• Journal of Korean Neurosurgical Society
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• 제29권3호
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• pp.309-316
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• 2000

목 적 : 경구강 치상돌기제거술은 두개척추연결부위에 대한 접근법 중 중요한 수술법이나 수술상처의 문제나 수술후 뇌막염 등의 합병증의 문제점과 해부학적으로 익숙하지 않다는 점 때문에 광범위하게 사용되지 않고 있다. 이 부위의 해부학적 구조의 이해를 위해 사체해부를 통한 미세해부학을 기술하고자 한다. 방 법 : 10구의 고정 혹은 비고정 사체두부를 이용하여 경구강 치상돌기제거술을 단계적으로 시행하였다. 각 두부는 두부 고정기를 이용하여 고정하였으며, 고속드릴과 수술현미경을 이용하여 미세수술을 시행하며 각 단계별로 사진을 촬영하였다. 결 과 : 수술단계는 6단계로 나눌 수 있으며, 연구개, 후측 인두부, 근육조직, 골조직, 치상돌기 및 인대, 십자인대 및 경막으로 나눌 수 있다. 결 론 : 이 부위의 해부학적인 지식을 충분히 숙지하면 경구강 치상돌기제거술은 합병증을 피하면서 비교적 용이하게 두개척추연결부위의 다양한 병변에서 사용될 수 있을 것으로 생각된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권1호
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• pp.43-48
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• 2010

The mandibular condyle fracture occurs at 15-30% frequency of whole mandibular fracture. The treatment of choice is open reduction or closed reduction. In many cases, closed reduction is preferred for treatment of condylar fracture because it is hard to approach to condyle and there is risk of surgical complications, such as nerve damage in open reduction. Open reduction, however, has some advantages like possibility of anatomical reduction, occlusal stability and rapid functional recovery. Furthermore, it is possible to retain original ramal heights and to decrease deviation during mouth opening. There are many surgical approaches for open reduction of subcondyle fracture. At present, transoral approach using trochar device is tried for effective and minimally invasive method for open reduction of subcondyle fracture. And the authors report the cases of reduction of subcondyle fracture with transoral approach using trochar device.

• 대한두경부종양학회지
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• 제31권2호
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• pp.74-77
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• 2015

A lingual thyroglossal duct cyst(LTGDC) is a rare congenital anomaly that account for only 0.5% to 2% of total thyroglossal duct cyst. LTGDC is frequently associated with respiratory problem in infants and pharyngeal foreign body sensation or dysphagia in adults. Because of its location and characteristics, lingual thyroid, dermoid cyst, and vallecular cyst should be included in differential diagnosis. Standard treatment for thyroglossal duct cyst is sistrunk's operation, but in terms of LTGDC, because of its location and cosmetic reasons, different kinds of treatments such as electrical cauterization, $CO_2$ laser, Robort surgery via transoral approach have been introduced. Recently authors encountered 21 years old woman with LTGDC and the mass was removed successfully via transoral approach using $CO_2$ laser. We report the clinical course with review of the literature.

• 대한두경부종양학회지
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• 제32권1호
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• pp.41-44
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• 2016

The resection of submandibular gland is usually performed via trascervical, transoral approach. The authors suspected the stenosis of Wharton's duct of 54 years old female patient after transoral removal of submandibular stone and the resection of submandibular gland was decided. Because of cosmetic need, the resection was performed transorally. The operation was completed successfully without any injury to unilateral lingual nerve or hypoglossal nerve but contralateral paralysis of hypoglossal nerve was seen. In our knowledge, this is the first report of contralateral hypoglossal nerve palsy during transoral resection of submandibular gland.

• 대한두경부종양학회지
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• 제24권2호
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• pp.214-216
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• 2008

Parapharyngeal space tumors are extremely rare accounting for about 0.5% of all head and neck tumors and treat mostly by surgical removal. Due to their inherent location, they present with varied non-specific signs and symptoms, resulting in a delay in diagnosis and unnecessary procedures, such as a 'tonsillectomy' or 'incision and drainage' of a 'quinsy'. We recently confirmed a case about a the neurilemnoma on parapharyngeal space during tonsillectomy. To present our experience with the transoral approach for parapharyngeal space tumor and describe our technique for removal of these neoplasms. Although parapharyngeal space tumours are uncommon, recognizing them would enable the correct sequence of investigations, instead of unnecessary procedures resulting in an increased morbidity for the patient.

