DOI QR코드

DOI QR Code

Three Cases of Oral Mucoceles Treated with Traditional Korean Medicine

구강 점액류의 한약 치험 3례

  • Yang, Juno (Kyungheeyedang Oriental Medical Clinic) ;
  • Lee, Hyeyoon (Department of Korean medical science, School of Korean Medicine, Pusan national university Clinical research division, Korea Institute of Oriental Medicine) ;
  • Yun, Youngju (Department of integrative medicine, School of Korean Medicine, Pusan national university)
  • 양주노 (경희예당한의원) ;
  • 이혜윤 (부산대학교 한의학전문대학원 한의과학과, 한국한의학연구원 임상연구부) ;
  • 윤영주 (부산대학교 한의학전문대학원 동서협진의학)
  • Received : 2016.07.04
  • Accepted : 2016.09.22
  • Published : 2016.09.30

Abstract

This is the first case report about oral mucoceles treated with traditional Korean medication in Korea. One case of Blandin-Nuhn mucocele and two cases of ranula were treated with Ondam-tang and Dohongsamul-tang respectively. No recurrence of ranula was found for 30 months in one case and 3 months in other recent case. According to this result, we suppose that consideration of "Blood stasis and heat" might be helpful to treat progressed or large mucoceles while common mucoceles are generally regarded as results of "Phlegm heat". We suggest that traditional Korean medication can be an alternative to preserve salivary glands and to minimize complications of surgery. Further studies with more cases and longer observation period should be performed to establish proper prescriptions for oral mucocele and the evidence of treatment rate and recurrence rate.

설하 점액류 1례와 하마종 2례를 각각 담열(痰熱)과 어열(瘀熱)로 변증하여 온담탕과 도홍사물탕을 처방해 호전을 보였으며, 장기 관찰에서 재발하지 않아 한약 치료가 구강 점액류 치료의 대안이 될 수 있으리라 판단된다.

Keywords

References

  1. Baurmash HD. Mucoceles and ranulas. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2003;61(3):369-78. https://doi.org/10.1053/joms.2003.50074
  2. Harrison J. Salivary mucoceles. Oral Surgery, Oral Medicine, Oral Pathology. 1975;39(2):268-78. https://doi.org/10.1016/0030-4220(75)90228-5
  3. Park SG, Park NS, Cho CS, Kim AY, Chang DS, Lee HY, et al. Clinical and histological analysis of oral mucocele. Korean J Otorhinolaryngol-Head Neck Surg. 2013;56(6):359-64. https://doi.org/10.3342/kjorl-hns.2013.56.6.359
  4. Adachi P, Soubhia AM, Horikawa FK, Shinohara EH. Mucocele of the glands of Blandin-Nuhn--clinical, pathological, and therapeutical aspects. Oral and maxillofacial surgery. 2011;15(1):11-3. https://doi.org/10.1007/s10006-010-0221-1
  5. Harrison JD. Modern management and pathophysiology of ranula: literature review. Head & neck. 2010;32(10):1310-20. https://doi.org/10.1002/hed.21326
  6. Zhao YF, Jia Y, Chen XM, Zhang WF. Clinical review of 580 ranulas. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004;98(3):281-7. https://doi.org/10.1016/S1079-2104(04)00080-0
  7. Patel MR, Deal AM, Shockley WW. Oral and plunging ranulas: what is the most effective treatment? The Laryngoscope. 2009;119(8):1501-9. https://doi.org/10.1002/lary.20291
  8. Zhao YF, Jia J, Jia Y. Complications associated with surgical management of ranulas. Journal of Oral and Maxillofacial Surgery. 2005;63(1):51-4. https://doi.org/10.1016/j.joms.2004.02.018
  9. Chae BY. Traditional Korean medical eye, ear, nose, throat science,. Seoul:Chimmundang. 2004:491.
  10. Li GQ, Han Y. Three cases of ranula treated with Xihuangwan. Information on traditional Chinese medicine. 1994(03):46.
  11. He SM, Zhang L. Case report of ranula. Journal of traditional Chinese Medicine. 1995(06):375.
  12. Sui J, Sui G. Mustard Seed treatment experience by phlegm. Journal of Traditional Chinese Medicine. 1998(04):197-8.
  13. Chen T, Jiang SJ, Zheng F, Liu Q. One case treated with "Yin-fever" theory. Journal of Beijing University of Traditional Chinese Medicine(Clinical Medicine). 2013(05):49-50.
  14. Wang Y, Xia L, Li H. Ranula. Journal of Shandong traditional Chinese medicine. 2001;20(2).
  15. Traditional dermatology and surgery textbook compilation committee. Text of Traditional Korean dermatology and surgery. Pusan: Sunwoo. 2007:211-22.
  16. ZHOU ZY. On Stagnated Heat. Journal of Nanjing University of Traditional Chinese Medicine. 2006;22(5):273-6.
  17. Park SW, Lee SW, Kangl'z BG, Leez I, Chou KH, Moon BS. The Effects of Dohongsamul-tang on Cytokine Production in Peripheral Blood Monocular Cells of Patients with Acute Cerebral Infarction. Korean J of Oriental Med. 2006;27(4).
  18. Lee JK, Song YK, Lim HH. Analgesic and anti-inflammatory effect of Scutellaria baicalensis. Korean Journal of Oriental Medicine. 2007;28(4):124-35.
  19. Steelman R, Weisse M, Ramadan H. Congenital ranula. Clinical pediatrics. 1998;37(3):205-6. https://doi.org/10.1177/000992289803700309
  20. Seo JH, Park JJ, Kim HY, Jeon SY, Kim JP, Ahn SK, et al. Surgical management of intraoral ranulas in children: An analysis of 17 pediatric cases. International journal of pediatric otorhinolaryngology. 2010;74(2):202-5. https://doi.org/10.1016/j.ijporl.2009.11.011

Cited by

  1. CARE 지침에 따른 대한한의학회지의 증례 보고에 대한 질 평가 연구: 2015년~2020년 증례 보고를 중심으로 vol.41, pp.2, 2016, https://doi.org/10.13048/jkm.20016
  2. CARE 지침에 따른 대한한의학회지의 증례보고에 대한 질 평가 vol.41, pp.2, 2016, https://doi.org/10.13048/jkm.20019