• 제목/요약/키워드: 감압술

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Buford 복합체-1례 보고- (Buford Complex - A Case Report)

  • 박진영;서현석;유문집
    • Clinics in Shoulder and Elbow
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    • 제2권1호
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    • pp.84-87
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    • 1999
  • 저자들은 충돌 증후군 진단하에 관절경적 견봉하 감압술 중 우연히 발견된 Buford 복합체를 가진 환자를 본 후, 술후 이 환자를 추시한 결과가 Buford 복합체가 없는 다른 환자의 경우와 크게 다르지 않은 것을 보고, 충돌 증후군의 증상을 보이는 환자에서 삭형 중 견와상완 인대와 전상방견와 순의 결여가 있는 경우 이 복합체가 술후 예후에 영향을 미치지 않는 것으로 결론을 내리고 이를 보고하는 바이다.

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말초성 안면마비에서 중두개와 접근법에 의한 안면신경 감압술 : 3례 보고 (Facial Nerve Decompression via Middle Fossa Approach : Report of Three Cases)

  • 조준;박성호;김재영
    • Journal of Korean Neurosurgical Society
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    • 제30권4호
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    • pp.479-485
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    • 2001
  • Objective : Several conservative treatments have been tried in peripheral facial nerve paralysis, because 80% of patients recover spontaneously. Surgical decompression may be helpful to the residual, medically intractable patients. We present here our experiences of facial nerve decompression via middle fossa approach, which seems to be one of good surgical therapeutic options for medically refractory peripheral facial nerve paralysis. Method : Three cases of medically intractable peripheral type facial paralysis were microscopically operated via middle cranial fossa approach to decompress the labyrinthine segment of the facial nerve and geniculate ganglion by searching landmarks of middle meningeal artery, greater superficial petrosal nerve and facial hiatus. Results : After operation, two cases of Bell's palsy improved substantially and one case of post-traumatic facial paralysis improved partially. Conclusion : This report is presented to describe the surgical facial nerve decompression via middle fossa for early control of peripheral type facial paralysis. Surgical decompression of edematous peripherally paralysed facial nerve could be preferred to conservative treatment in some patients although more surgical experience should be required.

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외상성 시신경병증의 시신경 감압술을 통한 치험례 (Optic Nerve Decompression for Traumatic Optic Neuropathy: A Case Report)

  • 현경배;김선호;최종우;김용욱;박병윤
    • Archives of Plastic Surgery
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    • 제32권3호
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    • pp.389-392
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    • 2005
  • A case of visual loss following cranio-maxillofacial trauma is reported. The patient had acute optic nerve injury associated with a fracture of the right zygomaticomaxillary and fronto-naso-ethmoido-orbital bone and epidural hematoma on the right temporal lobe of brain. Bony fragments compressing the optic nerve on lateral side was identified on computed tomography. Decompression of the optic nerve combined with evacuation of epidural hematoma has been performed via transfrontal craniotomy. The patient had complete recovery of visual acuity without any complications. The role of optic nerve decompression in the management of patients with traumatic optic neuropathy is discussed. Surgical indication is controversial and the procedure should be considered only within the context of the specific indication of the individual patient.

대퇴골두 무혈성 괴사 감압술 시술 후 발생한 고관절 통증 환자의 치험 1례 (A Case Report on a Patient of Pain after Core Decompression Surgery on Avascular Necrosis of Femur Head Treated with Korean Medicine Treatments)

  • 조성우
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.55-65
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    • 2019
  • Objectives : The aim of this study was to report the improvements in pain that a woman experienced after receiving Korean medicine treatments for the pain associated with core decompression surgery due to avascular necrosis (AVN) of both femur heads. Methods : The patient was diagnosed as having AVN in both femur heads and underwent core decompression surgery. After operation, she had pain on her right inguinal region and her range of motion (ROM) was restricted. She was treated with Korean medicine including, herbal medicine, acupuncture, Chuna Manual Therapy and bee venom acupuncture (BV). This study was measured by using the Visual Analogue Scale (VAS) and the ROM scale. Results : After conservative treatment, the patient's pain was reduced and ROM was increased. Daily living quality had improved. Conclusions : In this case, Korean conservative medicine therapy with Chuna Manual Therapy had a positive effect on the symptoms after core decompression surgery due to avascular necrosis of the femur head.

