• 제목/요약/키워드: Subtotal maxillectomy

검색결과 5건 처리시간 0.024초

요측전완과 이개전부 유리피판을 이용한 아전상악절제술과 비주결손의 동시 재건 (Simultaneous Reconstruction of a Subtotal Maxillectomy and Columella Deficit using Radial Forearm and Preauricular Free Flaps)

  • 윤태근;은석찬;조성우;이재서
    • 대한두경부종양학회지
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    • 제38권1호
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    • pp.53-57
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    • 2022
  • Reconstruction of subtotal maxillectomy defects with columella deficit is challenging. We report a unique case of facial reconstruction using a free radial forearm flap and a free preauricular flap for the maxillectomy and columella deficit. A 73-year-old woman was diagnosed with recurrent sebaceous carcinoma of the nose. We performed wide excision, including areas of the right cheek, nose, upper lip, maxilla, and columella. The resultant subtotal maxillectomy defect was reconstructed using a three-dimensional flap. First, a free radial forearm flap was transfered to resurface the nasal, oral, and external facial side. Second, a preauricular flap was positioned into the columella defect and anastomosed with the distal portion of the radial forearm flap pedicle. The two flaps survived, and the patient recovered uneventfully. We believe the radial forearm and preauricular double free flaps with the pedicle connection method were effective in reconstructing the present case of subtotal maxillectomy defect.

상악골 악성종양환자에서 상악동점막거상술과 피부이식술을 이용한 구강-상악동누공의 폐쇄 : 증례보고 (CLOSURE OF ORO-ANTRAL FISTULA USING SINUS LIFTING AND SKIN GRAFT IN MAXILLARY MALIGNANT CASES : CASE REPORT)

  • 김일규;강호식;최진호;류승현;오남식
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권1호
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    • pp.86-90
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    • 2002
  • Sinus lifting was introduced for prosthetic reconstruction in 1960 decades by Boyne and is specifically used for implant surgery in maxillary posterior region with insufficient bony height and has been indicated for reconstruction of oro- antral and palato-alveolar cleft. We report that subtotal maxillectomy using sinus lifting and skin graft in mild maxillary cancer cases results in good prevention of oro-antral and oro-nasal fistula by preserving intact maxillary sinus mucosa and improves better functional outcome after maxillectomy.

구개골에 발생한 악성 Peripheral Nerve Sheath Tumor의 증례보고 (MALIGNANT PERIPHERAL NERVE SHEATH TUMOR ON PALATE: A CASE REPORT)

  • 권민수;이현상;김현창;고승오;신효근
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권3호
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    • pp.228-233
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    • 2004
  • Summary: The malignant peripheral nerve sheath tumor(MPNST) is an aggressive neoplasm and can either arise independently or result from malignant change in preexisting neurofibromatosis (von Recklinghausen's disease). Its histologic characteristics remain controversial, but currently it is believed that the schwann cell is the origin of the peripheral nerve sheath tumors. MPNST is an uncommon neoplasm of the head and neck region, and its presentation in the oral cavity is quite rare. In this study, we report a patient with a rare case of a MPNST involving the maxilla. A case report: A 29-year-old female presented with a chief complaint of painless swelling with bleeding tendency on the left maxillary tuberosity area 2 months ago. Clinical examination showed a $5.0{\times}3.0cm^2$ sized, indurative swelling on the site. Conventional radiographs showed a relatively well-defined soft tissue mass involving the left maxillary sinus, and destruction of the anterior, posterolateral walls of the left maxillary sinus. Subtotal maxillectomy and split-thickness skin graft from thigh were undertaken. In histochemical and immunohistochemical studies, the specimen revealed positive reactivities to Vimentin and S-100 protein. Final diagnosis was made as MPNST.

상악동내 국균증과 편평상피세포암의 동시발생 증례: 조직학적 연구 및 문헌고찰 (Squamous cell carcinoma occurring with aspergillosis in the maxillary sinus: a case report and histological study)

  • 변준호;이정희;노규진;박봉욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권2호
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    • pp.125-127
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    • 2010
  • The coexistence of aspergillosis and squamous cell carcinoma (SCC) in the maxillary sinus was very rare. To our knowledge, this is the second report of coexistent SCC and aspergillosis in the maxillary sinus. A 58-year-old man underwent surgery for unilateral maxillary sinus infection with oroantral fistula. In the surgical specimen, SCC and aspergillosis were co-detected with routine and immunohistochemical stainings. Moreover, human papillomavirus 18 (HPV-18) was detected by polymerase chain reaction in the sinus specimen. The patient was re-operated with subtotal maxillectomy and has been followed up for two years without any evidence of recurrence or metastasis. Although it is not understood how aspergillosis could induce carcinoma formation, the chronic inflammation caused by prolonged fungal infection might be carcinogenic. Moreover, HPV-16 and -18 were another causative pathogens of SCC in the head and neck region. We recommend careful examination, including preoperative cytology, in patients with maxillary sinus fungal infections because of the potential for cancer development.

상악골에 발생한 화골성 섬유종의 증례보고 및 문헌고찰 (A CASE REPORT AND RIVIEW OF LITERATURE ON OSSIFYING FIBROMA IN MAXILLA)

  • 이상철;김여갑;류동목;윤옥병
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제11권2호
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    • pp.29-39
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    • 1989
  • 화골섬유종은 비교적 천천히 증식하는 종양으로 발견전 몇년간은 나타나지 않는다. 악골에서 화골섬유종의 잘 경계되어진 성질은 완전한 제거가 용이하여 이로인한 치료결과도 양호하다. 그러나 때때로 유년기 하악에서 이 종양의 골격적 양상을 볼 수 있다. 그러한 경우 종양의 침윤적인 성장 때문에 건강한 조직을 포함한 절제가 적용된다. 본 증례의 환자는 34세의 여성으로 약 두달전 우측 안모의 점진적인 팽윤을 인지하였으며 상악우측 구치부의 간헐적인 동통을 호소하였고 종물은 상악결절부위 및 우측 상악동의 전측방벽까지 팽윤되어 있었다. 방사선적 조사에서 우측 상악동의 후측방벽과 전방벽 그리고 우측 치조돌기와 경구개 까지의 파괴와 함께 다수의 치밀한 구형의 석회화물질을 함유한 종물이 관찰되었다. 종물은 최근의 빠른 침윤성 성장을 고려하여 부분적 상악골 절제술로 제거되었으며 6개월간 술후검사에서 환자는 특이한 술후 이상을 보이지 않았다.

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