• Title/Summary/Keyword: Salivary gland

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A CLINICAL STUDY ON SOFT TISSUE INJURIES OF ORAL & MAXILLOFACIAL REGION (구강 및 악안면 영역의 연조직 손상에 관한 임상적 연구)

  • You, Jun-Young;Kim, Yong-Kwan;Bae, June-soo;Chang, Hyun-Seok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.4
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    • pp.407-413
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    • 1997
  • The soft tissue injuries of Oral & Maxillofacial region include abrasion, contusion, simple laceration, laceration of skin with underlying tissue, soft tissue injuries combined with facial bone fracture and involving functional structures such as facial nerve and vessel, orbit, lacrimal duct and salivary gland and so on. The results obtained were as follows ; 1. The age range was 1 to 97, and the highest incidence occured in the 3rd decade(23.4%), followed by the 1st decade(20.2%), 4th decade(18.1%), 4th decade(18.1), and 5th decade(14.3%) 2. The sexual ration was 4 : 1(M : F). 3. The most common cause of facial laceration was a accident(54.5), followed by blow(17.8%), traffic accident(15.9%) and unknown(10.8%). 4. The most frequently occurred site of injury was a forehead(24), followed by oral cavity(16.9%), lip(15%), eyebrow(14.5%), cheek(14%), chin(11.8%), nose(2%), scalp(1.4%) and neck(0.9%). 5. Most of wound size was less than 3cm in length. 6. 28 patients suffered facial bone fracture, representing 7%. 7. The major complications following facial laceration were infection and facial paralysis caused by facial nerve injuries, representing 4.5% and 1.9%.

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A Giant Sialolith in a Wharton's Duct: Report of Two Cases (악하선관에 발생한 거대 타석증의 치험 2례)

  • Na, Hye-Jung;Yoon, Kyu-Ho;Cheong, Jeong-Kwon;Bae, Jung-Ho;Kim, Hae-Lin;Jo, Kyu-Hong;Shin, Jae-Myung;Baik, Jee-Seon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.4
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    • pp.363-367
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    • 2010
  • Sialolithiasis is the most commom disease of salivary gland. The main symptoms are pain and swelling of the involved gland during eating. It can occur at any age but patients in their third to fifth decade present most cases. Males are more frequently affected than females. Most sialoliths are located within the duct system of the submandibular gland. Submandibular sialoliths close to the hilum of the gland tend to become large and ovoid shape, whereas sialoliths in the duct tend to be elongated. Commonly, sialoliths measure from 1 mm to less than 10 mm, and larger than 15 mm are considered rare. In one case we have removed a giant sialolith which was located in a wharton's duct and in the other case we have removed multiple sialolith including a giant sialolith which were also located in a Wharton's duct. We report these 2 cases with literature reviews.

Quantitative Analysis of Normal Salivary Gland Function using Salivary Scintigraphy (타액선 신티그라피를 이용한 정상 타액선기능의 정량분석)

  • Kim, Hui-Jin;Ko, Myung-Yun;Park, June-Sang
    • Journal of Oral Medicine and Pain
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    • v.25 no.4
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    • pp.345-353
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    • 2000
  • This study was to investigate normal salivary flow rates and normal indices of Quantitative analysis of salivary scintigraphy. 96 adult volunteers were studied by Questionnaire evaluating salivary conditions and clinical examinations. 35(male 23, female 12, age range 23-31years) that absented subjective and objective symptoms related saliva were classified as normal group. The normal group underwent measurement unstimulated and stimulated salivary flow rates and salivary scintigraphy. The obtained results were as follows: 1. There were not significant in sex differences of unstimulated and stimulated salivary flow rates. The unstimulated salivary flow rate was $0.66{\pm}0.41g/min$, stimulated salivary flow rates was $1.61{\pm}0.69g/min$. 2. As comparing of parameters of salivary scintigraphy, the Uptake ratio(UR), $T_{max}$, $T_{min}$, Maximum accumulation (MA), Maximum secretion(MS) of parotid and submandibular glands were not significant in sex and side-ralated differences. 3. The UR, $T_{max}$, MA, MS of parotid gland were significantly higher than those of submandibular gland; in the parotid gland, UR, $3.67{\pm}0.88$, $T_{max}$, $18.77{\pm}0.43min$, MA, $41.35{\pm}9.22%$, MS, $43.13{\pm}9.13%$; in the submandibular gland, UR, $3.04{\pm}0.10$, $T_{max}$, $18.48{\pm}0.52min$, MA, $36.47{\pm}14.18%$, MS, $36.88{\pm}12.20%$. 4. As classifying of time-activity curve, the most of parotid gland was N-type(97.1%), submandibular gland was observed in order of M-type(67.1%), N-type(21.4%), F-type(11.4%), however, was not observed S-type. 5. As the type of time-activity curve of submandibular gland was more flattened, the UR, $T_{max}$, MA, MS were significantly decresed.

