• Archives of Plastic Surgery
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• 제37권1호
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• pp.75-78
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• 2010

Purpose: Whereas oral ranula is relatively common and presents as a cyst in the mouth, the plunging ranula is rare and manifests itself as a mass in the neck with or without an associated oral lesion. The purpose of this study is to examine the clinical characteristics of rare bilateral plunging ranula arising from accessory submandibular gland in order to provide our experience for its correct diagnosis and treatment. Methods: A 13-year-old girl manifests as a slow growing painless, non-mobile swelling in the anterior neck. She underwent surgery via a cervical approach. A pseudocyst was extirpated and adjacent accessory gland tissue and related lymph node were removed. Results: The histologic appearance is characteristically of a cyst, devoiding of epithelium or endothelium, with a vascular fibro-connective tissue wall containing some chronic inflammatory cells and macrophage stuffed with mucin. Pathologic findings represented a form of myxomatous degeneration and lined by condensed connective tissue and granulation tissue. The nature of the accessory gland tissue was same as subligual gland. Although total submandibular or sublingual gland excision was not performed, no recurrence was observed during 6 months follow-up periods. Conclusion: Usually, unilateral plunging ranula develops commonly because of rupture of sublingual gland duct by trauma and extravasation of salivary secretion to the adjacent tissue. But our case developed because of bilateral congenital accessory submandibular gland. This is thought to be a result from a congenital failure of canalization of the terminal end of the duct. Finally, the correct diagnosis is essential for the most effective treatment, which is excision of the ranula and related accessory salivary gland. We performed excision of accessory submandibular gland and plunging ranula and had a good result without recurrence.

• Anatomy and Cell Biology
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• 제56권1호
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• pp.9-15
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• 2023

An accessory submandibular gland is a rare variation. As such, there is limited literature regarding the embryology, anatomy, variations, clinical imaging, and pathology of the accessory submandibular gland. In this article, we review the existing literature on the accessory submandibular gland from clinical and anatomical perspectives. The goal of this review is to provide comprehensive knowledge of this variation which can be useful for oral and maxillofacial/head and neck surgeons, radiologists, and anatomists. Within this review, the embryologic origin as well as the anatomy of the accessory submandibular gland is detailed. Several imaging modalities which can be used to visualize the accessory submandibular gland are outlined as well as its variations. Lastly, this review investigates several reported clinical considerations regarding the accessory submandibular gland including sialoliths, Wharton's duct obstruction, and pleomorphic adenoma.

• 한국패류학회지
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• 제27권3호
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• pp.253-259
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• 2011

Boring behaviour and drilling mechanism were investigated by visual observations. In this study, of two kinds of holes (the outer and inner holes) which are formed by drilling of boring gastropod Lunatia fortunei (Naticidae), the diameters of the outer holes are broader and larger than those of the inner holes, and their holes look like the crater in shape, as seen in all valves of bivalves bored by Naticidae species. Two kinds of glands (the accessory boring gland and accessory salivary gland) on the foots of boring gastropods have been investigated. Of them, it has been confirmed that only the accessory salivary glands on the foots secreted sulphuric (acidic) components in the mucus (secretion), while the accessory boring glands on the foots did not secrete their components. In this study, we confirmed that L. fortunei possess the accessory boring gland on the foot, as seen in most species in Naticidae. Accoeding to the results of the experiment of the blue litmus paper tests of the mucus (secretions) secreted from the accessory boring gland the color of the blue litmus paper did not turn red in color because chemical components of mucus (secretion) secreted from the accessory boring gland on the foot of L. fortunei (boring gastropod) were not acidic components. It is supposed that the mucus, which is secreted from the accessory boring gland, contained gelatin-like substances or enzymes without acidic components, as already reported in Naticidae species. Therefore, these substances may be involved in softening the surface of the valves of M. veneriformis. Consequently, it is assumed thar L. fortunei bores holes through the shells of molluscs by means of following 3 methods: (1) a softening of the calcareous shells of M. veneriformis with chemical secretions (including gellatin-like substances or enzyme except for acidic components) from the accessory boring glands, (2) mechanical rasping with the radula, (3) a combination of both. In this study, particularly, acidic components, which are involved in softening the surface of the shells, are not associated with the boring mechanism of L. fortunei because chemical acidic components were not detected in the mucus (secretion), as found in Naticidae species.

• 한국패류학회지
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• 제15권2호
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• pp.81-92
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• 1999

The histochemical, cytochemical, and immunocytochemical investigations were conducted to find out the cellulase activity in the accessory glands of the digestive system of the oriental land snail Nesiohelix samarangae under the LM, SEM, and TEM. The cellulase activity was shown in the epithelium of th digestive gland by labelling with the immunogold (protein-A gold) particles. The epithelial cells showing the cellulase activity were Type 1 and Type 3 cells out of five types of the epithelial cells of the digestive gland. None of epithelial cells of the mucus gland and the salivary gland and the salivary gland were not labeled with the immunogold particles.

• 대한두경부종양학회지
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• 제31권2호
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• pp.54-57
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• 2015

Angiosarcoma is a rare and highly malignant neoplasm which develops from the endothelium of blood vessels. A few cases of primary angiosarcoma of the parotid gland have been reported. However, there is no report of primary angiosarcoma of the accessory parotid gland. In this case, we report a primary angiosarcoma of the accessory parotid gland in a 45-year-old man with growing cheek mass. Ultrasonography revealed a $2.0{\times}2.6cm$ sized homogeneous hypoechoic mass and computed tomography showed a contrast enhanced homogeneous mass. Fine needle aspiration biopsy suggested a benign tumor. The mass was completely excised with a minimal vertical incision. The histopathology showed anastomosing vascular channels lined by atypical endothelial cells and many branching vessels with staghorn appearance with positive immunohistochemical staining for CD34, a highly specific endothelial marker. The patient underwent postoperative radiotherapy and was followed for 8 years without recurrence and metastasis.