외상성 구획증후군의 감압술 후 잔여 증상에 대한 치료 1례 (A Clinical Case Study of Residual Symptoms after Decompression of Traumatic Compartment Syndrome)

  • 지민정;임성철;김재수;이현종;이윤규
    • Journal of Acupuncture Research
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    • 제32권3호
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    • pp.197-202
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    • 2015
  • Objectives : The purpose of this study is to report on the residual symptoms after decompression of traumatic compartment syndrome experienced by a patient whose condition was much improved by electroacupuncture and bee venom therapy. Methods : The patient was treated with electroacupuncture and bee venom therapy. The progress of symptoms was checked by visual analog scale, disabilities of the arm, shoulder, and hand(DASH) and range of motion. Results : All results were improved. Scores from the visual analog scale and DASH decreased, while the range of motion increased. Conclusions : Electroacupuncture and bee venom therapy have an effect on residual symptoms after decompression of traumatic compartment syndrome.

관절경적 감압술에 의한 견봉하 충돌증후군의 치료 (Arthroscopic Decompression of Subacromial Impingement Syndrome)

  • 김성재;김범수;최남홍
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 1995년도 학술대회
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    • pp.13-13
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    • 1995
  • The authors performed the arthroscopic decompression and cuff debridement on 47 cases in 45 consecutive patients with either stage II or stage III impingement syndrome from July 1990 to January 1994. The summarized results are as follows. 1. 47 cases in 45 consecutive patients had arthroscopic decompression for the subacromial impingement syndrome. 2. There were 31 males and 14 females and the mean age was 40 years for men and 46years for women. 3. The follow up duration was from 3 years 9 months to 1 year (average 2 years 1month). 4. Among 47 cases, 19 cases were found to have no cuff tear (stageII) 13 cases partial thickness cuff tear (stage IIIa) 10 cases complete tear on cuff less than 3 cm long (stage IIIb) and 5 cases complete tear on cuff more than 3 em in length (stage IIIc). 5. The arthroscopic subacromial decompression and rotator cuff debridement was a good treatment method in stage II and stage IIIa and stage IIIb. in the case of stage IIIc rotator cuff tear, it was useful for pain relief and improvement of shoulder function.

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함치성 낭종과 관련된 미맹출 영구치의 감압술을 이용한 정상 맹출유도 : 증례보고 (NORMAL ERUPTION GUIDANCE OF UNERUPTED PERMANENT TEETH ASSOCIATED WITH DENTIGEROUS CYST BY DECOMPRESSION : 5 CASES REPORT)

  • 김소미;정승원;차인호;남웅
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권4호
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    • pp.271-275
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    • 2009
  • The purpose of this report is to describe a treatment method of dentigerous cyst associated with unerupted permanent teeth in mixed dentition patients. In our cases, extraction of infected primary teeth was followed by decompression of the cyst. At the same time, parts of the cystic walls were sent for histopathological examination. Decompression was performed by inserting a rubber tube into the cystic cavity through the extraction socket. The cystic cavity was kept open by means of vigorous use of a syringe by patient. Postoperative panoramic radiograph was taken bimonthly. After $5{\sim}12$ months, the impacted permanent teeth were erupted on the desired position. All cases presented favorable result. By extracting the infected primary teeth, and opening the cyst for continuous drainage, it was possible to achieve spontaneous eruption of the involved permanent teeth into the proper position. In all our cases, there was no sign or symptom of recurrence of the cyst up to postoperative 18 months.

