• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제50권2호
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• pp.94-102
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• 2024

The exact mechanism of sialolith formation has yet to be determined. Recurrence of sialolithiasis is rare, affecting only 1%-10% of patients. The current study presents a case of recurrent stones that occurred twice on the right submandibular gland 6 months postoperative and 7 months after reoperation in a 48-year-old female patient. The stones were analyzed using histology, scanning electron microscopy, energy dispersive spectroscopy, and transmission electron microscopy (TEM). The first stone showed a three-layered structure with a poorly mineralized peripheral multilayered zone, highly mineralized middle layer, and the central nidus. The stones were composed of Ca, C, O, Cu, F, N, P, Si, Zn, and Zr. In TEM, compact bi-layered bacterial cell membrane was found on the peripheral layer and the central nidus of the stone as well as exosomes in the central nidus. The results demonstrated the essential components of sialolith formation, including bacteria, inflammatory exosomes, and exfoliated salivary epithelial cells that cooperatively underwent the pathogenetic progresses of central nidus formation, induction of compact zone calcification of the middle layer, and repeated subsequent deposition in the peripheral multilayer zone. The rapid recurrence could have resulted from residual pieces of a sialolith acting as the nidus of bacterial infection.

• 자원환경지질
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• 제30권3호
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• pp.197-207
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• 1997

Rocks in the Cheongsong mine area consist of Precambrian gneiss, Cretaceous sedimentry rocks and late Cretaceous quartz porphyry. The Cheongsong deposit is composed of many hydrothermal quartz veins of strikes $N30^{\circ}{\sim}60^{\circ}W$, dips $60{\sim}85^{\circ}E$ which fill WNW fault system. Pyrite and hematite occur within transparent quartz near margins of early stage II, and milky quartz of middle stage II coexists with sphalerite, chalcopyrite and galena coexisting with Cu-Pb-Bi minerals in center part of stage II quartz veins. Stage III calcite vein filled cracks or fractures of earlier quartz veins contains native copper and chalcopyrite. Supergene minerals are chalcocite, covellite, malanchite and chrysocolla. Alteration minerals are sericite, chlorite, argillite, epitode and pyrite. Ranges of salinities and homogenization temperatures for fluid inclusions in the individual periods of stage II are: 3.7 to 7.8 wt.% eq. NaCl and 200 to $380^{\circ}C$ in transparent quartz of early stage II; 0.7 to 6.4 wt.% eq. NaCl and 200 to $320^{\circ}C$ in milky quartz of middle stage II; 0.0 to 0.9 wt.% eq. NaCl and 250 to $320^{\circ}C$ in calcite of late stage II. Those of stage III calcite range about 0 wt.% eq. NaCl, and from 140 to $260^{\circ}C$, respectively. The relationship between salinities and temperatures shows decrease tendency with paragenetic time from stage II to III. The ${\delta}^{18}O_{H_2O}$ value is 0.5‰ in stage I, range from 0.5 to -0.4‰ in stage II, and from -3.2 to -3.7‰ in stage III. Calcite in the stage II and stage III has ${\delta}^{13}C$ values of -5.0‰ and -4.5 to -4.9‰, respectively. There is a decrease in sulfur fugacity values with paragenetic time of stage II, from $10^{-6.3}$ atm for early mineralization, to $10^{-6.5}$ atm for middle stage, to $10^{-8.0}$ atm for late mineralization of stage II. The results of stable isotope and fluid inclusion indicate that ore fluids reacted with meteoric water and wall rock in the Cheongsong hydrothermal system.