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EPITHELIAL-MYOEPITHELIAL CARCINOMA OF THE PAROTID GLAND : A CASE REPORT (이하선에 발생한 상피근상피암)

  • You, Tae-Min;Jung, Young-Soo;Kim, Moon-Key;Cha, In-Ho;Kim, Jin;Kim, Hyung-Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.2
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    • pp.131-134
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    • 2003
  • Epithelial-myoepithelial carcinoma(EMC) of the salivary glands is a rare tumor first discribed in 1972. The EMC comprises approximately 1% of all salivary gland tumors. It is characterized by tubular and solid growth pattern with a dual cell population including an inner layer of epithelial cells, which is peripherally bounded by a layer of clear myoepithelial cells. It is demonstrated that tumor with solid slowly growing pattern, generally have a higher frequency of local recurrence. We report a case of parotidic EMC in a 30 years old woman with literature review

Absorbed and effective dose in direct and indirect digital panoramic radiography (직.간접디지털 파노라마 방사선촬영시 흡수선량과 유효선량)

  • Lee, Gun-Sun;Kim, Jin-Soo;Kim, Jae-Duk
    • Imaging Science in Dentistry
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    • v.40 no.1
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    • pp.9-14
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    • 2010
  • Purpose : We evaluated the absorbed doses to the organs and calculated the effective doses when using the digital panoramic radiography. Materials and Methods : The absorbed dose averages in major organs of oral and maxillofacial region were measured using the Dental head phantom (CIRS Co., USA), $^nLi_2B_4O_7$ TLD chip and UD-716AGL dosimeter (Matsushita Electric Industrial Co., JPN) when performing indirect and direct digital panoramic radiography. Effective doses were calculated from correspond to ICRP 2007 recommendations for two panoramic radiography. Results : The absorbed dose average on indirect and direct digital panoramic radiography was highest in parotid glands as measured 1259.6 mGy and 680.7 mGy respectively. Absorbed dose average in another organs were high in order of esophagus, submandibular gland, tongue and thyroid gland on both types of digital panoramic radiography. The absorbed dose average was higher on indirect type than direct one (p<0.05). The effective dose was higher on indirect type than direct one as measured 13.28 mSv and 8.70 mSv respectively. Conclusion : The absorbed doses in salivary gland and oral mucosa were high. However, thyroid gland also demands the attention on radiography due to high tissue weighting factor in spite of the low absorbed dose.

Is Immunohistochemical Sex Hormone Binding Globulin Expression Important in the Differential Diagnosis of Adenocarcinomas?

  • Bulut, Gulay;Kosem, Mustafa;Bulut, Mehmet Deniz;Erten, Remzi;Bayram, Irfan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8203-8210
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    • 2016
  • Adenocarcinomas (AC) are the most frequently encountered carcinomas. It may be quite challenging to detect the primary origin when those carcinomas metastasize and the first finding is a metastatic tumor. This study evaluated the role of sex hormone binding globulin (SHBG) positivity in tumor cells in the subclassification and detection of the original organ of adenocarcinomas. Between 1994 and 2008, 64 sections of normal tissue belonging to ten organs, and 116 cases diagnosed as adenoid cystic carcinoma and mucoepidermoid carcinoma of the salivary gland, lung adenocarcinoma, invasive ductal carcinoma of the breast, adenocarcinoma of stomach, colon, gallbladder, pancreas and prostate, endometrial adenocarcinoma and serous adenocarcinoma and mucinous adenocarcinoma of the ovary, were sent to the laboratory at the Department of Pathology at the Yuzuncu Yil University School of Medicine, where they were stained immunohistochemically, using antibodies against SHBG. The SHBG immunoreactivity in both the tumor cells and normal cells, together with the type, diffuseness and intensity of the staining were then evaluated. In the differential diagnosis of the adenocarcinomas of the organs, including the glandular structures, impressively valuable results are encountered in the tumor cells, whether the SHBG immunopositivity is evaluated alone or together with other IHC markers. Further extensive research with a larger number of cases, including instances of cholangiocarcinoma and cervix uteri AC [which we could not include in the study for technical reasons] should be performed, in order to appropriately evaluate the role of SHBG in the differential diagnosis of AC.

Observations of Boring Behaviour and the Drilling Mechanism of Lunatia fortunei (Gastropoda: Naticidae) in Western Korea

  • Chung, Ee-Yung;Kim, Sung-Han;Back, Yong-Hae
    • The Korean Journal of Malacology
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    • v.27 no.3
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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.

