the scalp.

Rapidly growing giant pilomatricoma in the right parotid region of a pregnant woman

  • Koh, In Suk;Cho, Hwa Jin;Kim, Jin Woo
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.176-179
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    • 2020
  • Pilomatricoma is a benign tumor arising from the primitive basal cells of the epidermis that differentiate into hair matrix cells. Mutations in the CTNNB1 gene, which encodes β-catenin (a protein involved in hair growth), play an etiological role in the development of pilomatricoma. A 34-year-old woman presenting with a mass in the right parotid region underwent an excisional biopsy. The mass was conclusively diagnosed as pilomatricoma. During pregnancy, the mass grew from 1 cm to 5 cm in diameter and was accompanied by pain and tenderness. The growth may have been facilitated by the increased production of estrogen and progesterone, which bind to receptors located in the outer root sheath cells of the hair follicles. No recurrence was observed during 6 months of follow-up.

Ectopic Preauricular Sinus in a Facial Cleft and Microtia Patient

  • Park, Jae Yeon;Lee, Seil;Kim, Hyo Joong;Jung, Sung Gyun
    • Archives of Craniofacial Surgery
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    • v.18 no.4
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    • pp.287-291
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    • 2017
  • Preauricular sinus is a congenital malformation that is very commonly encountered among the general population and it has especially high prevalence among Asians when compared to other ethnic groups. It can often go unnoticed or easily overlooked by the patient or even by doctors because most of them are asymptomatic and is most of the time only a tiny pit that can be trivial in terms of aesthetics. We report a very rare and unique case that has no precedence what so ever; hence no reported case in the literature: an ectopic preauricular sinus in a facial cleft and microsomia patient.

Malar Relocation with Reverse-L Osteotomy and Autogenous Bone Graft

  • Yoon, Se Hoon;Jeong, Euicheol;Chung, Jee Hyeok
    • Archives of Craniofacial Surgery
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    • v.18 no.4
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    • pp.264-268
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    • 2017
  • The zygomaticomaxillary complex (ZMC) functions as a buttress for the face and is the cornerstone to a person's aesthetic appearance, by both setting the midfacial width and providing prominence to the cheek. Malar deficiency is often acquired by blunt injury incurred in a traumatic accident, resulting in ZMC fracture. A 48-year-old male patient presented a right ZMC fracture after contusion injury by a baseball. He only received conservative management and later he suffered discomfort during mouth opening at the moment of mastication, due to trismus involving the temporomandibular joint. In the current case, we describe a surgical technique, by which the malar body is shifted anteriorly and laterally after combined oblique-vertical osteotomy. The technique presented, eventually restored the former aesthetic position of the malar complex and symmetry, and, moreover, improved mastication function.

Rhabdomyomatous Mesenchymal Hamartoma Presenting as a Midline Mass on a Chin

  • Kim, Hyeonwoo;Chung, Jee Hyeok;Sung, Ha Min;Kim, Sukwha
    • Archives of Craniofacial Surgery
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    • v.18 no.4
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    • pp.292-295
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    • 2017
  • A 17-month-old boy was evaluated for a midline mass on his chin. The mass was anchored to the mentalis muscle with a stalk-like structure. The pathological diagnosis of the mass was rhabdomyomatous mesenchymal hamartoma. This is the first report of rhabdomyomatous mesenchymal hamartoma presenting as a midline chin mass in Korean pediatric patients.