• 대한치과의사협회지
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• 제9권10호
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• pp.593-599
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• 1971

• 대한소아치과학회지
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• 제26권2호
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• pp.350-364
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• 1999

본 연구는 출생 후 성장과정에 있는 흰쥐의 턱밑샘과 혀밑샘에서 비만세포와 신경의 분포양상을 알아보고 이들이 침샘의 성장 및 분화에 관여하는지를 규명하고자 수행되었다. 비만세포는 출생 후 턱밑샘과 혀밑샘에서 모두 관찰되었으며 성장에 따라서 증가되는 양상을 보였으나 8주 이후에는 세포밀도가 변화하지 않았다. 출생시 턱밑샘보다는 혀밑샘에서 더 많은 수의 비만세포가 존재하였고 2주와 4주에서는 대부분의 비만세포가 신경혈관요소의 주변 결합조직에서 분포하였으나 일부는 선포와 근접하여 분포하고 있었다. Protein gene product 9.5 (PGP 9.5)에 면역 반응을 보이는 신경섬유들은 출생 후 모든 시기의 선조직에서 관찰되었으며, 꾸불꾸불한 형태로써 주로 도관과 혈관 주변에 분포하고 있었다. 면역 반응을 나타내는 신경섬유는 출생 후부터 8주까지는 급격히 증가하였으나 그 이후에는 거의 변화가 없었다. 2주에 신경섬유는 선포주변에서 급격히 증가하였으나 4주와 8주에는 분화하는 도관주변에서 특히 증가하였다. 이후부터 24주까지는 도관주변에 신경섬유가 감소하는 것 이외에는 변화가 거의 없었다. 본 연구결과 출생 후 성장기의 흰쥐의 턱밑샘과 혀밑샘에서 비만세포의 분포변화와 PGP 9.5에 면역반응을 나타내는 신경섬유가 처음으로 확인되었으며, 비만세포와 신경섬유는 선포의 분화 및 성숙, 그리고 도관구조의 분화와 밀접한 관계가 있음을 알 수 있었다. 따라서 비만세포와 신경은 출생 후성장기의 턱밑샘과 혀밑샘에서 상호작용을 통하여 서로의 분화를 유도하고 촉진시킴으로서 선포와 도관의 성장과 분화에 영향을 줄 것으로 사료된다.Streptomyces exfoliatus에서 생성되는 배양 상청액내의 mutanase 가 인공치태 형성에 억제 작용이 있다는 것을 확인할 수 있었다.구에 사용될 수 있는 새로운 연구 방법을 제시한 점에 있다. 결 론: 본 실험 결과 전신방사선조사시, 조직등가 고체팬텀과 산란판 사이의 간격이 $50{\sim}60cm$일 때 표면선량을 처방선량에 가장 근접하게 조사할 수 있다는 것을 확인 할 수 있었다. 산란판과 환자와의 거리를 $50{\sim}60cm$에 위치시켜 표면선량의 over dose나 under dose의 발생 방지를 위한 주의가 반드시 필요하겠다.군의 전단결합강도가 가장 낮았다.본에서 III군에 비해 크기가 큰 기포가 더욱 많이 관찰되었다.e의 약동학은 cimetidine에 의해 유의한 차이를 보였으며 CYP1A2유전자형에 따른 영향은 관찰할 수 없었다. CYP1A2유전자형에 따른 생체내 대사능을 관찰하는 실험이 향후 이루어 져야 할 것으로 사료된다.san film보다 큰 수증기 투과도를 보였다.적으로 유의한 차이를 보이지 않았다.y tissue layer thinning은 3 군모두에서 관찰되었고 항암 3 일군이 가장 심하게 나타났다. 이상의 실험결과를 보면 술전 항암제투여가 초기에 시행한 경우에는 조직의 치유에 초기 5 일정도까지는 영향을 미치나 7 일이 지나면 정상범주로 회복함을 알수 있었고 실험결과 항암제 투여후 3 일째 피판 형성한 군에서 피판치유가 늦어진 것으로 관찰되어 인체에서 항암 투여후 수술시기는 인체면역계가 회복하는 시기를 3주이상 경과후 적어도 4주째

• 대한핵의학회지
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• 제39권6호
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• pp.489-490
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• 2005

