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구강 자극성 섬유종 및 백악-골화성 섬유종 절제 후 상부 구강 점막을 이용한 유리 점막 이식: 증례 보고 2예 Free Mucosal Graft from Overlying Oral Mucosa After Excision of Oral Irritation Fibroma and Cemento‑Ossifying Fibroma: Two Case Reports

최재연, 김범주, 최병준, 권용대, 정봉진, 황정혜, 오주영
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대한구강악안면병리학회지
제49권 제5호 (2025.10)
pp.121-126
대한구강악안면병리학회 (Korean Academy Of Oral And Maxillofacial Pathology)
초록

Common benign oral soft‑tissue lesions include irritation fibroma and cemento‑ossifying fibroma (COF). Complete surgical excision is the standard treatment. We describe two cases where the overlying oral mucosa was recycled as an autologous free mucosal graft to cover the surgical defect. In both cases, the lesions were excised with tumor‑free margins. The overlying mucosa was dissected, trimmed, and adapted as a free mucosal graft to cover the defect, fixed with sutures to minimize micromotion. A soft diet and hygiene instructions were provided. This report highlights two cases where the overlying normal oral mucosa was preserved as a free mucosal graft after complete excision of irritation fibroma and cemento‑ossifying fibroma. The technique respected the principle of complete excision, avoided additional donor‑site morbidity, and achieved favorable tissue integration. While prior literature described these lesions as submucosal nodules covered by normal mucosa, systematic use of the preserved mucosa for reconstruction has not been reported. However, this report have limitations, including the small sample size and restricted follow‑up. A free mucosal graft from overlying oral mucosa may be a simple, cost‑effective, and practical option for reconstruction of small to medium intraoral defects when appropriately indicated.

키워드
Irritation fibromaCemento-ossifying fibromaFree mucosal graft
목차

Ⅰ. INTRODUCTION
Ⅱ. CASE REPORT
    
    
Ⅲ. Discussion
Ⅳ. CONCLUSION
REFERENCES
저자
  • 최재연(경희대학교 치과대학 구강악안면외과학교실) | Jae-Yeon Choi (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
  • 김범주(경희대학교 치과대학 구강악안면외과학교실) | Bumju Kim (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
  • 최병준(경희대학교 치과대학 구강악안면외과학교실) | Byung-Joon Choi (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
  • 권용대(경희대학교 치과대학 구강악안면외과학교실) | Yong-Dae Kwon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
  • 정봉진(경희대학교 치과대학 구강악안면외과학교실) | Bong-Jin Jeong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
  • 황정혜(경희대학교 치과대학 구강악안면외과학교실) | Junghye Hwang (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
  • 오주영(경희대학교 치과대학 구강악안면외과학교실) | Joo-Young Ohe (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea) Corresponding author