악하선 절제술의 임상적 연구

• 영문명: A CLINICAL STUDY OF SUBMANDIBULAR GLAND EXCISION
• 발행기관: 대한구강악안면외과학회
• 저자명: 정인교(In-Kyo Chung) 김종렬(Jong-Ryoul Kim) 김욱규(Uk-Kyu Kim) 신상훈(Sang-Hun Shin) 김용덕(Yong-Deok Kim) 변준(June-Ho Byun) 박봉욱(Bong-Wook Park) 장원석(Won-Seok Jang)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제30권 제6호, 545~550쪽, 전체 6쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2004.12.30

영문 초록

Salivary glands, major and minor, are susceptible to a wide variety of pathologic conditions. Excision of the submandibular gland is a surgical procedure often undertaken. The procedure is the treatment of choice for patients with neoplasm of the submandibular gland and those with non-neoplastic submandibular disorders which are not controlled with conservative medical measures. Extirpation of the submandibular gland may also be undertaken for diagnostic purposes. We evaluated 84 patients who had been admitted to the dept. of oral and maxillofacial surgery of Pusan National University Hospital from January, 1989 to December, 2002 and had been performed submandibular gland excision. The results are as follows : 1. The patients undertaken the excision of the submandibular gland showed an age range of 16 to 71 years. The average was 49.1. 2. They consisted of 60 males(71.4%) and 24 females(28.6%), having 2.5 : 1 of genda ratio. 3. The most common symptom was swelling in 41 cases(48.8%), followed by the pain in 23 cases(27.4%). Other symptoms included mass, dysphagia, facial abnormaly and neck dyscinesia. 4. 42 cases(50.0%) showed sialadenitis and sialodochitis associated with salivary calculus. 5. According to the histopathologic study, all cases consisted of 17 neoplasmatic conditions(20.3%) and 67 non-neoplasmatic(79.7%). The neoplasmatic cases included 13 benign tumors and 4 primary malignant tumors. Sialadenitis and sialodochitis associated with or without salivary calculus were most marked, found in 50 cases(59.3%), in the non-neoplasmatic conditions. Pleoomorphic adenoma showed the highest frequency of the benign tumor.

키워드

Submandibular gland excision