• Title/Summary/Keyword: Oral lesion

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The Effect of Tomographic Angles on the Osteophytic Lesion Detectability of the Mandibular Condyle (단층촬영 각도의 변화가 하악과두의 골 증식성 병소의 인식에 미치는 영향)

  • Han Sang-Sun;Kim Kee-Deog
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.1
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    • pp.309-325
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    • 1999
  • Purpose: To find out the effects that different tomographic angles have on the osteophytic lesion detectability of condyle head by comparison the individualized lateral tomographic image with the various tomographic angled images using SCANORA/sup (R)/. Materials & Methods: This study is performed to simulate osteophytic lesions by a series of dentin chips placed at six locations on condyle head. The control angle is 15° and from this angle. tomographic angle were varied with -10°, +10°, +20°. All the images with each sized dentin chip were scored by three dental radiologists with the use of confidence levels for presence or absence of the lesion, each examiner viewed one of the images twice. A rating scale from 0 to 2 (0, lesion definitely not present; 1. uncertain if lesion is present; 2, lesion definitely present). Responses were assessed by Tukey' s multiple comparison method and kappa value. Results: 1. The lesion size of 0.3 mm could not be detected in all the tomographic angles. As the size of the lesion increased the average value of lesion detectability also increased. 2. In the lesion sizes of 0.7 mm there was statistically significant difference between the 15° control angle and the altered tomographic angles (p<0.05). In 1.0 mm lesion there was no significant difference in the ±10° altered angles (p >0.05). but there was significant difference in the altered angle (p<0.05). In the lesion sizes of 0.3 mm and 2.0 mm there was no significant difference between the 15° control angle and all the altered angles (p >0.05). 3. In the anteromedial. anterosuperior, anterolateral area there was no significant difference between the 15° control angle and the ±10° altered angle (p >0.05), but in the comparison with the +20° altered angle there was significant difference (p<0.05). Conclusion: When imaging the lateral tomography of the temporomandibular joint used by SCANORA/sup (R)/, it can be considered that in the osteophytic lesion size of 2 mm and above, the tomographic angle difference within +20° to the horizontal angle of the condyle. has little effect on the lesion detectability. And in the lesion size of 1 mm, the altered angle within ±10° also has little effect on the lesion detectability.

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Oral tuberculosis - a brief review - (임상가를 위한 특집 1 - 구강 결핵 감염 - a brief review -)

  • Ryu, Mi-Heon
    • The Journal of the Korean dental association
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    • v.48 no.5
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    • pp.350-354
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    • 2010
  • Tuberculosis has re-emerged as serious infectious diseases, and oral tuberculosis, though uncommon, can be seen in both the primary and secondary tuberculosis. The aim of the present review is to describe the pathogenesis of tuberculosis and the characteristics of oral tuberculosis. The oral tuberculosis lesion may present as a diagnostic challenge for the clinician. In particular, the risk of tuberculosis transmission in dental practises is potentially increasing, the dentists and dental providers must exercise strict tuberculosis prevention.

Three types of ossifying fibroma: A report of 4 cases with an analysis of CBCT features

  • Jih, Myeong Kwan;Kim, Jin Soo
    • Imaging Science in Dentistry
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    • v.50 no.1
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    • pp.65-71
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    • 2020
  • Ossifying fibroma is a slow-growing benign neoplasm that occurs most often in the jaws, especially the mandible. The tumor is composed of bone that develops within fibrous connective tissue. Some ossifying fibromas consist of cementum-like calcifications, while others contain only bony material; however, a mixture of these calcification types is commonly seen in a single lesion. Of the craniofacial bones, the mandible is the most commonly involved site, with the lesion typically inferior to the premolars and molars. Ossifying fibroma of the jaw shows a female predominance. Some reports of ossifying fibroma have been published in the literature; however, this report continues the research on this topic by detailing 3 types of ossifying fibroma findings on panoramic radiographs and cone-beam computed tomographic images of 4 patients. The radiographs of the presented cases could help clinicians understand the variations in the radiographic appearance of this lesion.

ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA : A CASE REPORT (호산구 증가중을 동반한 ANGIOLYMPHOID HYPERPLASIA의 증례보고)

  • Kim, Young-Kyun;Yeo, Hwan-Ho;Lee, Cheol-Woo;Yang, In-Seok;Cho, Se-In;Cho, Jae-O
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.1
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    • pp.27-34
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    • 1993
  • Angiolymphoid hyperplasia with eosinophilia is an unusual and controversial lesion that occurs primarily in the head and neck area. This lesion was usually confused with Kimura's disease. We present the case of a 32-year-old woman with massive soft movable mass in left facial area which was diagnosed preoperatively as a fasciitis nodular. The final histologic diagnosis of the excised mass was angiolymphoid hyperplasia with eosinophilia(ALHE).

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TRAUMATIC FALSE ANEURYSM OF THE LINGUAL ARTERY - A CASE REPORT- (설동맥에 발생한 외상성 위동맥류)

  • Min, Gyung-In;Lee, Ju-Hyun;Seo, Kyung-Suk;Kim, Chul-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.6
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    • pp.551-555
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    • 2001
  • False aneurysms(Pseudoaneurysms) and arteriovenous fistulas have only rarely been reported in the facial region. In this region the false aneurysm arises most frequently in the superficial temporal and facial artery, but other branches of the external carotid are sometimes involved, including the maxillary and lingual artery. False aneurysms can be occurred by blunt trauma that either laceration or rupture the full thickness of the arterial wall. The diagnosis of a false arterial aneurysm can be often made solely on the basis of physical examination. Angiography is helpful for conformation, for delineating the lesion and its vascular supply, and for ruling out the presence of associated vascular lesions such as arteriovenous fistulas. Ultrasonography may also be useful in delineating lesions that are not easily accessible for physical examination. Treatment of false aneurysms is excision, ligation, and arterial embolization. This is a case of false aneurysm of the lingual artery after facial trauma caused by traffic accident. The lesion was successfully treated by embolization and ligation of the lingual and facial branches of the external carotid artery.

