• 제목/요약/키워드: mouth floor

검색결과 130건 처리시간 0.018초

설암 및 구강저암의 수술적 치료 (Surgical Treatment of Cancer of Tongue and Floor of Mouth)

  • 홍기환;양윤수
    • 대한기관식도과학회지
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    • 제3권2호
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    • pp.270-276
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    • 1997
  • The records of 18 patients with squamous cell carcinoma of the tongue and floor of mouth treated surgically were reviewed. Surgical approaches, staging, treatment modalities, recurrence and vital status were evaluated. The distrubutions of involved sites were tongue(9 cases) and mouth floor(9 cases). Patients were treated by surgery primarily, combined chemotherapy and radiation, and by surgical salvage in the failure cases of radiation and chemotherapy. All ipsilateral necks of mouth floor cancer and advanced tongue cancer were treated with neck dissection. Cases of early tongue cancer could be excised with transoral route, and advanced cases needed transmandibular approach. Whereas, majorites of mouth floor cancer needed transmandibular approach, and other cases could be excised transoral and pull-through approaches. In the recontructions, we used primary closure, pectoralis major myocutaneous flap, forearm free flap, fibular osteocutaneous flap and skin graft. One year survival rate was 93% and 2 year survival rate was 60%.

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구강저에 발생한 유피낭종 1예 (A Case of Epidermal Cyst in the Floor of Mouth)

  • 김남균;김동현;박용수;전은주
    • 대한기관식도과학회지
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    • 제16권1호
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    • pp.55-58
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    • 2010
  • Epidermal cyst in the floor of mouth is relatively rare disease. Patients usually present soft and non-tender mass at the midline of mouth floor. Careful history taking and imaging study are needed for the diagnosis and surgical excision is the choice of treatment. We report a case of huge epidermal cyst located in the floor of mouth mimicking plunging ranula, which was successfully removed by transoral surgical excision without any complication. It was diagnosed as an epidermal cyst by pathologic examination.

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구강내 부위별 편평 상피암종의 생존율에 관한 임상 연구 (A CLINICAL STUDY ON THE ANATOMICAL SITE SURVIVAL RATE IN INTRAORAL SQUAMOUS CELL CARCINOMA)

  • 김경욱;이태희
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제29권5호
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    • pp.315-322
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    • 2003
  • Background : Important factors to determine treatment method and prognosis of oral cancer are anatomical site, tumor size, metastatic lesion, histologic cell differenciation and microvascular invasion. Anatomical site has great effect to oral cancer patient's survival rate because each site's accessibility and lymph node metastasis is different but this factor was't studied much than other factors. Patients and Methods : 228 patients with squamous cell carcinoma of common primary sites(Mandible, Maxilla, Floor of Mouth and Tongue) in oral cavity who were diagnosed in the Korea Cancer Center Hospital from January 1989 to December 1999, were clinically studied and analyzed on survival rate. Results : 1. Survival rates of each anatomical sites were Tongue(36.8%), Mandible(33.3%), Maxilla(28.7%) and Floor of Mouth(24.5%). Survival rates difference between Tongue and Floor of Mouth has significance(p<0.05). 2. Survival rates for early cancer of each site were Maxilla(100%), Mandible(57.1%), Tongue(54.2%) and Floor of Mouth(46.7%). Survival rates difference between Maxilla and Floor of Mouth has significance(p<0.05). 3. Survival rates by surgery method of each site were Maxilla(60.6%), Tongue(56.9%), Mandible(44.8%) and Floor of Mouth(26.3%). Survival rates difference between Maxilla and Floor of Mouth has significance(p<0.05). 4. Survival rates by radiation or chemo method of each site were Floor of Mouth(23.5%), Mandible(20.0%), Maxilla(9.5%), and Tongue(9.1%). Survival rates difference between each site doesn't have significance(p>0.05). 5. In advance stage, Survival rates by single therapy of each site were Tongue(33.6%), Mandible(23.5%), Floor of Mouth(16.7%), Maxilla(0%), and Survival rates difference between Maxilla and Tongue has significance (p<0.05). Survival rates by combination therapy of each site were Mandible(38.1%), Maxilla(30.0%), Floor of mouth(18.2%), Tongue(12.5%), and Survival rates difference between Mandible and Tongue has significance(p<0.05). Conclusion : Survival rate of tongue is higher than the other sites, early detection of oral cancer can increase survival rate at any site and combination therapy is the most effetive method, especially at maxilla.

형광 투시법을 이용한 구강저에서의 피어싱 바의 제거: 증례보고 (REMOVAL OF A PIERCING BAR IN THE MOUTH FLOOR BY FLUOROSCOPY: REPORT OF A CASE)

  • 김재원;장지영;장헌수;차두원;백상흠
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권2호
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    • pp.196-199
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    • 2008
  • The piercing is increasing in western culture, and has also become gradually popular among Korean teenagers recently However, the accident hap-pens sometimes such as loss of a bar into the tongue or mouth floor during the procedure. Because of the rare cases, few treatment of choices can be made when a bar is lost inside the mouth floor. In this case, the bar was removed under fluoroscope, without giving significant damage to the adjacent structure. 18 years old female patient visited the emergency room in our hospital. She attempted to pierce her tongue herself and could not find the bar which was lost in the mouth floor. The radiographs revealed that the needle was somewhere inside the mouth floor, but if incision were to be made it would be too deep to find the bar. The bar was removed through fluoroscope easily. Primary closure was done by 5-0 Vicryl and stitch-off was done 1 week later. The patient didn't have any speech problems and complications.