Purpose: The thyroglossal duct runs from the base of the tongue to the thyroid. Rarely the thyroid completely fails to migrate and results in ectopic thyroid tissue, which can be demonstrated scintigraphically. A 31-year old female patient was referred for thyroid scintigraphy due to protruding mass at the base of the tongue. She was mildly hypothyroid. Te-99m pertechnetate thyroid scan was performed to rule out ectopic thyroid gland. There showed a focal area of intense tracer uptake in sublingual area, suggesting the sublingual thyroid. In addition there noted diffusely increased tracer uptake in both breasts. The patient delivered a baby 6 months prior to the scan and was on breast-feeding. Free Tc-99m pertechnetate physiologically secrets into the salivary glands, the stomach, the gastrointestinal tract, the genitourinary tract and the mammary glands and sodium-iodide symporter plays a role in the accumulation of free Tc-99m pertechnetate. We report simultaneous visualization of lactating breasts and ectopic thyroid gland in the base of the tongue.

• 대한치과의사협회지
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• 제14권3호
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• pp.245-248
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• 1976

A pleomorphic adenomas (so-called mixed tumors) predominantly localize in the salivary glands. of the mixed tumors affecting the major sailvary glands. 90% ocur in the parotid gland, about 9% occur in the submaxillary gland, and 1% occur in the sublingual gland. The sites of origin of tumors of the inor salivary glands, in order of frequency, are the palate, lip, tongue, cheek, anf floor of the mouth. In the case of reported here a tremendous large pleomorphic adenima (weighting 580gm, measuring 18X7cm) occuerd in the submaxilly gland which had been growing for about 20 years.

• Clinical and Experimental Pediatrics
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• 제55권6호
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• pp.215-218
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• 2012

Mucoceles are common benign cystic lesions of the oral cavity that develop following extravasation or retention of mucous material from the major or minor salivary glands. Mucoceles are usually located in the lower lip (60 to 70% of cases), and the floor of the mouth is only involved in 6 to 15% of cases. Submandibular gland mucocele is extremely rare but should be considered in the differential diagnosis of swelling at the submandibular triangle in young children. We present the rare case of a 16-month-old child who was diagnosed with bilateral submandibular gland mucocele, presenting as serial swellings in both submandibular regions. We removed the cystic mass with the submandibular and sublingual glands to prevent recurrence.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제27권1호
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• pp.93-96
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• 2005

Sialolithiasis is the most common disease caused by calculi in a salivary gland and its duct. The pain and swelling of salivary gland is a chief complaint of patients presenting. Most salivary gland calculi occur in the submandibular gland, but can also occur in the parotid gland and the sublingual gland. One giant sialolith is rarely reported, while the several cases of one or multiple sialolith in the submandibular gland have reported in the literatures. In this case, we have removed the sialolith in which perforated mouth floor along Wharton's duct and report it.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권4호
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• pp.232-236
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• 2022

A ranula is a pseudocyst that originates from the sublingual gland after trauma. Acute cases of ranulas that progress rapidly and cause respiratory distress are rare. Holoprosencephaly is a complex brain malformation caused by incomplete cleavage of the prosencephalon. Children with holoprosencephaly may experience upper airway obstruction due to the associated dentoalveolar malformations and oromotor dysfunctions. We present the case of an eight-year-old female patient with holoprosencephaly and a plunging ranula that manifested as an acute course due to difficult airway management. She required gastrostomy for oromotor dysfunctions related to feeding and swallowing and difficulty managing oral secretions. The sublingual gland and ranula were removed under general anesthesia. Postoperatively, urgent reintubation and close monitoring in the intensive care unit were required due to upper airway obstruction. We successfully managed the patient with close cooperation of a pediatrician and an anesthetist, and no recurrence was observed at the one-year follow-up. A ranula can be caused by trauma to the floor of the mouth in association with lingually inclined mandibular teeth, a type of dentoalveolar compensation seen in maxillary hypoplasia associated with holoprosencephaly. Careful consideration is needed in such cases since airway management can be difficult due to postoperative swelling and oromotor dysfunctions.

