상악동 국균증의 치험 2례

CASE REPORT : MAXILLARY SINUS ASPERGILLOSIS

  • 장용욱 (한림대학교 성심병원 구강악안면외과) ;
  • 송경호 (한림대학교 성심병원 구강악안면외과) ;
  • 정진원 (한림대학교 성심병원 구강악안면외과) ;
  • 이슬기 (한림대학교 성심병원 구강악안면외과) ;
  • 김좌영 (한림대학교 성심병원 구강악안면외과) ;
  • 송상훈 (한림대학교 성심병원 구강악안면외과) ;
  • 양병은 (한림대학교 성심병원 구강악안면외과) ;
  • 김성곤 (한림대학교 성심병원 구강악안면외과)
  • Jang, Yong-Wook (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University) ;
  • Song, Kyung-Ho (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University) ;
  • Jung, Jin-Won (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University) ;
  • Lee, Seul-Ki (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University) ;
  • Kim, Jwa-Young (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University) ;
  • Song, Sang-Hoon (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University) ;
  • Yang, Byoung-Eun (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University) ;
  • Kim, Seong-Gon (Department of Oral and Maxillofacial Surgery, Sacred Heart Hospital, Hallym University)
  • 발행 : 2008.08.29

초록

The incidence of aspergillosis infections in the maxillary sinus has increased recently, because of overuse of antibiotics, steroids, anticancer agents, immunosuppressant, antimetabollites, and uncontrolled diabetes mellitus. The clinical features of maxillary sinus aspergillosis include pain, swelling and foul odor nasal excretion. This needs to be differentiated from bacterial maxillary sinusitis, and surgical treatment with antifungal agents are suggested. Recently, we treated two patients with maxillary sinus aspergillosis surgically (Caldwell Luc operation) and with antifungal agents(itraconazole). The results were satisfactory so we report these cases with literature review.

키워드

참고문헌

  1. 유재하 외: 구강악안면외과학교과서 제 2판, 의치학사 2005:183-184
  2. Grigoriu D, Brambule J, Delacretaz J, et al: La sinusite maxillaire fungique. Dermatologica 1979;159:180
  3. 최희수, 윤정훈, 김형준, 차인호: 상악동 국균증의 임상적 특징. 대한구강악안면외과학회지 2001;27:271-275
  4. 김규식, 이동근: 구강악안면의 감염질환, 초판, 군자출판사, 1992:273-274
  5. J. Beck-Mannagetta, D. Necek, Salzburg and Linz Austria: Radiologic findings in aspergillosis of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1986;62:345-349 https://doi.org/10.1016/0030-4220(86)90019-8
  6. 이태영, 정봉준, 김명섭: 상악동에 발생한 국균증의 치험예. 대한구강악안면외과학회지 1991;17:54
  7. Erlichman MC, Trieger N: Aspergillus infection in a patient receiving immunosuppressive drugs, J Oral Surg 1978;36:978-981
  8. M. S. Falworth, J. Herold: Aspergillosis of the paranasal sinuses- A case report and radiographic review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81:255-260 https://doi.org/10.1016/S1079-2104(96)80426-4
  9. Yang-Gi Min, Hae-song Kim, Kang-soo Lee, Myung-Koo Kang, Moon-Hee Han: Aspergillus sinusitis : Clinical aspects and treatment outcomes. Otolaryngol Head Neck Surg 1996;115:49-52 https://doi.org/10.1016/S0194-5998(96)70136-5
  10. McGill TJ, Simpson G, Healy GB: Fulminant aspergillosis of the nose and paranasal sinus : A new clinical entity. Laryngoscope, 1980;90:748-754
  11. 김일규, 이성준, 하수용, 주영채, 신용운: 당뇨 및 간경변 환자의 상악동과 폐에서 발생한 침윤성 국균증의 치험례. 대한악안면성형재건외과학회지 1991;13:456-461
  12. Waxman JE. Spector JG, Sale Sr, Katzenstein ALA: Allergic aspergillosis sinusitis : concepts in diagnosis and treatment of a new clinical entity. Laryngoscope, 1987;97:261-265
  13. 이충국, 한인주: 상악동에 발생한 국균증의 치험례, 대한구강외과학회지 1984;10:127-132
  14. Edward Odell, Christoph Pertl. Zinc as growth factor for Aspergillus sp. and the antifungal effects of root canal sealants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:82-87 https://doi.org/10.1016/S1079-2104(05)80079-4
  15. 김경환: 항진균성 약물. 이우주의 약리학강의 제4판 의학문화사 624-629, 1997
  16. David W. Denning, Richard M. Tucker, Linda H. Hanson, David A. Stevens: Treatment of invasive aspergillosis with itraconazole. The American Journal of Medicine 1989;86:791-800 https://doi.org/10.1016/0002-9343(89)90475-0
  17. 최원영, 김영걸, 이애영, 정의창: 당뇨환자에서 itraconazole의 효용성과 안정성. 대한피부과학회지 2002;40:890-896