구강저에 발생한 거대한 유피낭종 (Giant Dermoid Cyst in Mouth Floor)

  • 김철환;박성민;이철원
    • 대한치과의사협회지
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    • 제49권8호
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    • pp.472-477
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    • 2011
  • Dermoid cyst is a benign neoplasm, so called by teratoma that is derived from both ectoderm and mesoderm during embryonic period. The majority of dermoid cysts are found in the ovaries and approximately only 7% of dermoid cysts are found in the head and neck. The growth of dermoid cysts in the floor of the mouth is considered a rare condition. We report one case of huge dermoid cyst in the floor of mouth suffered with double chin appearance and difficulty in pronunciation and respiration. The cyst was excised successfully only intra-oral incision. Clinical progress was uneventful and postoperative recovery excellent without recurrence.

구강저에 발생한 지방종 1예 (Lipoma of the Floor of the Mouth: a Case Report)

  • 김동현;한승윤;이재훈
    • 대한두경부종양학회지
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    • 제35권1호
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    • pp.29-32
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    • 2019
  • Lipoma is one of the most common benign tumors in the human body. However, they are uncommon in the oral cavity. Oral lipomas can occur on the cheeks, tongue, lips, gums and rarely on the floor of the mouth. Clinical symptoms are usually asymptomatic yellow masses. Sometimes the tumor grows and can have difficulty speaking and mastication. The treatment of lipoma is surgical excision, and recurrence is rare. We present a case of oral lipoma in an unusal location on the floor of mouth which is rare in the literature.

구상암 환자에서의 갓세르 신경절 및 하악신경 차단 -증례 보고- (Gasserian Ganglion and Mandibular Nerve Block for the Patient with Mouth Floor Cancer -A case report-)

  • 문동언;박규호;서재현;김성년
    • The Korean Journal of Pain
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    • 제7권1호
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    • pp.92-95
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    • 1994
  • Most neoplasm of the floor of the mouth are squamous cell carcinoma. They originate from anterior midline floor of the mouth and penetrate into the sublingual gland. Invasion of the mandible is a late manifestation. Lymphatic spread is the submaxillary and subdigastric nodes and advanced lesions of them produce severe pain, The initial step in managing patients with cancer pain is the oncology therapy in the form of radiotherapy, surgery, or chemotherapy, alone or combined. When oncologic therapy is ineffective, the pain must be treated by systemic analgesic, psychologic, neurostimulating, regional analgesic,and meuroablative techniques. We successfully treated with gasserian ganglion block on the left side and mandibular nerve block on the right side with pure alcohol in the patient having severe submandibular, lower lip and tongue pain.

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구강저에 발생한 피부양낭종 (Dermoid Cyst of the Floor of Mouth)

  • 김광문;염주현;박한규;정영석
    • 대한두경부종양학회지
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    • 제6권1호
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    • pp.29-33
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    • 1990
  • Dermoid cyst of the floor of mouth is infrequent. This cyst has been classified as epidermoid, dermoid and teratoid cyst. Dermoid cyst is more common in young adults and no sex predilection and has generally been present for months to years before progressive enlargement causes interference with the mobility of the tongue and disturbance of articulation and mastication. The authors have recently experienced dermoid cyst of the floor of mouth which was confirmed histopathologically.

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구강저에 발생한 유표피 낭종 : 증례보고 (DERMOID CYST ON THE FLOOR OF THE MOUTH : A CASE REPORT)

  • 량샨샨;추연규;김진수;이상한;변기정
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제31권6호
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    • pp.531-534
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    • 2009
  • Dermoid cysts located in the floor of the mouth are very rare developmental keratinizing squamous epithelium lined cysts. Anatomically, they are classified as sublingual (median genioglossal), submental (median geniohyoid) and lateral dermoid cysts, and they can be further classified as epidermoid, dermoid, and teratoid cysts by histology. We report a case of sublingual dermoid cyst in a 16-year-old boy presenting as a large sublingual swelling causing speech and swallowing difficulties and discuss the surgical treatment techniques and histopathological features of this lesion.

설하부에 발생한 류피양종의 치험보고 (A CASE PEPORT OF A DERMOID CYST IN THE FLOOR OF THE MOUTH)

  • 변용성
    • 대한치과의사협회지
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    • 제9권10호
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    • pp.607-609
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    • 1971
  • The author has diagnosed and treated the dermold cyst patient in the 41 years old korean man. The dermold cyst in the floor of the mouth had various sign and symptom such as elevated tongue, disturbance of speech and swallowing, and etc. The cyst wall of dermoid cyst was enucleated by using of direct enucleation of cyst wall and primary suture technique. The mass of the enucleated dermoid cyst was 5×5.5×6 Cm.in size.

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