• Title/Summary/Keyword: Floor of mouth

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Adenoid cystic carcinoma presenting as an ulcer on the floor of the mouth: a rare case report

  • Khan, Saba;Agwani, Khalid;Bhargava, Puneet;Kumar, Sreeja P.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.5
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    • pp.253-257
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    • 2014
  • Adenoid cystic carcinoma is a rare epithelial tumour, and comprises about 1% of all malignant tumours of the oral and maxillofacial region. It is a malignant tumour which may develop in the trachea, bronchus, lungs or mammary glands, in addition to the head and neck region. Occurrences in the head and neck are mostly detected in the major salivary gland, oral cavity, pharynx and paranasal sinus where it presents as a slow growing firm nodular swelling. The aim of the article is to highlight the unique presentation of adenoid cystic carcinoma as a solitary ulcer on the floor of the mouth.

Two Cases of Epidermal Cyst in Submental Area (턱 밑에 발생한 표피낭종 2예)

  • Park, Kyoung Ho;Park, Joong Hyun;Park, Anna;Yoo, Young Sam;Kim, Hyun Joung
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.2
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    • pp.87-89
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    • 2014
  • Epidermal cysts in mouth floor are rare. There could be confusions in diagnosis due to location and low incidence. For diagnosis, imaging study and cytology are necessary. The treatment of choice is complete excision intraorally or externally and the recurrence is rare. Some authors prefer sclerotherapy, but the follow up is necessary for malignant change. We report two cases of epidermoid cyst in submental area excised externally with literature review.

A SOLITARY NEUROFIBROMA OF THE FLOOR OF MOUTH (구강저에 발생한 단독형 신경섬유종)

  • Kim, Yong-Kack;Chung, Boong-Hee;Yu, Hyeon-Seok;Kwak, Jae-Keun;Kim, Kyu-Yeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.3
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    • pp.81-86
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    • 1990
  • Benign neural sheath neoplasms are not common in the maxillofacial region. These lesions can occur as solitary tumors, or they can affect many sites in the form of multiple neurofibromatosis. A solitary neurofibroma is seldom undergo sarcomatous transformation, since solitary neurofibroma is relatively radioresistant and its recurrence rate seems to be low, the treatment of choice is surgical excision. This case showed a solitary neurofibroma in the left side of the floor of mouth which occurred in a 33 - year -old female. The tumor was excised. And there is no evidence of disease. She is satisfied in function and esthetic aspect.

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Reconstrution with Nasolabial Flap Following Excision of Epidermoid Carcinoma of Mouth Floor (비순 피부편을 이용한 구강저 재건 치험 1례)

  • Kim Kwang-Moon;Chung Young-Suk;Jang Mi-Sook
    • Korean Journal of Head & Neck Oncology
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    • v.7 no.2
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    • pp.99-103
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    • 1991
  • The nasolabial flap is a well-known one for regional repairs. When the inferior-based nasolabial flap was used, the beard area was avoided, and subcutaneous flap pedicle versatility was increased. The inferiorly-based nasolabial flap with a subcutaneous pedicle was useful in the primary repair of surgical defects of the floor of mouth. maxillary alveolus, palate. and tonsillar area in selected patients.

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Adenoid cystic carcinoma of the sublingual gland: A case report

  • Song, Ji-Young
    • Imaging Science in Dentistry
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    • v.46 no.4
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    • pp.291-296
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    • 2016
  • Adenoid cystic carcinoma (ACC) of the sublingual gland is an extremely rare neoplasm. The clinicopathological characteristics of ACC are slow-growing swelling with or without ulceration, perineural spread, local recurrence, and distant metastasis. This report describes a 58-year-old male who had a slowly growing swelling without ulceration on the right side of the mouth floor that had been present for 1 month. In a radiological examination, the mass showed multilocular cystic features and no bony or tongue muscle invasion. No enlarged cervical lymph nodes were detected. Excisional biopsy and histological analysis showed that the lesion was ACC. In addition to reporting a rare case of ACC, this report also discusses the differential diagnosis and treatment of ACC with a review of the relevant literature.

