하악 제3대구치 발치 시 합병증으로 발생할 수 있는 악하선과 설신경 손상: 증례보고

• 영문명: Injury of submandibular gland and lingual nerve as complication third molar tooth extraction in mandible : a case report
• 발행기관: 대한구강악안면외과학회
• 저자명: 임재성(Jae-Sung Lim) 윤현중(Hyun-Joong Yoon) 이상화(Sang-Hwa Lee)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제37권 제2호, 137~141쪽, 전체 5쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2011.04.30

영문 초록

The extraction of an impacted third molar tooth is associated with many complications during the procedure and postoperative care. These complications include bleeding, swelling, pain, infection, as well as root fracture, proximal tooth injury, alveolar bone fracture, lingual nerve and inferior alveolar nerve injury etc. With the exception of a fractured root dislocation in the submandibular space, no direct submandibular gland injury related to extraction surgery has been reported until now. A 40 year old man visited the department of oromaxillofacial surgery at Yeouido St. Mary’s Hospital for an extraction of the right mandible third molar. A partial third molar impaction was diagnosed by a clinical and radiographic examination. A surgical tooth extraction was practiced including buccal cortical bone osteotomy. During socket curettage, an encapsulated cyst-like lesion and a verified 3 ×3 cm neoplasm in the apically lingual direction were found during process of dissection. A biopsy confirmed that the neoplasm involved the submandibular gland and nerve trunk. This unusual anatomical organ injury during the surgical tooth extraction procedure is reported as a new complication during impacted third molar extraction.

목차

Ⅰ. 서 론

Ⅱ. 증례보고

Ⅲ. 고찰 및 결론

키워드

Third molar Intraoperative Complications Submandibular gland Lingual nerve