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Lymphocytoma cutis: diagnostic enigma for the maxillofacial surgeon

  • Kale, Tejraj P.;Singh, Arjun Gurmeet;Shah, Pushpak
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.6
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    • pp.379-382
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    • 2016
  • Cutaneous lymphoid hyperplasia (CLH) is a cutaneous pseudolymphoma with a worldwide distribution, equally affecting all races and ethnic groups. Due to its vast array of characteristics, it is most often missed in the differential diagnosis of firm to soft lumps on the head and neck. A systematic approach to the workup and diagnosis along with treatment of such lesions is discussed in this article. A 20-year-old Asian Indian female presented to our Oral and Maxillofacial unit with a lump on the left side of her forehead for 1 month. Local examination revealed a $2.5{\times}3.0cm^2$, well circumscribed swelling over the left para median region that was firm to doughy and non-tender. There was no other significant finding on general examination. Excisional biopsy of the lesion was performed, followed by histopathologic processing. The general etiology, pathogenesis, clinical presentation, differential diagnosis, clinical course, prognosis, treatment, and prevention have been discussed in line with the recent modalities of diagnosis and treatment of CLH. Due to the overlapping clinical and histological characteristics of CLH with many other lesions, it is important to consider this lesion in the differential diagnosis of cutaneous lesions.

Draft genome sequence of Prevotella intermedia KCOM 1107 isolated from a human subgingival dental plaque of gingivitis lesion (사람 치은염 병소의 치은연하치면세균막에서 분리된 Prevotella intermedia KCOM 1107의 유전체 염기서열 해독)

  • Park, Soon-Nang;Lim, Yun Kyong;Shin, Ja Young;Roh, Hanseong;Kook, Joong-Ki
    • Korean Journal of Microbiology
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    • v.53 no.3
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    • pp.222-224
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    • 2017
  • Prevotella intermedia is a Gram-negative, obligately anaerobic, nonsporeforming, and nonmotile rod. P. intermedia is associated with periodontitis, pregnancy gingivitis, acute necrotic ulcerative gingivitis, endodontic infection, and rheumatoid arthritis. P. intermedia KCOM 1107 (= ChDC KB29) was isolated from a human subgingival dental plaque of gingivitis lesion. Here, we present the draft genome sequence of P. intermedia KCOM 1107.

Complete genome sequence of Streptococcus mitis KCOM 1350 isolated from a human mandibular osteomyelitis lesion (사람 하악 골수염 병소에서 분리된 Streptococcus mitis KCOM 1350의 유전체 염기서열 해독)

  • Park, Soon-Nang;Lim, Yun Kyong;Shin, Ja Young;Roh, Hanseong;Kook, Joong-Ki
    • Korean Journal of Microbiology
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    • v.53 no.3
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    • pp.225-226
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    • 2017
  • Streptococcus mitis is a Gram-positive, facultative anaerobic, alpha-hemolytic, and nonmotile cocci. S. mitis is a viridans streptococci and a normal commensal of throat, nasopharynx, and mouse and is associated with infective endocarditis, septicemia, and meningitis. S. mitis KCOM 1350 (= ChDC B183) was isolated from a human mandibular osteomyelitis lesion. Here, we present the complete genome sequence of S. mitis KCOM 1350.

TREATMENT OF PLEOMORPHIC ADENOMA ON PALATE A CASE REPORT (구개부에 발생한 다형성선종의 치험례)

  • Lee, Chang-Jin;Kim, Tae-Youl;Kim, Hyo-Eon;Kim, Hee-Kwang;Jeon, In-Seong;Yoon, Kyu-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.233-237
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    • 2000
  • Pleomorphic adenoma is the most common of all salivary gland tumors, constituting over 50 per cent of all cases of tumors, and approximately 90 per cent of all benign salivary gland tumors. Since the term mixed tumor' was introduced by Broca for its dual origin of epithelial and mesenchymal elements, the term plemorphic adenoma suggested by Willis characterizes closely the unusual histologic pattern of the lesion. The parotid gland is the most common site but it may occur in any of the salivary glands. It is somewhat more frequent in women and in the fourth to sixth decades, but they are also relatively common in young adult and have been known to occur in children. Treatment of choice is surgical excision. Adequate surgery with safe margin reduce its recurrence rate. We represent a case of pleomorphic adenoma with literature review in 65-year old male occured in the palate. The lesion was successfully treated by surgical excision.

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Low-grade myxofibrosarcoma in the mandible: a case report (하악에 발생한 저등급의 점액섬유육종: 증례보고)

  • Park, Ji-Hoon;Choi, So-Young;Kwon, Tae-Geon;Kim, Chin-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.1
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    • pp.67-71
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    • 2011
  • Myxofibrosarcoma, also known as a myxoid variant of a malignant fibrous histiocytoma (MFH), is one of the most common sarcomas in the extremities of elderly people. The lesion is characterized by a high frequency of local recurrence but is uncommon in the head and neck regions. Low-grade myxofibrosarcoma, which is commonly misinterpreted as being benign, has a tendency for histological and biological progression in local recurrences, highlighting the importance of an accurate diagnosis and wide surgical excision of the primary lesion. We report a rare case of low-grade myxofibrosarcoma of the mandible located in the left mandibular body and angle area. The tumor was first diagnosed as a myxofibroma and was resected initially. After the final biopsy the patient underwent combined chemo-radiotherapy. The progress of the patent was uneventful until the one year follow up.