• Title/Summary/Keyword: Extirpation

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Basal Cell Adenoma of the Parotid Gland (이하선에 발생한 기저세포선종)

  • Choi Il-Sup;Park Cheong-Soo;Kim Choon-Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.3 no.1
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    • pp.91-96
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    • 1987
  • The basal cell adenoma of the parotid gland is rare benign disease, first described and adequately documented as a distinctive tumor from benigh mixed tumors(pleomorphic adenoma) by Kleinsasser and Klein in 1967. This tumors is an isomorphic epithelial tumor of salivery gland, characteristic of absence of myoepithelial cells which are present in pleomorphic adenoma and other salivery gland tumors. Clinicopathologically the tumors is very difficult to differentiate with pleomorphic adenoma or adenoid cystic carcinoma. The prognosis is excellent by complete extirpation of the tumor. The present report presents two cases of basal cell adenoma of the parotid gland seen in 63 year old man and 71 year old man in one-year period at Department of Surgery, Yonsei University, College of Medicine.

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An Inflammatory Myofibroblastic Tumor that Originated from the Posterior Mediastinum (후종격동에서 발생한 염증성 근섬유모세포종)

  • Song, Dong-Seop;Kim, Ji-Hoon;Chung, Won-Sang
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.145-148
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    • 2008
  • An inflammatory myofibroblastic tumor (IMT) is a rare disease and can occur in nearly every site of the body. The usual intrathoracic sites where an IMT has been recorded are the lung and bronchus. An IMT originating from the mediastinum has been rarely reported. A patient with a posterior mediastinal mass that was noticed incidentally on a chest X ray underwent mass extirpation. The pathologic diagnosis was an inflammatory myofibroblastic tumor. The tumor was positive for tuberculosis as determined by PCR. Tuberculosis can be thought to be the causative factor of the IMT in this case.

Surgical Approach to the Oral Cavity and Oropharyngeal Cancer; Visor Flap Approach (구강 및 구인두암의 수술적 접근방법 ; 면갑피판(Visor Flap)의 임상적 평가)

  • Choi Eun-Chang;Choi Yoon-Suk;Kim Dong-Young
    • Korean Journal of Head & Neck Oncology
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    • v.15 no.2
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    • pp.226-231
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    • 1999
  • Objectives: Visor flap is one of the useful surgical approach to the oral cavity cancer, but the report on its specific indications, advantages and disadvantages is lacking. Material and Methods: Seven patients treated with visor flap for oral cavity and oropharyngeal cancer were reviewed. Result: Visor flap provided excellent visual field to anterior oral cavity without splitting the lip and chin skin. Postoperative cosmesis was satisfactory. One complication associating with this flap was salivary leak through gingivo-labial and gingivo-buccal suture which was successfully repaired. Conclusion: Visor flap is an excellent approach on extirpation of the oral cavity and oropharyngeal cancer in case of combining with segmental mandibulectomy. Especially it was useful for the approach to the anterior floor of the mouth and oral tongue lesion. But, it has no actual advantage over the other approaches in cases without mandibulectomy.

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CYSTIC HYGROMA ON RETROMANDIBULAR AREA - A CASE REPORT - (우측 후하악부에 발생한 낭포성 활액종의 치험례)

  • Lee, Seung-Hun;Choi, So-Young;Kim, Jin-Wook;Byeon, Ki-Jeong;Kim, Chin-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.4
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    • pp.261-265
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    • 2009
  • Cystic hygroma, a cystic subtype of lymphangioma, is relatively rare tumor of lymphatic origin. The lesion is a benign, painless, soft, compressible malformation of the lymphatic system. They can arise anywhere along the lymphatic system, however they are usually located in the head and neck regions and in most cases appear by the age of 2 years. The cases in the adult is rarely occurred and a few cases are described in the literature. Surgical excision remains the treatment of choice. But complete extirpation of these lesion is often impossible, because the tumor tends to spread along vital structures. Therefore recurrence rates are accordingly high. This is a case report about 19 year old male patient with cystic hygro a on right retromandibular area. We obtained the successful, functional and esthetic result by surgical excision of the mass. Therefore, we report the case with a review of literatures.

