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Schwannoma of Tongue : A Case Report and Review (혀에 발생한 신경초종 1예 및 고찰)

  • Lee, Won-Il;Kim, Hong-Jun;Seo, Young-Joon;Roh, Kyung-Jin;Choi, Eun-Chang;Hong, Hyun-Jun
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.2
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    • pp.228-231
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    • 2010
  • Schwannoma is a relatively uncommon, slow-growing benign tumor that is derived apparently from the Schwann cell. Tongue originated schwannomas are exceedingly rare within 1% and therefore often are not immediately included in the differential diagnosis and oral cavity tumors. In the current study, authors report a case of a schwannoma located at the tongue of a 49 years old patient treated by complete surgical excision. The patient is under clinical control, with no signs of recurrence even after 6 months.

Life-threatening airway obstruction after flapless implant placement in the anterior mandible

  • Kim, Jin-Hong;Park, Hee-Keun;Kim, Moon-Key;Kang, Sang-Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.5
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    • pp.310-313
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    • 2012
  • This paper reports a patient who had an airway obstruction caused by a hemorrhage of the mouth floor that occurred after she underwent flapless implantation in the region of the mandibular anterior teeth. The hemorrhage may have been caused by iatrogenic malpositioned fixture and patient's hypertension. The lingual periosteum was not dissected during the flapless procedure. Therefore, when hemorrhage occurred, the blood did not drain easily into the oral cavity but instead drained into the deep neck region, which might have been the cause of the airway obstruction.

Temporomandibular joint involvement in malignant otitis externa: a case report (측두하악관절을 침범한 악성 외이도염의 치험례)

  • Byun, In-Young;Kim, Jin-Hong;Kang, Sang-Hoon;Kim, Moon-Key
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.6
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    • pp.535-538
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    • 2011
  • Malignant otitis externa (MOE) originates as inflammation of the epidermis in the external auditory canal, and spreads to the surrounding structures and neck, leading to abscess formation. MOE is associated with an immunosuppressive condition and diabetes. Patients with MOE suffer from otalgia, otorrhea and hearing loss. According to the literature, surgery to the temporomandibular joint is controversial as the treatment of choice.

Ureteral Washing Cytology of Localized Ureteral Amyloidosis - A Case Report- (요관 세척 세포학적 검사로 진단된 요관 아밀로이드증 - 1 예 보고 -)

  • Lee, Won-Ae;Kie, Jeong-Hae;Jeen, Yoon-Mi;Lee, Mi-Kyung
    • The Korean Journal of Cytopathology
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    • v.13 no.1
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    • pp.38-41
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    • 2002
  • Localized amyloidosis of the ureter is rare and clinically confused with neoplasm. We describe a case of localized amyloidosis of the ureter in which the presence of amyloid was detected in ureteral washing cytology. A 75-year-old female presented with gross hematuria. Abdominal CT and retrograde pyelography revealed hydronephrosis and hydroureter on the left side with abrupt narrowing of the distal ureter. Ureteral washing cytology yielded a hypocellular smear with many irregular clumps of amorphous, extracellar, waxy material. Biopsy sections demonstrated submucosal deposits of eosinophilic amorphous material which gave characteristic apple green birefringence with Congo-red stain under the polarized light. Familarity with the cytologic features of amyloid is helpful for preoperative diagnosis and proper treatment.

A Case of Hypopharyngeal Liposarcoma (하인두에 발생한 지방육종 1예)

  • Yang Hae-Dong;Kim Hyun-Jik;Kim Sung-Huhn;Lee Won-Ae
    • Korean Journal of Head & Neck Oncology
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    • v.19 no.1
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    • pp.71-74
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    • 2003
  • Liposarcoma is one of the most common malignancies originating from human soft tissue. Because most of liposarcoma occur in the lower extremities or retroperitoneum, there are few reports about liposarcoma of head and neck region, including larynx and pharynx. Histologically, there are four types of liposarcoma, and prognosis and recurrence rate are different according to histologic subtype. Wide excision is the treatment of choice and liposarcoma hardly respond to primary radiotherapy. A 56-year-old man presented with voice change and foreign body sensation in laryngopharynx. Hypopharyngeal liposarcoma was diagnosed by surgical biopsy and performed totallaryngopharyngoesophagectomy and gastric pull-up. Here we report our experience on this case with review of literature.

