• Title/Summary/Keyword: 타액선염

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Intraoral Approach in Submandibular Gland Extirpation (구내접근법을 이용한 악하선 적출)

  • You, Jun-Young;Ko, Kwang-Hee;Yoon, Hyun-Joong;Lee, Kook-Yeop
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.2
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    • pp.186-190
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    • 1995
  • 타석증을 동반한 만성 악하선 타액선염의 경우 악하선 적출은 일반적인 치료 방법이다. 일반적으로 악하선 적출술은 수술의 용이성, 수술시야의 확보 등의 장점으로 구강외접근에 의해서 시행되어져 왔다. 그러나 시대적으로 심미적인 요구가 증대되고 있는 요즈음 구외 접근으로 인한 술후 반흔은 구외접근법의 가장 결정적인 단점이라 할 수 있다. 또한 설하선과 함께 적출하여야 할 경우 구내접근과 구외접근을 동시에 실시할 경우 술후 치유과정상의 후유증을 유발할 수도 있다. 반면에 구강내 접근에 의한 악하선의 적출은 수술상의 고도의 난이도로 수술자체의 어려움은 있으나 구강의 반흔을 남기지 않아 심미적으로 만족할 만한 결과를 얻을 수 있다. 이에 본 저자 등은 타석증을 동반한 악하선 타액선염의 환자에 있어 구내 접근으로 악하선 및 설하선 적출술을 시행하여 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

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Micromorphology and Chemical Composition of a Sialolith in the Submandibular Gland Duct (악하선 내 타석의 미세형상 및 화학적 조성)

  • Im, Yeong-Gwan;Song, Ho-Jun;Kim, Byung-Gook
    • Journal of Oral Medicine and Pain
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    • v.36 no.3
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    • pp.161-167
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    • 2011
  • Sialolith is one of the most common pathologic conditions found in the salivary glands. The mechanisms responsible for the formation of sialoliths have not been elucidated so far. In this article, the chemical composition and micromorphology of a sialolith of a 58-year old female patient suffering from chronic sialoadenitis of the submandibular gland was analyzed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX). In a SEM evaluation, the highly mineralized amorphous core surrounded by lamellar and concentric structures was revealed, however no foreign body, organic material, or signs of microorganism were observed in the core of the sialolith. EDX analysis showed the central core was composed of only Ca, O and P, and that a high level of C was detected near the central area as well. These results indicated that the inorganic composition of the sialolith was hydroxyapatite crystals, and that inorganic and organic substances existed around the central cores. This study suggests that the sialolith was composed mainly of hydroxyapatite crystals and the formation of the nucleus of the sialolith in the submandibular gland duct was secondary to sialadenitis, which favors the growth of an inorganic crystalline nucleus.

Imaging Diagnosis in Salivary Gland Tumors (타액선 종양의 영상진단)

  • Han Moon-Hee
    • Korean Journal of Head & Neck Oncology
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    • v.9 no.1
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    • pp.88-90
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    • 1993
  • 병변의 양상에 따른 감별진단 재발성 이하선 종대를 보이는 경우 타액선조영술이 영상진단방법중 1차적인 선택이 된다. Stensen 씨관이나 중심선관(central glandular duct)의 확장을 보이는 경우 만성 타액선염으로 진단할 수 있다. 소아에서의 단일성 양성종괴의 감별진단은 임파절, 혈관종, 양성혼합종양, 저급점액상피암, 임파관종 등이다. 성인에서의 단일성, 양성으로 관찰되는 종괴는 양성혼합종양, Warthin씨 종양, 저급점액상피암, 선상낭성암, 소포상세포암 등이다. 여러개의 종괴를 보이는 경우 Warthin씨 종양, 소포상세포암, 임파종, 육아종, 전이암 등이며 단일성 낭성종괴의 경우는 branchial cleft cyst,, Warthin씨 종양, 상피낭포 등이다.

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Sialocele with Sialolithiasis in a Beagle Dog (비글견에서 발생한 타액선 결석과 타액선류 증례)

  • Kwon, Young-Hang;Lim, Soo-Ji;Chang, Jin-Hwa;An, Ji-Young;Ahn, Se-Joon;Jeong, Seong-Mok;Park, Seong-Jun;Cho, Sung-Whan;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.26 no.4
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    • pp.371-375
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    • 2009
  • A three-year-old Beagle dog was presented with the neck mass. Mass was located at ventral part of the mandible. The dog showed excessive drooling. Sialocele with calculi was evaluated based on physical exam, radiographs, ultrasonography, and computed tomography. Salivary gland resection was performed. Histopathological examination confirmed sialoadenitis concurred with sialocele.

A Rare Case of Küttner Tumor Originating from Submandibular Gland (악하선에 발생한 Küttner 종양 1예)

  • Choi, Byeong Il;Kang, Min Seok;Kim, Min Ki;Lim, Beom Jin;Byeon, Hyung Kwon
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.2
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    • pp.66-69
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    • 2015
  • $K{\ddot{u}}ttner$ tumor is a benign inflammatory disease of the salivary gland that clinically mimics a malignant tumor because of its presentation as a unilateral painless hard mass. However the precise cause of this disease is still unknown. Pathologically, it is characterized by infiltration of IgG4-positive plasma cells. Also, it is accompanied with an elevated level of plasma IgG4. We report one case of $K{\ddot{u}}ttner$ tumor of the right submandibular gland in a 37 year old woman.

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Sialadenitis caused by iatrogenic trauma: A case report (의원성 사고로 발생한 타액선염:증례보고)

  • Kim Hyun-Woo;Huh Kyung-Hoe;Lee Win-Jin;Heo Min-Suk;Lee Sam-Sun;Choi Soon-Chul
    • Imaging Science in Dentistry
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    • v.34 no.2
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    • pp.107-110
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    • 2004
  • A case of sialadenitis is presented in a patient with painful swelling of the right mouth floor. The condition was caused by trauma on the right mouth floor during dental treatment, which had happened 15 days before admission. On aspiration, mucous secretion was found and ultrasonography showed obstruction of duct. Histopathological studies and surgical investigation established a definite diagnosis of obstructive sialadenitis caused by ductal laceration. As surgical treatment sialodochoplasty was selected. The case and relevant considerations are discussed.

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IgG4-related chronic sclerosing sialadenitis in both submandibular glands that developed at intervals of months (양측 악하선에 수개월 간격을 두고 발생한 면역글로불린 G4 연관 경화성 타액선염)

  • Kang, Tae Gu;Kim, Hee Young;Kim, Jae Gu;Lee, Kyung Hwa;Lee, Dong Hoon
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.2
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    • pp.73-76
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    • 2018
  • IgG4-related chronic sclerosing sialadenitis commonly occurs in the submandibular glands. The gold standard for diagnosis of IgG4-related chronic sclerosing sialadenitis is a tissue biopsy from the affected organ. Herein, we report the probability of occurrence of IgG4-related chronic sclerosing sialadenitis in both submandibular glands that developed at intervals of months. Therefore, long-term follow-up and whole-body evaluation are essential.