RECONSTRUCTION OF LOWER EYELID DEFECT ; REPORT OF A CASE (하안검 전충결손의 재건의 치험례)

  • Oh, Choong-Won;Yeo, Hwan-Ho;Lee, Chul-Woo;Yang, In-Seok;Shin, Kang-Soo;Park, Cheung-Yeoul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.3
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    • pp.201-206
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    • 1992
  • The eyelids perform many complex functions and are esthetically important, since eye is focal point of face. Tumor extirpation or trauma can lead to full-thickness eyelid defect, which Should be reconstructed as soon as possible There are a number of operation methods for lower lid reconstruction, and among them, Hughes procedure is a time-honored method. Its advantages are good cosmetic result and conjunctival repair by using eyelid structures to rebuild eyelid structures. However, this is a two-staged procedure in which the vision of the affected eye is obstructed during the interval between the operations. We experienced a case of trauma-induced full-thickness lower lid defect extending over one-third of lid length treated by Hughes method. The cosmetic and functional result was good and there was no donor site morbidity, and now we report this case with review of literatures.

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FREE SKIN GRAFTING WITH FIBRIN ABHESIVE - CLINICAL AND HISTOPATHOLOGIC REVIEWS - (조직 접착제를 이용한 유리 피부 이식술 - 임상적, 조직병리학적 고찰 -)

  • Min, Seung-Ki;Jin, Kook-Beum;Kang, Moon-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.1
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    • pp.81-88
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    • 1999
  • A fibrin adhesive have been widely used in oral and maxillofacial surgery for microvascular anastomosis, autogenous chip bone grafts, many kinds of soft tissue surgery (vestibuloplasty, bleeding control after extraction, primary healing by covering of suture of a gum after the extirpation of large cysts). There are two principal components in adhesive systems biologically: lyophilized human fibrinogen and bovine thrombin. The fibrinogen component contains coagulation factor XIII and enhance the initial wound healing, which polymerizes soluble fibrin monomers into an insoluble clot. The thrombin is dissolved in a solution of calcium chloride to provide the second component. We applied fibrin adhesive, Beriplast (Behring, Behringwerke AG, D-3350, Marburg, FRD), to 4 patients for fixation of free skin grafting donors who had facial scar around eye, nose, mouth corner which received from accidents, or burn. We have experienced initial accelerated graft fixation between donor and recipient sites with no additional fixation. And It's made easy bleeding control and easy manipulation during operation. But two cases showed partial hypertrophic scar engrowth in above 3 months follow up, but no significant. Histopathological reviews in general were showed similar scar findings such as abundant collagen bundles in H&E, M/T stain, but slight positive signs in elastic and collagen antibody immunopathologic findings in hypertrophic scar cases.

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CYSTIC HYGROMA IN THE ADULT (성인에 발생한 낭포성활액종)

  • Oh, Seong-Seob;Kim, Il-Gyu;Chun, Hye-Kyung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.283-288
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    • 1995
  • Cystic hygroma is the benign proliferation of lymphatic tissue and has been categorized as a part of a larger spectrum that includes lymphangiomas recently. The majority of lymphangiomas occur in the head and neck as cystic hygromas with the posterior cervical region as the most common site. Cystic hygromas present in infancy or early childhood as compressible masses that may rapidly and intermittently enlarge. Cystic hygromas of the head and neck are especially difficult to manage since enlargement cause serious sequela such as airway obstruction, feeding difficulties, and speech pathology. Surgical exision remains the treatment of choice. But complete extirpation of these lesions is often impossible, and recurrence rates are accordingly different respectively ; these are high in suprahyoid lesions compared with infrahyoid involvement. This is a case report about 22 year old male patient with cystic hygrom. We obtained the successful, functional and esthetic results by surgical excision of the mass. Therefore, we report the case with literatural reviews.

