NONSPECIFIC INFLAMMATION IN THE FACE

안면부에 발생한 비특이성 염증

  • Hyun Young-Min (Department of Oral and Maxillcfacial Radiology, College of Dentistry, Seoul National University) ;
  • Park Rae-Chung (Department of Oral and Maxillcfacial Radiology, College of Dentistry, Seoul National University) ;
  • Jung Hwan-Sug (Department of Oral and Maxillcfacial Radiology, College of Dentistry, Seoul National University) ;
  • Choi Soon-Chul (Department of Oral and Maxillcfacial Radiology, College of Dentistry, Seoul National University) ;
  • Park Tae-Won (Department of Oral and Maxillcfacial Radiology, College of Dentistry, Seoul National University) ;
  • You Dong-Soo (Department of Oral and Maxillcfacial Radiology, College of Dentistry, Seoul National University)
  • 현영민 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 박래정 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 정환석 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 최순철 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 박태원 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 유동수 (서울대학교 치과대학 구강악안면방사선학 교실)
  • Published : 1997.02.01

Abstract

Patient with complaints of swelling, pain in the maxillaly region and discomfort visited Seoul National University Dental Hospital in August last year. Clinical examination and diagnostic imagings implied he was suffered from fungal hyphal infection but no causative fungus was found by the histopathologic and microbiologic investigation. Therefore he was diagnosed with nonspecific inflammation. But as yet, we do think this case is very similar to some kinds of mucormycosis. So we presented this case for more thorough discussion.Followings are founded in the examination. 1. Patient had suffered from Diabetes mellitus and complained of stuffness, headache, swelling in buccal cheeks and paresthesia And we found more maxillary bony destruction and ulcer with elevated margin in the palate by clinical examination. 2. In the first visit, Plain films revealed general bony destruction of the maxilla, radiopaqueness in the sinonasal cavities. or and MRI showed soft tissue mass filled in the paranasal sinus except frontal sinus and bony destruction in involved bones. 3. No causative bacteria and fungus was found in the biopsy and microbiologic cultures. 4. Caldwell-Luc operation and curettage were carried and antJbiotics were taken for 4 months. But now he was worse than in the past 5. In the second visit, involvement of orbit, parapharyngeal sinus, clivus, cavernous sinus and middle cranial fossa were seen clearly in the or and MRI.

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