• Title/Summary/Keyword: Jaw lesion

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Application and usefulness of Ultrasound sonography in dentistry (영상치의학에서 초음파영상의 진단과유용성)

  • Choi, Yong Suk;Seo, Yoo Kyung;Kang, Ju Hee;Oh, Song Hee;Kim, Gyu Tae;Hwang, Eui Hwan
    • The Journal of the Korean dental association
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    • v.55 no.11
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    • pp.778-788
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    • 2017
  • Ultrasound sonography(US) is used to evaluate various diseases of oral and maxillofacial region including salivary glands, soft tissue and jaw lesions because of easy accessibility and no hazard of ionizing radiation. Also, US can offer dynamic study showing real-time images during diagnostic or surgical procedure. US images provide accurate information about the internal features of lesions on the jaw prior to surgical treatment. Doppler images are used to visualize the vascular distribution of the lesions and to provide additional information to enhance diagnostic value. It is necessary to evaluate the diagnostic value of US and evaluate its usefulness by looking at clinical cases using US images. Therefore, US imaging may be recommended as an assistant image in evaluating jaw lesions. US images provided accurate information about the internal structure of lesions on the jaw prior to surgical treatment, and diagnostic value was enhanced by visualizing the vascular distribution of the lesion using doppler imaging. We report the protocol and suggest the effectiveness of US for various lesions and US-guided sialography.

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Primary intraosseous carcinoma occurring in the maxilla (상악골에 발생한 원발성 골내암종)

  • Kim Mi-Ja
    • Imaging Science in Dentistry
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    • v.34 no.1
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    • pp.49-54
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    • 2004
  • Primary intraosseous carcinoma (PIOC) is a rare odontogenic carcinoma defined as a squamous cell carcinoma arising within a jaw having no initial connection with the oral mucosa, and presumably developing from residues of the odontogenic epithelium. A 56-year-old patient who complained of delayed healing after extraction of upper left central incisor visited our department. The conventional radiographs showed a bony destructive lesion with ill-defined margin and moth-eaten appearance. On the computed tomographic images, the lesion perforated the labial cortex of alveloar bone, elevated the left nasal floor superiorly, and perforated partially both nasal floor. The magnetic resonance images showed low signal intensity at T2 and Tl weighted images at the area and adjacent soft tissue. Histologically, there were irregular epithelial islands with cell atypia, nuclear hyperchromatism, pleomorphism, atypical mitosis. The final diagnosis was PIOC.

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Osteoblastoma in Lingual Surface of Mandibular Body (하악골체 설면에 발생한 골모세포종)

  • Yun, Pil-Yeong;Jeong, Jae-Hwa;Myeong, Hun;Choe, Sang-Cheol;Lee, Jong-Ho;Jeong, Pil-Hun;Kim, Myeong-Jin
    • The Journal of the Korean dental association
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    • v.41 no.3 s.406
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    • pp.190-196
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    • 2003
  • Osteoblastoma is an uncommon lesion of bone that occurred in jaw bone. The etiology of the Osteoblastoma is still undiscovered. The most frequent symptom is consistent pain which is often severe, and localized swelling and bone expansion mat occur. We experienced a case of osteo-blastoma which occurred on the lingual surface of mandibular body. It resembled tours mandibularis clinically, alveolar abscess radiologically. Biopsy was done to evaluable the tours-like bony mass. The results of excisional biopsy demonstrated an osteoblastoma. The symptoms are subsided and no signs related with recurrence have been noted. Our experience and many literatures demonstrated that Osteoblastoma must be included in differential diagnosis of bone-producing lesion.

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A STUDY ON THE HEMANGIOMA (혈관종에 관한 연구)

  • PARK Won-Kyl;KIM Young-Il
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.1
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    • pp.161-169
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    • 1994
  • Hemangioma is a common tumor characterized by the proliferation of blood vessels. Some authorities believe that this lesion is not a true neoplasm, but rather a developmental anomaly or harmatoma. This lesion may be present at any age, but most cases are present at birth or arise at an early age, and the central hemangioma of the jaw is uncommon. The usual radiographic appearance of a hemangioma may have one or more of the following characteristics: a soap-bubble or honey-comb effect with multiloculated cyst like lesions having a fine fibrillar framework visible within them. The roots of teeth mayor may not show resorption. The authors have experienced a case of hemangioma, that occured in anterior mouth floor and Mn.symphysis area cured by means of surgical excision without dysfunction and facial disfigurement.

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AMELOBLASTIC FIBRO-ODONTOMA(AFO) IN THE MAXILLA: A CASE REPORT (상악에 발생한 법랑아세포 섬유-치아종의 치험례)

  • Kim, Hyen-Min;Yi, Jun-Kyu;Moon, Cheol-Hyun;Yi, Sang-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.6
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    • pp.594-597
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    • 2006
  • Ameloblastic fibro-odontoma(AFO) is a rare mixed odontogenic tumor. It is composed of connective tissue characteristic of an ameloblastic fibroma and calcified tissue as a complex or compound odontoma. AFO usually presents itself as an asymptomatic swelling of jaw or failure of tooth eruption. The lesion usually occurs in individual less than 30 years old. The differential diagnosis of this tumor includes odontoma, ameloblastoma, and ameloblastic fibroma. This report describes an ameloblastic fibro-odontoma occurring in maxilla of sixteen-year-old female. The lesion was treated by surgical enucleation and curettage without extraction of the involved canine(#23). This patient has shown no sign of recurrence during postoperative 34 months. So we report our case with review of literatures