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Clinical Evaluation of the Mediastinal Tumors (종격동 종양의 임상적 고찰)

  • 고영호
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.379-385
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    • 1994
  • Generally early surgical extirpation is considered to be beneficial for the treatment of mediastinal tumors and prevention of its complication. The review of the clinical course, histopathologic characteristics and current diagnostic and treatment modalities will help us to decide when to treat and how to treat mediastinal tumors. For this purpose clinical analysis of the 42 patients who were surgically treated from July 1984 to August 1993 in the Chung Ang University Hospital is done in this report. There were 24 males and 18 females[1.3:1], and their age ranged from 1 year to 75 years. Nonspecific symptoms such as chest pain, cough and dyspnea were the most frequently encountered symptoms. Asymptomatic patients were relatively common[21.4%]. The tumors were found most frequently in the posterior mediastinum[45.2%]. Anterior mediastinum was the next and middle and upper mediastinum showed relatively rare occurrence of the tumor. Neurogenic tumor was the most common histopathologic type . Germ cell tumor, benign cyst and thymoma followed it. Curative resection was possible in 27 patients[64%], partial resection in 6 patients[14.3%]and just open biopsy in 7 patients[16.7%]. There was no early operative mortality. Postoperative complications were occurred in 5 patients[11.9%] and most of them were not serious.

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Localized Habitat Use of Endangered Oriental Storks (Ciconia boyciana) Recently Reintroduced into South Korea

  • Ha, Dong-Soo;Kim, Su-Kyung;Shin, Yong-Un;Yoon, Jongmin
    • Proceedings of the National Institute of Ecology of the Republic of Korea
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    • v.2 no.4
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    • pp.293-297
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    • 2021
  • The oriental stork (Ciconia boyciana) is listed as an endangered species internationally. Its resident population has been extirpated in South Korea since 1971. Its predicted historical habitat included forests (54%), rice paddy fields (28%), grasslands (17%), river-streams (less than 1%), and villages (less than 1%) based on pre-extirpation records in a previous study. However, habitat attributes of recently reintroduced oriental storks since 2015 remain unknown. To examine habitat use patterns and home ranges of recently reintroduced oriental storks, 2015-2017 tracking data of 17 individuals were used to analyze their spatial attributes with a Kernel Density Estimate method and breeding status. Their habitat use patterns from peripheral to core areas were highly associated with increasing rice paddy fields (26%) and decreasing forested areas (55%). Scale-dependent home ranges were 51% smaller for breeders than for non-breeders on average. Our study results highlight that the habitat use pattern of reintroduced oriental storks seems to be comparable to the historical pattern where the used area is likely to be more centralized for breeders than for non-breeders in South Korea. Furthermore, the direction of habitat management for oriental storks should focus on biodiversity improvement of rice paddy fields with chemical free cultivation and irrigation.

Clinical, statistical and chemical study of sialolithiasis

  • Lim, Ho-Kyung;Kim, Soung-Min;Kim, Myung-Jin;Lee, Jong-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.1
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    • pp.44-49
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    • 2012
  • Introduction: Sialolithes are initiated by localized deposition of calcified material in the salivary glands. And that may even cause various symptom especially swelling and pain. This study purposes to collect statistical data of sialolithiasis for clinical analysis. Materials and Methods: Among forty seven patients who have visited Seoul National University Dental Hospital during 2004-2009, patients' age, sex, location and size of stone, radiodensity of stone, symptom, surgical procedure were investigated. Statistical correlation between size, location, symptom was evaluated. Chemical composition was analyzed for 3 sialolithes. Results: The average age was 41.4 years. Sialolithiasis had slight female predilection (57.4%). Most cases occurred in the submandibular glands (91.5%). And most cases had radiopaque features (95.8%). The average size was 7.17 mm. The most frequent location of the stones were the duct orifice and the submandibular gland hilum (16 cases in each), followed by the middle part of the duct (n=8), the intraglandular area (n=4), and the proximal part of the duct (n=3). Eleven cases were asymptomatic. Thirty six cases had complaints of pain, swelling, hardness, and decrease in saliva flow (multiple symptoms). Various methods of surgery was performed. Two cases were self-removed. Thirty seven cases underwent procedure involving stone removal alone. Six cases underwent gland extirpation, and two cases underwent ductoplasty. Conclusion: There was no statistical correlation between size, location, and symptoms. Sialolith was composed of Ca (58.5-69.3%), P (30.7-35.7%), organic material, and trace inorganic material.