• 대한두경부종양학회지
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• 제39권1호
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• pp.49-52
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• 2023

Sublingual resection is known as the most effective treatment of choice to prevent recurrence in patients with plunging ranula. In this case report, we present our experience with a 37 year-old man with prolonged upper neck mass diagnosed as plunging ranula. He had persisting mass lesion even after 4 times of sclerotherapy. Due to fibrotic change the pseudocyst could not be drained after removing the sublingual gland. To resolve the mass lesion, ultrasonography guided transoral drainage was performed. Intraoperative ultrasonography may be useful for transoral drainage of plunging ranula difficult to approach after sublingual resection.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제42권3호
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• pp.144-150
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• 2016

Objectives: We compared the transbuccal and transoral approaches in the management of mandibular angle fractures. Materials and Methods: Sixty patients with mandibular angle fractures were randomly divided into two equal groups (A, transoral approach; group B, transbuccal approach) who received fracture reduction using a single 2.5 mm 4 holed miniplate with a bar using either of the two approaches. Intraoperatively, the surgical time and the ease of surgical assess for fixation were noted. Patients were followed at 1 week, 3 months, and 6 months postoperatively and evaluated clinically for post-surgical complications like scarring, infection, postoperative occlusal discrepancy, malunion, and non-union. Radiographically, the interpretation of fracture reduction was also performed by studying the fracture gap following reduction using orthopantomogram tracing. The data was tabulated and subjected to statistical analysis. A P -value less than 0.05 was considered significant. Results: No significant difference was seen between the two groups for variables like surgical time and ease of fixation. Radiographic interpretation of fracture reduction revealed statistical significance for group B from points B to D as compared to group A. No cases of malunion/non-union were noted. A single case of hypertrophic scar formation was noted in group B at 6 months postsurgery. Infection was noted in 2 patients in group B compared to 6 patients in group A. There was significantly more occlusal discrepancy in group A compared to group B at 1 week postoperatively, but no long standing discrepancy was noted in either group at the 6 months follow-up. Conclusion: The transbuccal approach was superior to the transoral approach with regard to radiographic reduction of the fracture gap, inconspicuous external scarring, and fewer postoperative complications. We preferred the transbuccal approach due to ease of use, minimal requirement for plate bending, and facilitation of plate placement in the neutral mid-point area of the mandible.

• Journal of Korean Neurosurgical Society
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• 제29권3호
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• pp.379-388
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• 2000

목 적 : 경구적 접근법은 두개 경추이행부의 병소에 대한 유용한 접근방법이나 신경외과 의사에게는 비교적 친숙하지 않은 해부학적 구조물과 뇌척수액 누출로 인한 뇌막염의 위험성으로 인하여 많이 사용되지 않고 있다. 본원 신경외과에서는 다양한 두개 경추이행부의 병변에 대한 경구적 접근법을 시행하였으며, 수술 방법에 따른 결과 및 이의 적응증에 대해 발표하고자 한다. 방 법 : 1996년 9월부터 1999년 4월까지 총 8예의 환자에서 경구적 접근법을 시행하였다. 3명의 환자에서 선천성 기형에 의한 두개저 함입이 있었고, 2명에서는 외상성 치상돌기 골절, 2명에서는 외상성 환축추탈구, 1명에서는 비인두부위 가양성 종양을 동반하였다. 5명의 환자에서 전방 접근법 시행후 후방 골유합술을 시행하였다. 결 과 : 환자 전 예에서 양호한 결과를 보였으며 수술전 사지의 부진마비가 있었던 환자에서는 시간이 경과 함에 따라 신경학적 호전을 보였으며, 골유합술을 시행하였던 5예에서 성공적인 골유합이 관찰되었고, 연구개를 절개하였던 환자 4명중 1명이 창상 열개를 보여 재수술로 상처 치유가 가능하였다. 뇌척수액 누수는 한 예에서도 발생하지 않았다. 결 론 : 경구적 접근법은 두개 경추 이행부의 병소에 대한 유용한 접근법으로 사용될 수 있을 것으로 생각된다.

• 대한음성언어의학회:학술대회논문집
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• 대한음성언어학회 2016년도 제44차 춘계학술대회
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• pp.53-53
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• 2016

• Clinical Endoscopy
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• 제57권1호
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• pp.137-139
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• 2024