Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

SUGICAL TREATMENT OF MUCOSITIS AND FUNGAL INFECTION IN THE ACUTE LEUKEMIC PATIENTS

급성 백혈병 환자에서 점막 질환과 진균감염의 외과적 처치

  • Ha, Won-Suk (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, The Catholic University of Korea) ;
  • Ye, Young-Geun (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, The Catholic University of Korea) ;
  • Park, Jae-Hong (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, The Catholic University of Korea) ;
  • Pyo, Sung-Un (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, The Catholic University of Korea) ;
  • Yun, Hyun-Jung (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, The Catholic University of Korea)
  • 하원석 (가톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 예영근 (가톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 박재홍 (가톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 표성운 (가톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 윤현중 (가톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 이상화 (가톨릭대학교 의과대학 치과학교실 구강악안면외과)
  • Published : 2006.03.31
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Abstract

It is generally known that mucositis which often occur on hematopoietic disease patients, shows local necrosis of oral mucosa when the CBC is below the normal range. But sometimes, the lesions are occasionally infiltrate into adjacent tissue. When the pathologic destructive expansion is occurred, differential diagnosis with fungal infection, one of opportunistic infections, is needed. This means treatment and prognosis can be changed according to the diagnosis. So the diagnostic process is more important in this hematopoietic disease patients. In case of fungal infection, the range of tissue damage can expand broadly, and also proper antifungal agent and surgical extirpation should be done. After operation, continuous antifungal therapy and observations are needed. We made a comparative study of following 2 cases of fungal infection appeared on the acute lymphatic leukemia patients to discuss what the proper surgical treatment and medications are, and when the proper surgical intervention time is.

Keywords

References

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