• Title/Summary/Keyword: surgical removal

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Surgical treatment for dysesthesia after overfilling of endodontic material into the mandibular canal (하치조신경관으로 과충전된 근관치료 충전재에 의한 감각이상의 외과적 처치)

  • Song, Jae-Min;Kim, Yong-Deok;Lee, Jae-Yeol
    • The Journal of the Korean dental association
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    • v.54 no.11
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    • pp.874-879
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    • 2016
  • Damage to the inferior alveolar nerve(IAN) is a relatively infrequent complication in endodontic treatment. However, endodontic overfilling involving the mandibular canal may cause an injury of the inferior alveolar nerve resulting in sensory disturbances such as pain, dysesthesia, paresthesia or anesthesia. Two mechanism(chemical neurotoxicity and mechanical compression) are responsible for the IAN injury. When absorbent materials overfilled, it can be treated as a non-surgical procedure. But early surgical intervention required when mechanical, chemical nerve damage expected. We report surgical removal of overfilled gutta-percha and IAN decompression through sagittal split osteotomy in case of dysesthesia after overfilling of endodontic material into the mandibular canal. Dysesthesia recovered 3 months after surgical treatment.

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A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form

  • Shambharkar, Vaibhao I.;Puri, Santosh B.;Patil, Pravinkumar G.
    • The Journal of Advanced Prosthodontics
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    • v.3 no.2
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    • pp.106-109
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    • 2011
  • Oral cancer treatment involves the surgical removal of all or part of the maxilla, leaving the patient with a defect that compromises the integrity and function of the oral cavity. The postoperative restoration of esthetics, deglutition, and speech shortens recovery time in the hospital and expedites the patient's return to the community as a functioning member. The surgical obturator is the proven treatment option in such situations. This article describes a simple technique to fabricate a surgical obturator that restores patient's original dentition and facial and palatal tissue form. The obturator fabricated with this technique utilizes the vacuum formed index of patient's original tissue form and duplicated partly in heat and partly in auto polymerizing acrylic resin. Duplication of the original tissue form helps patient to minimize the immense physiological trauma immediately after the surgical resection. The obturator fabricated with this technique supports soft tissues after surgery and minimizes scar contracture and disfigurement, and thus may have a positive effect on the patients' psychology.

Surgical Extraction in Patient with McCune-Albright Syndrome: A Case Report

  • Dohee Kim;Jeong Joon Han;Hoon Myoung
    • Journal of Korean Dental Science
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    • v.16 no.1
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    • pp.99-103
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    • 2023
  • McCune-Albright syndrome (MAS) is a disease with clinical features such as fibrous dysplasia in which normal bone tissue is replaced with abnormal fibrous tissue, abnormalities in the endocrine system, and cafe-au-lait spots on the skin. Although MAS patients are generally known to have reduced bone healing ability, postoperative healing after invasive surgical extraction is still not clearly known due to its relatively rare occurrence. In this report, a 25-year-old female patient, who had been diagnosed with MAS and had a history of abnormal bone healing after fractures of her extremities, underwent surgical extraction of the mandibular third molar with surrounding bone removal. Postoperatively, the patient showed favorable soft tissue and bone healing at the surgical site without abnormal findings such as newly developed fibro-osseous lesions, postoperative infection, or osteomyelitis.

Non-Surgical Management of Gastroduodenal Fistula Caused by Ingested Neodymium Magnets

  • Phen, Claudia;Wilsey, Alexander;Swan, Emily;Falconer, Victoria;Summers, Lisa;Wilsey, Michael
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.336-340
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    • 2018
  • Foreign body ingestions pose a significant health risk in children. Neodymium magnets are high-powered, rare-earth magnets that is a serious issue in the pediatric population due to their strong magnetic force and high rate of complications. When multiple magnets are ingested, there is potential for morbidity and mortality, including gastrointestinal fistula formation, obstruction, bleeding, perforation, and death. Many cases require surgical intervention for removal of the magnets and management of subsequent complications. However, we report a case of multiple magnet ingestion in a 19-month-old child complicated by gastroduodenal fistula that was successfully treated by endoscopic removal and supportive care avoiding the need for surgical intervention. At two-week follow-up, the child was asymptomatic and upper gastrointestinal series obtained six months later demonstrated resolution of the fistula.

Pediatric follicular lymphoma of the parotid gland

  • Choi, Jangyoun;Choi, Hyuk Joon;Yim, Kwangil;Kwon, Ho;Byeon, Jun Hee;Jung, Sung-No
    • Archives of Craniofacial Surgery
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    • v.19 no.4
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    • pp.279-282
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    • 2018
  • Primary malignant lymphoma rarely presents as a mass in the salivary gland. It accounts for about 1% of salivary gland tumors. The lymphomas of the parotid gland are mainly non-Hodgkin's lymphoma of B-cell follicular type. It usually occurs in male adults and is very rare in children. In contrast to the intractable disease course of adult parotid follicular lymphoma, when occurred in children or adolescent, its prognosis is very good when it is first treated with surgical excision. Thus, a solitary follicular lymphoma in an extranodal site that has occurred in children is termed separately as pediatric follicular lymphoma (PFL). We share our treatment experience of a 16-year-old PFL patient through surgical removal combined with superficial parotidectomy. In line with the few previous case reports of PFL, we suggest that active surgical removal should be undertaken for solitary, extranodal follicular lymphoma of the pediatric and adolescent population.