Sequential Management of Pierre Robin Sequence: Case Report (상기도 폐쇄를 보이는 Pierre Robin Sequence 환아의 순차적 치료: 증례보고)

  • Kim, Bae-Kyung;Kwon, Yong-Dae;Ryu, Sun-Youl;Choi, Yong-Ha;Ohe, Joo-Young;Suh, Joon-Ho;Ko, Su-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.3
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    • pp.270-275
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    • 2011
  • Pierre Robin Sequence (PRS) is known as an anomaly consisting of respiratory obstruction with glossoptosis, micrognathia and cleft palate in a newborn. The etiology of PRS is not known, but several factors may be involved simultaneously. Mortality rate of PRS is about 5~30% and the treatment method is divided into both conventional treatments and surgical interventions. If the respiratory obstruction is not resolved by the conventional method, surgical treatment, such as subperiosteal release of the floor of the mouth, tongue-lip adhesion, tracheostomy, distraction osteogenesis may be needed. This study reports a case of PRS in a newborn male at 20 days, with dyspnea and feeding difficulties. Clinical examination showed micrognathia with glossoptosis and cleft palate as the typical PRS triad. We tried surgical intervention with subperiosteal release of the floor of the mouth and tongue-lip adhesion and surgery was successful. At $19^{th}$ months, we also repaired the incomplete cleft palate successfully using 2-Flap palatoplasty.

Sequential treatment from mandibulectomy to reconstruction on mandibular oral cancer - Case review II: mandibular anterior and the floor of the mouth lesion of basaloid squamous cell carcinoma and clear cell odontogenic carcinoma

  • Yang, Jae-Young;Hwang, Dae-Seok;Kim, Uk-Kyu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.3
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    • pp.216-223
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    • 2021
  • Preoperative patient analysis for oral cancer involves multiple considerations that are based on multiple factors; these include TNM stages, histopathologic findings, and adjacent anatomical structures. Once the decision is made to excise the lesion, the margin of dissection and its extent should be considered along with the best form of reconstruction and airway management. Treatment methods include surgical resection, radiotherapy, and chemotherapy. Although the combined method of treatment is controversial, surgical resection is considered predominantly, and immediate reconstruction after surgical resection follows. The choice of treatment is dictated by the anticipated functional and esthetic results of treatment and also by the availability of a surgeon with the required expertise. Segmental mandibulectomy with primary reconstruction has been shown to have advantages in both functional and esthetic results. A 52-year-old male patient with basaloid squamous cell carcinoma of the floor of the mouth, and the anterior portion of the mandible was treated with surgical procedures that included segmental mandibulectomy with both supraomohyoid neck dissection (SOHND) at Levels I-III and mandible reconstruction with a left fibula free flap. A 55-year-old male patient with clear cell odontogenic carcinoma of the oral cavity underwent segmental mandibulectomy with both SOHND at Levels I-III and mandible reconstruction with a left fibula free flap. The purpose of this study was to review the anatomic and functional results of patients after immediate reconstruction with a fibula free flap following resection of carcinoma in the anterior portion of the mandible and floor of the mouth.

Ancient Schwannoma Misdiagnosed as a Hemangioma in the Ventral Tongue

  • Lee, Sun Jae;Kim, Yongsoo;Leem, Dae Ho;Baek, Jin A;Shin, Hyo Keun;Ko, Seung O
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.402-407
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    • 2013
  • Schwannomas originate from the Schwann cells in the neural sheath of the peripheral nerves. Ancient schwannoma is one of five variants, and its characteristics include histopathological degeneration and diffuse hypocellular areas. Histopathological features show degenerative changes and atypical nuclei can easily be confused with malignant neoplasms. These cellular atypisms are caused solely by degenerative changes. Ancient schwannomas have been reported 17 cases of in the oral cavity and five cases in the ventral tongue, including the floor of the mouth. We report a new case of an ancient schwannoma, misdiagnosed as a hemangioma with a 10-year evolution, located in the ventral tongue of a 29-year-old female.

MORPHOLOGY AND TOPOGRAPHY OF THE LINGUAL NERVE IN KOREANS (한국인 혀신경의 형태 및 국소해부)

  • Kim, Sun-Yong;Lee, Eui-Wung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.2
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    • pp.118-128
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    • 2001
  • Two major salivary glands, submandibular duct, lingual nerve, and vessels are situated beneath the mouth floor. Among these, passing through the pterygomandibular space, lingual nerve is innervated to the lingual gingiva and the mucosa of mouth floor, and is responsible for the general sensation of the anterior two thirds of the tongue. So, the injury of the lingual nerve during an anesthesia or surgery in the retromolar area may cause complications such as a numbness, a loss of taste of the tongue and the other dysfunctions. Therefore, to find out the morphology and the course of lingual nerve and to clarify the topographical relationships of lingual nerve at the infratemporal fossa and paralingual space area, 32 Korean hemi-sectioned heads were dissected macroscopically and microscopically with a viewpoint of clinical aspect in this study. This study demonstrated various anatomical characteristics with relation to the course and topography of the lingual nerve in Koreans. And clinical significances based on the anatomical variations through the topography of the courses and communications between the mandibular nerve branches were described in details.

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