프랙탈 분석을 통한 악골 내 낭종의 감압술 후 골 치유에 대한 방사선학적 평가 (RADIOLOGIC ASSESSMENT OF BONE HEALING BY FRACTAL ANALYSIS AFTER THE TREATMENT OF JAW BONE CYST BY DECOMPRESSION)

  • 백진우;석민;이의석;장현석;임재석
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권5호
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    • pp.494-498
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    • 2007
  • Purpose: This study was done to know the usefulness of fractal analysis when evaluating the radiologic changes after decompression on jaw bone cystic lesions using fractal analysis. Materials and methods: 30cases of cystic lesions were followed up after decompression. Panoramic image was used to observe radiologic changes around the cystic lesion. The part of the panoramic image which showed radiologic change was defined as region of interest(ROI); The fractal dimension of the ROI was calculated using box-counting method. Results: Using sign-rank test, there was a statistically significant difference in fractal dimensions after decompression therapy(P<0.0001). The fractal dimensions statistically increased after decompression(the median of D:0.12). Conclusions: The ROI after decompression showed higher fractal dimensions which offer the objective proof of the bone healing around cystic lesions after decompression treatment.

경추 후종인대 골화증의 전방경유 감압술 및 골 융합술후 예후인자에 대한 임상분석 (Clinical Analysis of Postoperative Prognostic Factors of Cervical Anterior Decompression and Interbody Fusion for Ossification of Posterior Longitudinal Ligament)

  • 심상준;조준호;유수일;권영대;이용성
    • Journal of Korean Neurosurgical Society
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    • 제29권3호
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    • pp.360-364
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    • 2000
  • Objective : To investigate the prognostic factors associated with outcome in patients with ossification of posterior longitudinal ligament. Method : During the past 4 years, we have operated on 35 patients with cervical OPLL. Anterior cervical decompression(total or subtotal corpectomy, discectomy, and removal of the OPLL) and interbody fusion with iliac bone were performed in all patients. Results : Eight cases(22.9%) were continuous type, 11(31.4%) segmental, 13(37.1%) Mixed, and 3(8.6%) localized type. Thirty-two patients(91.4%) showed an excellent or good results. Conclusion : These results indicate that surgical treatment should be considerated in case of clinical grading higher than II and the surgical outcome is worse when duration of preoperative symptom is longer and when percentage of spinal narrowing is higher. Anterior cervical decompression and interbody fusion seems to be a better method in patients with lesions limited to one or two level. Age at surgery did not significantly affect the outcom.

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상완골 대결절의 미세전위골절의 관절경적치료 (Arthroscopic Treatment of Symptomatic Shoulders with Minimally Displaced Greater Thberosity Fracture)

  • 김승호;하권익
    • Clinics in Shoulder and Elbow
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    • 제2권2호
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    • pp.178-186
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    • 1999
  • 상완골의 대결절 골절 후, 6개월 이상 지속되는 만성견관절 동통을 호소하는 총 23명의 환자에 대해 관절경적 치료를 시행하였고 평균 29개월(22~40개월) 후에 후향적 평가를 시행하였다. 환자군의 연령은 24세에서 61세까지로 평균 39세였으며 남자가 18례 여자가 5례였다. 이중 14례는 단독골절 이였고 9례는 급성전방 불안정성과 연관이 있었다. 단순방사선 전후방 사진상에서 골절의 평균 전이는 2.3mm(0∼4mm)였다. 관절경을 시행하였을 때 모든 환자에게 관절면 쪽으로 치전근개의 부분 파열이 있었고,그 깊이는 Ellman I도에서 Ⅱ도였다. 관절경적 견봉하 감압술과 함께, 파열된 정도에 따라 관절경적 변연 절제술 또는 봉합술을 시행한 후 UCLA 점수로 평가했을 때 20례에서 우수(good) 또는 매우 우수(excellent), 3례에서는 양호(fair)를 나타냈다. 19례에서는 수상 이전 활동으로 복귀하였고, 많은 활동량을 가졌던 환자에서는 활동복귀 정도가 낮았다(p=0.034) 미세하게 전이된 대결절 골절 후에 만성견관절 동통을 호소하는 환자에서는 반드시 회전근개의 부분 파열을 고려해야 하며 이때 관절경적 변연 절재술 또는 봉합술이 적절한 치료법이다.

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