WARTHIN'S TUMOR;REPORT OF A CASE (Warthin씨 종양의 치험 1 례)

  • Choi, Chang-Sik;Lee, Jeong-Gu;Hang, Myong-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.1
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    • pp.165-170
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    • 1990
  • Warthin's tumor is composed of glandular and often cystic structures with a papillary cystic arrangement, lined by characteristic eosinophilic epithelium. The stroma contains lymphoid tissue. Between 5 and 10 percent of all parotid gland tumors are Warthin's tumor and occurs almost exclusively in the parotid gland. This tumor is much more common in men than in women (5:1). Histologically it is composed of epithelial and lymphoid tissue. The treatment of this tumor is surgical excision and seldom recur after removal. Recently, We had experienced a case of warthin's tumor of the parotid gland in a 66 year old male treated with surgical removal.

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Recurred Sparganosis 1 Year after Surgical Removal of a Sparganum in a Korean Woman

  • Lee, Young-Il;Seo, Min;Park, Hyun-Woo
    • Parasites, Hosts and Diseases
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    • v.52 no.1
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    • pp.75-78
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    • 2014
  • Sparganosis, an infection due to the plerocercoid of Spirometra erinacei, are found worldwide but the majority of cases occur in East Asia including Korea. This report is on a recurred case of sparganosis in the subcutaneous tissue of the right lower leg 1 year after a surgical removal of a worm from a similar region. At admission, ultrasonography (USG) of the lesion strongly suggested sparganosis, and a worm was successfully removed which turned out to be a sparganum with scolex. Since sparganum has a variable life span, and may develop into a life-threatening severe case, a patient once diagnosed as sparganosis should be properly followed-up for a certain period of time. Although imaging modalities were useful for the diagnosis of sparganosis as seen in this case, serological test such as ELISA should also be accompanied so as to support the preoperative diagnosis.

Surgical Intervention for Benign Vocal Fold Lesions : When and How? (성대 양성점막 병변의 수술적 치료)

  • Kim, Han Su
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.2
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    • pp.94-96
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    • 2015
  • Several distinct pathologic entities are encompassed in benign vocal fold lesions, including intracordal cysts, vascular ectasia, as well as vocal fold nodules and vocal fold polyps. Treatment options for theses lesions include both medical/conservative and surgical techniques. First approaches should be focus on correcting the underlying causative factors, largely through voice therapy and education. There are several laryngomicrosurgery techniques for removal of benign lesions. Much debate continues regarding the relative merits of cold instruments versus carbon dioxide laser removal of benign vocal fold lesions. Both techniques have the merits and the demerits each other. Therefore the surgeon should well comprehend the merits of each techniques and choose the proper procedure for patient's lesions.

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Intraosseous anesthesia using a computer-controlled system during non-surgical periodontal therapy (root planing): Two case reports

  • Han, Keumah;Kim, Jongbin
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.1
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    • pp.65-69
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    • 2018
  • Local anesthesia is administered to control pain, but it may induce fear and anxiety. Root planing is a non-surgical periodontal therapy; however, when it is performed in an extensive manner, some tissue removal is inevitable. Notably, this removal may be so painful that local anesthesia is required to be administered to the area scheduled for the treatment. Although patients tend to accept root planing easily, they frequently express a fear of local anesthesia. Intraosseous anesthesia (IA) is an intraosseous injection technique, whereby local anesthetic is injected into the cancellous bone supporting the teeth. A computer-controlled IA system (CIAS) exhibits multiple benefits, such as less painful anesthesia, reduced soft tissue numbness, and the provision of palatal or lingual, as well as buccal, anesthesia via single needle penetration. In this report, we present two cases of root planing that were performed under local anesthesia, using a CIAS.

Thoracoscopic Removal of Ectopic Mediastinal Parathyroid Adenoma

  • Kim, Young Su;Kim, Jhingook;Shin, Sumin
    • Journal of Chest Surgery
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    • v.47 no.3
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    • pp.317-319
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    • 2014
  • Ectopic mediastinal parathyroid adenomas or hyperplasias account for up to 25% of primary hyperparathyroidism cases. Most abnormal parathyroid glands are found in the superior mediastinum within the thymus and can be removed through a cervical incision; however, a few of these glands are not accessible using standard cervical surgical approaches. Surgical resection has traditionally been performed via median sternotomy or thoracotomy. However, recent advancement in video-assisted thoracic surgery techniques has decreased the need for sternotomy or thoracotomy to remove these ectopic parathyroid glands. Here, we report a successful case of video-assisted thoracoscopic removal of a mediastinal parathyroid adenoma.