The Effect of Subjective Xerostomia and Salivary pH in Salivary Glands Stimulated by Laughter Therapy in Frail Elderly Women (웃음치료를 통한 침샘자극이 허약노인의 구강건조와 타액 pH에 미치는 효과)

  • Lim, Sun Young;Lee, Kyem Ju;Kim, Su Jin
    • Journal of Korean Academy of Community Health Nursing
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    • v.27 no.1
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    • pp.72-80
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    • 2016
  • Purpose: The purpose of this study was to identify the effect of subjective xerostomia and salivary pH in salivary glands stimulated by laughter therapy in frail elderly women. Methods: The research used a one-group pretest-posttest design. Data were collected from July 2, 2015 to September 30, 2015. A sample of 41 frail female elderly patients was recruited at A Nursing Home in K City, Korea. We measured xerostomia and salivary pH using a questionnaire and BCP test paper (pH 5.6~7.2). Laughter therapy was given once a week for four weeks (3 items). Data were analyzed through descriptive statistics, independent t-test, ANOVA, paired t-test and Cronbach's using the SPSS 18.0 program. Results: There were significant differences in salivary pH according to oral health (t=-2.06, p<.05). There were significant differences in xerostomia (t=4.41, p<.001) and salivary pH (t=-7.94, p<.001) after salivary glands stimulated by laughter therapy. Conclusion: Salivary glands stimulated by laughter therapy improved xerostomia and salivary pH of the frail elderly. Therefore, salivary glands stimulated by laughter therapy may be useful in promoting and maintaining oral health among the frail elderly in the rapidly increasing population of old people.

The Analysis of Incidental Findings on Temporomandibular Joint Magnetic Resonance Imaging

  • Choi, Yoon Joo;Lee, Chena;Jeon, Kug Jin;Han, Sang-Sun
    • Journal of Korean Dental Science
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    • v.13 no.1
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    • pp.21-27
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    • 2020
  • Purpose: The aim of this study was to investigate the types and frequency of the various incidental findings (IFs) on magnetic resonance images (MRI) taken from the patients with temporomandibular disorder (TMD) symptoms. Materials and Methods: Temporomandibular joint (TMJ) MRI taken from 1,013 patients with TMD symptoms were evaluated retrospectively. IF was defined as imaging features that were accidentally or unexpectedly found, rather than degenerative bony changes of TMJ complex or disc derangement. They were classified into two groups as TMJ site-specific findings and unexpected findings at other regions. The frequency of the sub groups was analyzed. Result: A total of 26 (2.57%) cases with IFs were classified into 13 cases with TMJ site-specific findings and 13 cases with unexpected findings at other region. TMJ site-specific findings included synovial chondromatosis in 6 cases, synovial cyst in 6 cases and osteochondroma in one case. Unexpected findings included salivary gland tumor in 3 cases, developmental cyst in 3 cases, vascular malformation in 2 cases, mastoiditis in 4 cases and sialadenitis on parotid gland in one case. Conclusion: When diagnosing TMD through TMJ MRI, clinicians should carefully read the image, considering the possibility of IFs because TMJ MRI can provide pathologic information in TMJ region and other oral and maxillofacial region.

Epithelial-myoepithelial carcinoma on the superficial lobe of the parotid gland: a case report (이하선 천엽에 발생한 상피-근상피암종의 치험례)

  • Jin, Sun-Mi;Ryu, Hyun-Ho;Ryu, Seok-Hwan;Shin, Dong-Yoon;Hwang, Hie-Sung;Kim, Chul-Hoon;Kim, Bok-Joo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.6
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    • pp.505-509
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    • 2011
  • Epithelial-myoepithelial carcinoma (EMC) is a low-grade malignant salivary gland neoplasm that was first described in 1972. EMC occurs in the older age group, there is a female predilection and mainly involves the parotid gland. Most authors recommend superficial parotidectomy as a treatment for low-grade malignant tumor in the superficial lobe of parotid gland. The treatment of epithelial-myoepithelial tumors typically includes surgical excision aimed at achieving a R0 resection. This paper reports a case of EMC of the parotid gland treated only by a conservational surgical excision. The lesion was exposed by the retromandibular approach and detached. After the parotid gland envelop was exposed, the mass was observed and was easy to remove due to capsulation. The preoperative diagnosis was a pleomorphic adenoma on the left parotid gland. The tumor was removed surgically with a conservative extracapsular dissection. The postoperative diagnosis was EMC, so superficial parotidectomy or radiation therapy was considered. Nevertheless, the patient was observed and no additional treatment was attempted because the patient was old and a successfully excision of the tumor had been achieved.