• Title/Summary/Keyword: Head resection

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One Case of Laser Microsurgery Management in Severe Laryngomalacia

  • Byun, Kwang Hyun;Lee, Sang Joon;Chung, Phil-Sang;Woo, Seung Hoon
    • Medical Lasers
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    • v.10 no.4
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    • pp.238-241
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    • 2021
  • Laryngomalacia is the most common laryngeal malformation that occurs mainly in newborns and children. Symptoms include inspiratory high pitched wheezing, dyspnea, and cyanosis. In most cases, symptoms aggravate until eight months and gradually disappear without any treatment as the patient grows older, but surgical treatment is required in severe cases. The surgical treatment options include epiglottoplasty, supraglottoplasty, aryepiglottoplasty, tracheostomy, and many others performing a resection of excessive mucosa in the larynx. Unlike conventional surgeries, the authors recently treated a case of a two-month-old infant with severe laryngomalacia using a CO2 laser. After performing CO2 laser surgery twice, the patient was cured without complications.

A Case of Mandibulectomy with Partial Preservation of Mandible in Mucoepidermoid Carcinoma Invading Mandible (하악골을 침범한 점액표피양 암종에서 하악 일부를 보전한 변형적 하악 절제술 치험 1예)

  • Hwang Joon-Sik;Lim Young-Chang;Kim Jin-Hwan;Park Il-Suk;Rho Young-Su
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.2
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    • pp.223-226
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    • 2002
  • The segmental mandibulectomy should be performed, if mandiblie invasion is suspected clinically and radiologically. And if tumor is located to mandible very closely or when microinvasion to mandible is suspected, marginal mandibulectomy is recommended. But in segmental mandibulectomy, reconstruction is difficult and cosmetic problem remains. In this case, we performed modified segmental resection of mandible, preserving the inferior margin of mandible, and maintains the continuity of the bone, in mucoepidermoid carcinoma of parapharynx, invading mandible. We reviewed the diagnosis, pathology, and treatment, and report the case with reviews of literature.

Synchronous Primary Cancer in Hypopharyngeal Cancer (하인두암에 병발한 동시성 암종)

  • Hur Kyung-Hoe;Lee Sung-Hoon;Jung Kwang-Yoon;Choi Jong-Ouck
    • Korean Journal of Head & Neck Oncology
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    • v.11 no.2
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    • pp.173-177
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    • 1995
  • Multiple primary malignant neoplasms occur relatively frequently today and are important especially in the head and neck area for they usually carry a bad prognosis. Detection of a synchronous primary tumor at the time of initial work-up is crucial both for management and final outcome. The first case was a T1 hypopharyngeal cancer with a mid-esophageal second primary who complained of a huge neck node. The second case was a T3 hypopharyngeal cancer who was initially seen by the chest surgeons for a large lower esophageal tumor. The third case was a patient previously operated for stomach adenocarcinoma three years ago, who had newly developed symptoms like dysphagia and hoarseness, and was diagnosed as hypopharyngeal T3 with oropharyngeal second primary cancer. Three cases were all heavy smokers and had histories of heavy alcohol consumption. They were all treated at the same sitting by en-block resection of the involved organs and postoperative radiation therapy. The authors have recently experienced 3 cases of synchronous second primary cancers in association with hypopharyngeal cancer and a report is made.

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Immediate Facial Reanimation Surgery Following Tumor Resection after Iatrogenic Complete Facial Nerve Palsy (종양 절개생검 이후에 발생한 의인성 완전안면신경마비에서 즉각적인 안면신경마비 재건술에 대한 증례 1예)

  • Kim, Jong-Sei;Cho, Jae Keun;Jeong, Han-Sin;Son, Young-Ik;Baek, Chung-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.87-92
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    • 2013
  • Complete facial nerve palsy is emotionally and physiologically devastating condition. Management of patients with the facial nerve palsy poses significant challenges to achieve the goal of returning patients to their premorbid state. We experienced a case of iatrogenic facial nerve palsy in a 66 year-old patient, who was diagnosed as facial nerve schwannoma with previous incisional biopsy. The author describes the management of this patient and reviews the literature.

Case Report: Intraoperative Management Using Inferior Based Rotation Flap of Sternocleidomastoid Muscle for Chyle Fistula (흉쇄유돌근의 회전피판을 이용한 수술 중 발생한 유미루의 치료 1예)

  • Kim, Seo Bin;Lee, Hyoung Shin;Lee, Kang Dae;Kim, Sung Won
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.2
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    • pp.79-83
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    • 2016
  • Chyle fistula is one of the complications of neck dissections. Although immediate surgical repair seems to be the best choice when chyle leakage is observed during the operation, some operators can be embarrassed when chyle leakage is heavy and not controlled during surgery. In this case, chyle leakage was occurred after extensive resection of lymph nodes in left level IV, and was not controlled in any way. The clavicular head of sternocleidomastoid muscle was dissected and inferior-based muscular flap was rotated to cover the suspected region of fistula orifice. Amount of drainage was checked less than 20 ml per day in the following days, and drain tube was taken out on the 3rd postoperative days. We present the technique using the inferior based sternocleidomastoid muscle flap for intraoperative management of chyle leakage not easily controlled.

