Granular cell tumor is a uncommon disease, although head and neck region accounts for approximately 50% of all lesions, 70% are located in oral cavity but can occur at other site of the body. Clinically, it usually presents as a small, slow growing, non-tender, single benign lesion but mutifocal and malignant forms are rarely encountered. The histogenic origin of this tumor was controversial for many years but recent studies using immunohistochemical study support its origin being from neural cell, probably Schwann's cell. In this report, we present a case of benign granular cell tumor occurred on the hard palate studied by histologic and immunohistochemical assay, with review of literatures.
Granular Cell Tumor* ; Head ; Mouth ; Neck ; Palate* ; Palate, Hard

PURPOSE: Prediction for soft tissue change after orthognathic surgery is very important for the final esthetics. In this study, we have tried to get the amount of upper lip movement relative to bony segment movement after anterior segmental osteotomy by cephalmetric analysis to predict final upper lip position after surgery. MATERIAL AND METHODS: 20 patients was studied on whom anterior segmental osteotmy as performed by Cupar method during the years 2002 to 2003. Cephalometric radiograph were taken at 1month before surgery and 6 month after surgery. Change of upper lip was measured on landmark Ls and Sto relative to hard tissue (landmark Ia) setback on these X-rays and analyzed. RESULTS: 1. Upper lip setback movement Setback of upper lip showed proportional relation to the hard tissue setback and the ratio was about 84 % (p=0.001). 2. Upper lip downward movement Downward movement of upper lip showed no proportional relation to hard tissue setback And the amount was mean 1.38 mm and SD 1.21mm (p=0.922). CONCLUSION: The posterior movement of upper lip is affected by hard tissue movement and shows good proportional change whereas downward movement is not so much influenced by hard tissue movement. And we think slight downward movement shown in this study could be explained by the V-Y closure performed during surgery.
Esthetics ; Humans ; Lip* ; Orthognathic Surgery ; Osteotomy*

PURPOSE: This study is to predict the changes of the distal segment by investing the resorption of the excessive distal segment regarding the amount of setback after BSSRO. MATERIAL AND METHODS: 20 patients with Mandible prognathism treated by Obwegeser-Dal Pont method during the years 2000 to 2002 were selected for this study. Group A consisted of 5 males and 5 females with a setback amount of 10mm and above(Mean 10.80mm+/-1.03, n=20) and Group B consisted of 2 males and 8 females with a setback amount of below 10mm.(Mean 6.10mm+/-1.10, n=20) Panorama X-ray was taken at day 1, 1month, 3months, 6months, and 12months after the surgery. Resorption areas of excessive distal segment were measured on these panorama X-rays and compared. RESULTS: There was bone resorption in both groups. Group A showed more bone resorption than Group B. Group B showed slightly higher resorption rate than Group A. However, there was no statistically significant difference between the resorption rates of Group A and Group B. (P>0.05) CONCLUSION: More bone resorption occurred with a larger amount of setback and about one third of the excessive distal segment underwent resorption, irrespective of the amount of setback.
Bone Resorption* ; Female ; Humans ; Male ; Mandible ; Osteotomy, Sagittal Split Ramus* ; Prognathism