Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제33권6호
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  • Pages.669-676
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  • 2007
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

치성의 다양한 안와 연조직 감염

THE VARIOUS ORBITAL INFECTIONS FROM ODONTOGENIC ORIGIN

  • 김일규 (인하대학교 의과대학 구강악안면외과학교실) ;
  • 김주록 (인하대학교 의과대학 구강악안면외과학교실) ;
  • 장금수 (인하대학교 의과대학 구강악안면외과학교실) ;
  • 전원 (인하대학교 의과대학 구강악안면외과학교실)
  • Kim, Il-Kyu (Dept. of Oral and Maxillofacial Surgery, Medical College, Inha University) ;
  • Kim, Ju-Rok (Dept. of Oral and Maxillofacial Surgery, Medical College, Inha University) ;
  • Jang, Keum-Soo (Dept. of Oral and Maxillofacial Surgery, Medical College, Inha University) ;
  • Jeon, Won (Dept. of Oral and Maxillofacial Surgery, Medical College, Inha University)
  • 발행 : 2007.12.31
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초록

본 교실에서는 당뇨와 지방간의 전신 질환이 있는 환자에서 구강 내 외상으로 안검의 안와 격막을 통한 안와 연조직염, 상악 제1대구치 치근단 농양이 측두와를 통한 안와 외측 골막하 농양, 상악 제2유구치 치료 후 상악동염 및 사골미로염을 통한 안와 내측 골막하 농양, 하악 제1대구치 치근단 농양이 저작간극과 측두와를 거쳐 관골의 안와부 골수염 및 안와 외측 하방에 골막하 농양, 상악 제2,3대구치 치근단 농양이 익돌구개와, 측두하와 및 하안와열을 거쳐 안구 후방에 안와농양을 형성한 후 기존의 농양 전상방부에 새로운 농양을 형성하며 상안와열증후군으로 까지 진행된 증례를 비롯하여 다양한 안와연조직 감염의 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Orbital infection or inflammation is a rare but serious complication of an odontogenic infection. Odontogenic infection can spread to the orbit by one or more of several paths. Such extension is potentially dangerous and can lead to loss of vision or worse. 5-cases of orbital infection and inflammation secondary to infection from upper or lower molar teeth, which extended to the subperiosteal or the retrobulbar region of the orbit, are presented in this report. The infections spreaded to the infratemporal and temporal fossa or the ethmoidal labyrinth, and then to the orbit via the inferior orbital fissure or the lamina papyracea. The clinical presentation, differential diagnosis, route of spread, value of serial CT scanning, treatment and possible complications are reviewed.

키워드

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