Quality Control for SPECT Instrumentation

  • Shinohara, Hiroyuki;Yamamoto, Tomoaki;Kuniyasu, Yoshio;Takahashi, Munehiro;Yokoi, Takashi
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 1999.11a
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    • pp.45-48
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    • 1999
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Effect of Gastric Filling on the Images of Hepatic Scintigraphy (위의 충만유무에 의한 간신티그램영상의 변화)

  • Lee, J.S.;Choi, M.S.;Sung, C.M.;Lee, J.Y.;Lee, K.H.;Sohn, I.
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.2
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    • pp.189-193
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    • 1989
  • To observe the effect of gastric filling on the images of hepatic scintigraphy, we performed hepatic scintigraphy using $^{99m}Tc-tin$ colloid in twenty patients both in the fasting state and after meal, and made the visual comparison of both images. We found that gastric filling could cause some of the following changes in individual patients. 1) In the anterior view, the distance between the liver and the spleen increased and the interlobar notch of the inferior hepatic border was obliterated. The spleen was displaced downwards, its radioactivity in the upper medial part was reduced, and its upper pole was laterally displaced. 2) In the posterior view, the left lobe of the liver was separated from the spleen and the distance between the liver and the spleen increased. 3) In the right lateral view, the notch separating the right and the left lobes of the liver was well demarcated. 4) In the left lateral view, the spleen was separated from the liver and the distance between the liver and the spleen increased. The shape of the spleen was also changed. In case of the follow-up study, above changes should make one consider the possibility of the effect of gastric filling.

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Two Cases of Pulmonary Infection due to A. xylosoxidans Infection in an Immunocompentent Patient (면역저하가 없는 환자에서 Alcaligenes xylosoxidans 에 의한 호흡기계 감염 2예)

  • Lee, Ju Hyun;Nam, Dong Hyuk;Kim, Do Hyun;Kim, Sun Hye;Kim, Ha Na;Han, Chang Hun;Lee, Sun Min;Kim, Chong Ju
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.1
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    • pp.33-38
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    • 2008
  • Alcaligenes xylosoxidans is a catalase and oxidase positive, motile, nonfermentative and gram-negative rod bacterium. A. xylosoxidans infection is a rare cause of pulmonary infection and little information concerning treatment is available. The majority of patients that develop A. xylosoxidans infection belong to a high-risk group due to an immunocompromised condition or due to pulmonary cystic fibrosis. We report two rare cases of immunocompentent patients that developed a pulmonary infection due to A. xylosoxidans. A 77-year-old man was admitted with a lung abscess. The patient denied having any prior medical illness. A culture of bronchial washing fluid showed the presence of A. xylosoxidans. Despite appropriate antibiotic treatment, the patient died from acute respiratory distress syndrome (ARDS). Another patient, a 61-year-old man without an underlying disease, was admitted with empyema. Under the condition of a closed thoracostomy, a high fever persisted and the empyema was also aggravated. A. xylosoxidans was detected from a culture of pleural fluid. Susceptible antibiotic treatment was provided and surgical intervention was performed. We report these cases with a review of the literature.

A CLINICAL STUDY ON MANDIBULAR FRACTURE (하악골 골절의 임상적 연구)

  • Jang, Hyun-Seok;You, Jun-Young;Kim, Yong-Kwan;Yang, Byeong-Eun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.2
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    • pp.181-189
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    • 1997
  • The mandible plays a crucial role in the vital human functions of breathing, eating, and speaking. No other bone in the body has such a distinctive shape and function. Because of its prominence in the facial structure, the mandible is highly prone to fracture. A clinical study on 122 patients with mandibular fracture who visited Kangnam General Hospital during 4 year(1992-1995) was done by analysing sex, age, cause, fracture site, teeth involvement, treatment method, complication and involvement of other body part. The results obtained were as follows : 1. The occurrence was more frequent in male than in female with the ratio of 5.4 : 1 and most frequently in twenties. 2. Violence was the most common cause of facial mandibular fracture. 3. In mandibular fracure, fracture site was average 1.5 sites, most frequently in symphysis and simple fracture was 86.1%. 4. As treatment methods, open reduction(78.6%) was used more frequently than closed reduction(21.4%). 5. Post-operational complication occurred in 27.0% of the cases. 6. Other injuries that were related to maxillofacial fracture occurred in 25.4%.

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A Case of Posterior Hypopharyngeal Wall Cancer Reconstructed with Longus Colli Flap and Skin Graft after Failure of Radial Forearm Free Flap (요골측 전박유리 피판 실패 후 경장근 피판과 피부이식으로 재건한 하인두후벽암 1례)

  • Yang Hae-Dong;Chung Sang-Ho;Kwon Oh-Hwi;Hong Won-Pyo
    • Korean Journal of Head & Neck Oncology
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    • v.17 no.2
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    • pp.216-220
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    • 2001
  • There are many approaches in surgery of posterior hypopharyngeal wall cancer according to location, extent, and invasion depth of primary cancer. And many reconstruction methods have been used in reconstruction of surgical defect remaining after wide resection of primary cancer. Posterior hypopharyngeal wall cancer is relatively rare, so its surgical experiences are fewer than those of pyriform sinus cancer and there have been few reports of surgical approaches and reconstruction methods of posterior hypopharyngeal wall cancer. Recently, we experienced a case of posterior hypopharyngeal wall cancer reconstructed with longus colli flap and skin graft after failure of radial forearm free flap in a 72-year -old man and report it with the review of the literatures.

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