• Title/Summary/Keyword: Surgery, Oral

Search Result 5,555, Processing Time 0.114 seconds

A CASE REPORT OF UNCONTROLLED INFECTION IN POSTOPERATIVE PATIENT (술후 감염조절이 어려웠던 환자의 증례보고)

  • Kim, Soo-Min;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan;Seo, Jae-Hoon;Park, In-Soon;Park, In-Soo;Kim, Young-Uk
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.19 no.1
    • /
    • pp.87-92
    • /
    • 1997
  • Treatment of infected mandibular fracture is confronted with various difficult problem, e.g. nosocomial wound infection, non-union of fracture, osteomyelitis. Recently, nosocomial infection has become a major health problem because of excessive morbidity, personal distress, and cost. Frequently, isolated causative microorganisms of nosocomial infection were staphylococcus aureus, pseudomonas aeruginosa, klebsiella species. The various manifestation of the disease related to the pathogenesis and the clinical course tend to give a bad prognosis after operation. This is a report of case that post-operative infected mandibular fracture in 53-year-old man was not healed even through aggressive I & D and antibiotic treatment.

  • PDF

CLINICAL STUDY ON MALIGNANT MELANOMA IN ORAL CAVITY (구강내 악성흑색종에 대한 임상연구)

  • Kim, Uk-Kyu;Heo, Jin-Ho;Hwang, Dae-Seok;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Jong-Ryoul;Chung, In-Kyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.34 no.6
    • /
    • pp.611-615
    • /
    • 2008
  • The prognosis of oral malignant melanoma is poor compared with cutaneous melanoma. It may be related to the difficulty of wide enough resection, the early hematogenous matastases, higher stage at initial diagnosis, and tendency to growth vertically. In the view of histological differences between oral mucosa and skin, it is impossible use Clark's and Breslow's classifications for prognosis. The great problem is that there is still no consensus on the treatment due to rarity. Because data collection from case reports is considered to be the best source of information and should be pooled to analyze key determinants of outcome, We analysed 6 cases of primary malignant melanoma of the oral cavity which were diagnosed and treated in Pusan National University Hospital on recent 7 years and reviewed the literatures. Immunohistochemical study on S 100 Protein, GP 100 (HMB-45) with biopsy was usable to confirm the melanoma. Three patients who were treated by surgery, chemotherapy are alive, but a patients who couldn't received benefit care surgically due to poor condition was died of distant metastasis, and two patients who refused to surgery are still alive. Neck dissection including wide excision is recommended if lymph node involvement is suspected. Additionally, adjuvant chemotherapy could be considered as supporting therapy for malignant melanoma.

A LIPOMA OF THE MOUTH FLOOR : A CASE REPORT (구강저에 발생한 지방종의 치험례)

  • Suh, Dong-Won;Kim, Jae-Young;Cho, Seong-Woong;Kim, Dong-Hyung;Sim, Jae-Hwan;Kim, Sang-Jung;Kang, Ji-Yeon;Lee, Dong-Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.35 no.1
    • /
    • pp.41-44
    • /
    • 2009
  • Lipoma is most common tumor that compromises 4% to 5% of all benign neoplasm, but in oral cavity it is uncommon. In oral cavity, lipoma presents painless, asymptomatic, slow growing, but sometimes it grows to larger size causing deformities, mastication and speech difficulties. While lipoma in commonly affects female patients (68-73%), oral lipoma appears more frequently in male patients. The majority of oral lipoma is seen after the age of forty (uncommon in children). Lipoma of oral cavity and maxillofacial region occurs most commonly in the parotid region, followed by the buccal mucosa, lip, tongue, palate, mouth floor, gingiva in order. A treatment of lesion is surgical excision with recurrence not expected. In this paper we present the case of a patient who has Lipoma in the mouth floor.

TREATMENT OF UNICYSTIC AMELOBLASTOMA BY INTRAORAL APPROACH AFTER MARSUPIALIZATION ; A CASE REPORT (조대술 후 구강내 접근술을 통한 거대 법랑모세포종의 치험례 : 증례보고)

  • Kim, Dong-Hyung;Cho, Sung-Woong;Seo, Dong-Won;Kang, Ji-Yeon;Sim, Jae-Hwan;Lee, Dong-Keun;Kim, Sang-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.34 no.2
    • /
    • pp.216-219
    • /
    • 2008
  • Ameloblastoma is the most frequently accuring odontogenic tumor in mouth. The biologic behavior of this neoplasm is locally invasive tumor with a high rate of recurrence. But in case of unicystic ameloblastoma, it was known that the neoplasm can be treated by marsupialization and the recurrence rate is lower. In our clinic, we tried to treat one of ameloblastoma cases by marsupialization and finished the treatment by enucleation via intra-oral approach with sagittal ramus osteotomy. This is a report of that case about 29 years old female patient.