• 대한두경부종양학회지
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• 제23권1호
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• pp.63-66
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• 2007

The differential diagnosis of lesions in buccal area include lipoma, neurofibromas, epidermoid cyst, salivary ducts calculus, hemangioma, lymphadenopathy. Accessory parotid glands is defined as salivary gland tissue adjacent to the parotid duct, but separated from the body of parotid and it may be found in approximately 20% of human parotid glands. The appearance of an accessory parotid tumor is rare, with a reported frequency of 7.7% of all parotid neoplasm. Angiomyoma, which is also termed angioleiomyoma, is a rare solitary subcutaneous tumors arising from the vascular smooth muscle. It often occur in the extremities and is rarely found in buccal area. We present 2 cases of rare tumor in buccal mass and resected surgically without facial nerve palsy.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제15권2호
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• pp.93-98
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• 1993

Pleomorphic adenoma is the most common of all salivary gland tumors, constituting over 50% of all cases of tumors of both major and minor salivary gland origin and approximately 90% of all benign salivary gland tumors. Of the major salivary glands, the parotid gland is the most common site of the pleomorphic adenoma. It may occur, however, in any of the major gland or in the widely distributed intraoral accessory salivary glands. The palatal glands are frequently the site of origin of tumors, and other parts of origins are as follows: upper and lower lip, buccal mucosa, tongue and occasionally other sites. The majority of the lesions are found in patients in the fourth to sixth decades, but they are also relatively common in young adults and have been known to occur in children. It is somewhat more frequent in women than men. The term "mixed tumor" has masquaeraded under a great variety of names throughout the years (e.g., enclavoma, branchioma, endothelioma, enchondroma), but the term "pleomorphic adenoma" suggested by Willis characterizes closely the unusual histologic pattern of the lesion. The accepted treatment for this tumor is surgical excision. The intraoral lesions can be treated somewhat more conservatively by extracapsular excision. In general, Lesions of the hard palate should be excised with the overlying mucosa, while those in lining mucosa, such as the lips, soft palate and buccal mucosa often can be treated successfully by enucleation or extracapsular excision. In our hospital, we experienced two patients who were identified pleomorphic adenoma which occurred at buccal mucosa, submandibular gland. The lesions were successfully treated by surgical excision.

• 대한두경부종양학회지
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• 제33권2호
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• pp.63-66
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• 2017

The tumor in accessory parotid gland (APG) is rarely occurred and its incidence is about 7.7% of all parotid gland neoplasms, but has a higher frequency of malignancy than major salivary glands. The mucoepidermoid carcinoma is the most common malignancy in APG, while B-cell lymphoma is less than 2%. It is often appeared as superficial mass in mid-cheek area. This lesion requires differential diagnosis with epidermoid cyst, lipoma, neurogenic tumors, Stensen's duct stone, lymphadenopathy and hemangioma etc. The mucosa associated lymphoid tissue (MALT) lymphoma, which is also termed extra-nodal marginal zone B-cell lymphoma tends to be localized disease for long time and has a relatively indolent course. We recently encountered a 69-year-old man with superficial solitary mass on the right cheek area that finally diagnosed as MALT lymphoma in APG. We report the rare and unique case with brief literature review.

• 한국어업기술학회:학술대회논문집
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• 한국어업기술학회 2000년도 춘계수산관련학회 공동학술대회발표요지집
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• pp.538-538
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• 2000

Histochemical, cytochemical, and immmunocytochemical investigations were conducted to find out the cellulase activities in the accessory glands of the digestive system in the oriental land snail Nesiohelix samarangae under the LM, SEM, and TEM. It was found that the Type 1 and Type 3 cells out of five types of the epithelial cells of the digestive gland were labeled with the immunogold(protein-A gold) particles. Otherwise, none of epithelial cells of the mucus gland and the salivary gland were not labeled with the immunogold particles.

• 한국응용곤충학회지
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• 제5_6권
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• pp.9-18
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• 1968

주로 microtechnique를 이용하여 몇몇 아과에 속하는 진딧물 7종의 구기와 구침삽입방법에 관한 형태학적 연구를 함으로써 식물 virus병의 매개충인 진딧물에 대한 기초적 연구자료를 얻고자 본실험을 하였다. (1) 일반적인 구기의 구조에는 각종간차이가 없었다. (2) Toxoptera citricidus와 Chaitophorus chinensis에서 특히 진딧물의 구기를 자세히 관찰할 수 있었다. (3) Toxoptera citricidus에서는 수액부선이 수액선보다 다소 컸다. (4) Lachnus tropicalis 에서는 표피와 피층에서 인포내를 더 많이 통했고 기타종(Chaitopherus chinensis Myzus persicae, Aphis craccivora, Toxoptera citricidus)에서는 주로 세포간을 통하여 올피부에 도달했다. (5) 삽입흔적은 Eriosoma clemalis$\cdot$Lachnus tropicalis$\cdot$Myzus persicae에서 뚜렷했고, Chaitophorus chinensis, Aphir craccivora Toxoptera citricidus 서는 불명했교 황갈-적갈색으로 염색되었다. (6) 수액은 식물조직내에서 세포간격에 분필되어 수액내 물질에 의해 세포가 파괴되어 세포간격이 넓어진다. (7) 구침에 의한 기공에 의하여 기주식물의 생리현상이 저해되며, 2차적으로 식물병원균의 침투를 :용역하게 할 것으로 생각된다.