CALCIFYING ODONTOGENIC CYST OF THE MANDIBLE (하악에 발생된 석회화 치성낭종)

  • An Sang-Hee;Choi Karp-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.23 no.2
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    • pp.357-361
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    • 1993
  • The calcifying odontogenic cyst is rare lesion having features of both cyst and neoplasm. Clinically it frequently occurs in young adult and more frequent in the anterior area of the jaw. Radiographically, this lesion has several radiopaque foci within unilocular or multilocular radiolucency. The authors experienced cystic and neoplastic types of calcifying odontogenic cysts in the anterior area of the mandible in a 16-year-old male and 21-year-old female patients who suffered from pain, swelling and teeth displacemeent on the affected area. And we discussed the clinical, radiological and histopathological features with a brief review of the literatures.

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Cementifying Fibroma of the Frontal Bone in Children - A Case Report - (소아의 전두골에 발생한 백아질형성 섬유종 - 증 례 보 고 -)

  • Kang, Myung Ki;Leem, Sin Gil;Leem, Jun Seep;Leu, Seong Keun;Kim, Kyung Soo;Oh, Min Suk
    • Journal of Korean Neurosurgical Society
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    • v.29 no.4
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    • pp.559-563
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    • 2000
  • Cementifyng fibroma is one of the fibro-osseous lesions. All fibro-osseous lesions containing cementum are considered to be of periodontal membrance origin and is most common in the maxilla and mandible. Rarely, cementifying fibromas are seen in other craniofacial bone except jaw lesion. A diligent search in the available world literature show only two documentation of cementifying fibroma in the fronto-orbital bone. This case is third case but first in the frontal bone beyond orbit. The authors report a case of cementifying fibroma of the frontal bone in 12-year-old female patient.

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Treatment of huge mandibular cyst with enucleation after decompression under local anesthesia (감압술과 국소마취하 적출술을 통한 하악골 낭종의 치험례)

  • Cha, Yong-Hoon;Kim, Hyung-Jun;Cha, In-Ho;Nam, Woong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.286-290
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    • 2010
  • Various treatment methods for huge cystic lesion of the jaw exist, such as, resection of the involved bone, enucleation and decompression. Among these methods, enucleation after decompression is a conservative technique that decreases the size of the cystic cavity and reduces the risk of intrabony defects, which could be induced by primary enucleation. In addition, it can save the adjacent anatomic structures. In these cases, the decompression combined with partial enucleation, which was performed before complete cyst enucleation was performed on huge cystic lesions of the mandible. During the process, a decrease in the size of the lesion and the growth of normal oral tissues was observed. The size of the lesion decreased until the time of complete enucleation, and surgery could be performed under local anesthesia. No damage to inferior alveolar nerve was observed. We report these cases with a review of the relevant literature.

A PERIPHERAL AND CENTRAL NEURILEMMOMA OF THE LOWER JAW (하악에 발생한 주변성 및 중심성 신경초종의 치험례)

  • Kim, Il-Kyu;Kim, Jae-Woo;Cha, Sang-Kweon;Yoo, Jang-Bae;Kwak, Hyun-Jong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.1
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    • pp.89-93
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    • 2005
  • Intraosseous neurilemmoma(Schwannoma) is an extremely rare benign neoplasm. The site most commonly involved is the mandible. This occurrence is understandable because of the length of the inferior alveolar canal through the mandible. No other bone contains a canal that transmits a neurovascular bundle of such size and length. We report on a peripheral and central neurilemmoma along pathway of inferior alveolar nerve of the lower lip and mandible in a 28-year old man. A panoramic radiograph of the mandible showed a well-defined bilocular lesion with a thin uniform sclerotic margin located in the ramus and body of the mandible. The CT scan confirmed a well-defined lesion with thinning of the cortex of the body of the left side of the mandible. Histologically, the lesion was a cellular neoplasm with distinct palisading and numerous Verocay bodies. Complete excision was achieved by removing the tumor with the inferior alveolar nerve.

CENTRAL GRANULAR CELL ODONTOGENIC TUMOR(CGCOT): A CASE REPORT INCLUDING LIGHT MICROSCOPY, IMMUNOHISTOCHEMISTRY AND LITERATURE REVIEW (상악 구치부에 발생한 Central Granular Cell Odontogenic Tumor(CGCOT)의 치험례)

  • Kim, Jin-Wook;Park, In-Suk;Byeon, Gi-Jeong;Kim, Chin-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.4
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    • pp.374-379
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    • 2006
  • Central granular cell odontogenic tumor(CGCOT) is a very rare lesion that consists of densely packed granular cells with numerous scattered strands of odontogenic epithelium interspersed throughout the tissue. CGCOT was initially reported in 1962 by Cough et al as central granular cell ameloblastic fibroma. But, recently, this term is inappropriate because of histologic and chronologic differences. CGCOT is usually present as painless swellings. Radiographs show a well-demarcated radiolucent or mixed radiopaque-radiolucent lesion. The average age on presentation of CGCOT is 47.3 and women are 75% more likely to develop this lesion than men. The tumor only occur in tooth bearing areas of the jaw with 88% of cases occurring in the mandible and 12% involving the maxilla, usually in an equal distribution between the caninepremolar-molar areas. This tumor is benign, and care is effected by localized surgical excision. We report an additional case of CGCOT that occurred in the Rt. Maxillar premolar/molar region of a 32-year old man with literature review.