• Imaging Science in Dentistry
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• 제43권1호
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• pp.55-58
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• 2013

A ranula is a bluish, transparent, and thin-walled swelling in the floor of the mouth. They originate from the extravasation and subsequent accumulation of saliva from the sublingual gland. Ranulas are usually limited to the sublingual space but they sometimes extend to the submandibular space and parapharyngeal space, which is defined as a plunging ranula. A 21-year-old woman presented with a complaint of a large swelling in the left submandibular region. On contrast-enhanced CT images, it dissected across the midline, and extended to the parapharyngeal space posteriorly and to the submandibular space inferiorly. Several septa and a fluid-fluid level within the lesion were also demonstrated. We diagnosed this lesion as a ranula rather than cystic hygroma due to the location of its center and its sublingual tail sign. As plunging ranula and cystic hygroma are managed with different surgical approaches, it is important to differentiate them radiologically.

• 대한두경부종양학회지
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• 제1권1호
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• pp.21-34
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• 1985

The authors reviewed 114 cases of malignant major and minor salivary gland tumors at Presbyterian Medical Center seen from February, 1963 to December, 1983. The results were obtained as follows; 1) Overall male and female sex ratio was 2:1. The peak age of patients with major and minor salivary gland tumor were both 5 th decade. 2) The ratio of benign and malignant tumor was 83:114. The incidence of malignancy in each group was 52% in parotid (50 patients), 75% in minor salivary gland (45 patients), 49% in submaxillary gland(18 patients) and 25% in sublingual gland (1 patient). 3) The incidence according to the anatomic primary site for minor salivary cancers was 10 cases in the nasal cavity, each 8 in the palate and the maxillary antrum, 7 in the tongue, 5 in the gum, 3 in the larynx and 2 in the buccal mucosa. 4) Adenoid cystic carcinoma was the most common cancer of minor salivary gland and malignant mixed tumor was the most common in major salivary glands, each comprising 34 cases (76%) of minor and 19 cases (28%) of major salivary gland tumors. 5) The incidence of cervical lymph node metastasis was 50% in the submaxillary gland cancers, 44% in the parotid gland cancers and 21% in malignant tumors of minor salivary glands. The highest incidence of lymph node metastasis according to histopathological classification was formed in high grade of mucoepidermoid (67%). 6) Nerve invasion was common in mucoepidermoid carcinoma. According to anatomic site, nerve invasion occurred most often in adenoid cystic carcinoma of the submaxillary gland (44%). 7) The lung was the commonest site for distant metastasis comprising 12 cases among 26 cases in which distant spread occurred. 8) The recurrence rate was 50% for major salivary gland cancer and 52% in cancer of the minor salivary gland. In accordance with pathological classification, adenocarcinoma most frequently recurred after excision. This being seen in 88% of patients undergoing definitive therapy. 9) The determinate 5 year survival rate was 78% in major salivary gland tumors, but 69% in minor salivary gland tumors.

• Imaging Science in Dentistry
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• 제48권3호
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• pp.161-165
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• 2018

Purpose: To evaluate the usefulness of shear wave elastography in the diagnosis of oral and maxillofacial diseases. Materials and Methods: Ten patients with oral and maxillofacial diseases and 28 volunteers drawn from our student doctors were examined by shear wave elastography with a 14-MHz linear transducer using an Aplio 300 apparatus (Canon Medical Systems, Otawara, Japan). A statistical analysis of the shear elastic modulus(kPa) of healthy tissue (the sublingual gland, submandibular gland, anterior belly of the digastric muscle, and geniohyoid muscle) in the 28 volunteers was performed using 1-way repeated measures analysis of variance with the Tukey honest significant difference test. The maximum shear elastic modulus(kPa) of 8 patients with squamous cell carcinoma (SCC) and 2 patients with benign lesions was evaluated with the Mann-Whitney U test. The analysis used a 5% significance level. Results: The mean shear elastic modulus of the sublingual gland ($9.4{\pm}3.7kPa$) was lower than that of the geniohyoid muscle ($19.2{\pm}9.2kPa$, P=.000) and the anterior belly of the digastric muscle ($15.3{\pm}6.1kPa$, P=.004). The maximum shear elastic modulus of the SCCs($109.6{\pm}14.4kPa$) was higher than that of the benign lesions($46.4{\pm}26.8kPa$, P=.044). Conclusion: Our results demonstrated the usefulness of shear wave elastography in the diagnosis of oral and maxillofacial diseases. Shear wave elastography has the potential to be an effective technique for the objective and quantitative diagnosis of oral and maxillofacial diseases.