A Case of Oncocytic Carcinoma Arising in the Submandibular Gland (악하선에 발생한 호산성 세포암종 1예)

  • Shin, Seung-Kuk;Lee, Young-Ok;Lee, Byung-Joo;Lim, Yun-Sung
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.55 no.3
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    • pp.173-176
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    • 2012
  • Oncocytic neoplasm of the head and neck region accounts for approximately 1% of all salivary gland tumors, but only 5% of oncocytic neoplasm is malignant. Oncocytic carcinoma arising in the submandibular gland is exceedingly rare. We encountered a sixty seven-year-old male patient who presented with multiple mass in the right neck. Fine needle aspiration biopsy revealed a salivary gland tumor of predominantly oncocytic form, and a differential diagnosis included oncocytic adenoma or mucoepidermoid carcinoma. A right submandibular gland resection and modified radical neck dissection were performed. Histologically, the tumor cells showed nuclear pleomorphism, and stromal invasion, which were compatible with oncocytic carcinoma. After surgery, the entire neck region was irradiated. Seventeen months after the initial surgery, multiple metastases to the bone and lung were detected from the incidental pathologic bone fracture of the right humerus; palliative chemotherapy was performed to resolve this. We report a case of oncocytic carcinoma in the submandibular gland with a review of literature.

A Rare Case of Clear Cell Carcinoma of the Tongue Base: A Case Report (혀 기저부에 발생한 투명세포암종 1예)

  • Hong Jin Kim;Ye Hwan Lee;HwaEun Oh;Kyung Ho Oh;Soon Young Kwon
    • Korean Journal of Head & Neck Oncology
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    • v.40 no.1
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    • pp.15-17
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    • 2024
  • Clear cell carcinoma is a rare variant of salivary gland carcinoma, and its occurrence in the tongue base is even rarer. We present a case of a 55-year-old female patient with clear cell carcinoma of the tongue base. The patient initially presented with a 3-month history of palpable tongue mass, leading to her visit to the otolaryngology outpatient clinic. The patient underwent a complete resection of the tumor under general anesthesia. Postoperative follow-up imaging studies showed no evidence of recurrence. This case report highlights the diagnostic and management challenges associated with clear cell carcinoma of tongue base and demonstrates that a high index of suspicion is required to diagnose clear cell caricnoma, given its rarity and overlapping features with other clear cell neoplasms.

Follicular Thyroid Carcinoma Associated with Macroscopic Vascular Invaion and Intraluminal Tumor Thrombosis in Great Cervical Veins : Two Case Reports (경부의 주정맥 침범과 암성 혈전을 보인 여포상 갑상선암 2예)

  • Lim Jun-Sup;Lee Jan-Dee;Yun Ji-Sup;Lim Chi-Young;Nam Kee-Hyun;Chang Hang-Seok;Chung Woong-Youn;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.1
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    • pp.58-61
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    • 2006
  • Differentiated thyroid carcinomas are rarely associated with macroscopic vascular invasion and intraluminal tumor thrombus in great cervical veins. The best treatment for such cases appears to be a total thyroidectomy with en-block resection of the involved vessels, followed by postoperative radioiodine therapy(RI). We report two cases of follicular thyroid carcinoma with vascular invasion and intraluminal tumor thrombosis in great cervical veins that were successfully treated using complete surgical resection and postoperative RI.

A Case of Tracheal Reconstruction with Sternohyoid Muscle Flap in Papillary Thyroid Carcinoma Invading Trachea (기관을 침범한 유두상 갑상선 암 환자에서 흉설골근을 통한 기관재건술 1예)

  • Wu, Hee Won;Kim, Yeon Soo;Shin, YooSeob;Kim, Chul-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.2
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    • pp.115-118
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    • 2014
  • Papillary thyroid carcinoma is known as its relatively high cure rate after surgical treatment. But invasion of the trachea by thyroid carcinoma is poor prognostic factor and the best management is en bloc surgical resection of the tumor invading the trachea. A 55-year-old man was diagnosed as papillary thyroid cancer with tracheal invasion. We treated the patient by total thyroidectomy with window resection of invading trachea followed by immediate reconstruction with sternohyoid muscle flap and tracheostomy. At 48 days after surgery, tracheostoma was closed and the patient had no functional complication by the surgical process. Until 10 months after surgery, there was no sign of recurrence and the patient led social life without any discomfort. We present this case with a review of the related literatures.

Aesthetic Reconstruction of Facial Skin after Resection of Facial Tumor (미용외과적 측면에서 본 안면부 종양 제거후 재건술에 대한 임상적 고찰)

  • Ahn J.Y.;Shin K.S.;Lee Y.H.
    • Korean Journal of Head & Neck Oncology
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    • v.4 no.1
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    • pp.21-28
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    • 1988
  • Skin replacement in large cheek defects after excision of benign or malignant tumor on the face is a challenging task. The physical characteristics of cheek skin are matched best by adjacent skin. Various methods of reconstructing of the facial surface such as forehead flap, distant flap, or a full thickness or split thickness skin graft have replaced adjacent tissue for coverage in many cases. We have reviewed ten cases of aesthetic reconstruction of the face after resection of the facial skin tumor within the last 5 years. The first group of 3 patients were reconstructed with split thickness skin graft from the scalp or lower abdomen. The second group of patients were reconstructed with cheek flap. The third group of 3 patients were reconstructed with cervicofacial flap. The last 2 patients were reconstructed with nasolabial flap & island falp respectively. The advantages from our experience with various method of coverage are its hidden donor area & good color match with the facial skin & increased success rate.

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