• Title/Summary/Keyword: 구강외과

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Osseointegration of dental implant in the mandible with diffuse sclerosing osteomyelitis: Report of a rare case (미만성 경화성 골수염을 동반한 하악에서 임플란트의 골유착)

  • Kang, Hyeon-Goo;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-Ra;Park, Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.314-318
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    • 2021
  • There are very few reports of the restoration of tooth loss using dental implants in patients with diffuse sclerosing osteomyelitis (DSO). Because the patients with DSO have unfavorable bone quality for osseointegration of dental implants, additional considerations such as surgical trauma, infection control, and an extended healing period are essential when placing dental implants. The purpose of this study is to report on the success of osseointegration of a dental implant in the patient with DSO.

An Unusual Occurrence of Epidermoid Cyst in the Inner Mucosa of the Upper Lip: A Case Report (상순의 내측점막에서 드물게 발생한 유표피낭종의 치료 증례 보고)

  • Lee, Jihye;Choi, Namki;Kim, Seonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.4
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    • pp.463-468
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    • 2020
  • Epidermoid cysts are rare benign lesions in the oral cavity that may be either congenital or acquired. The cysts are usually slow-growing and asymptomatic until becoming secondarily infected or large enough to interfere with mastication and speech. Consequently, diagnosis is often delayed. The condition is also uncommon in newborns and infants. Most of the lesions occur in the floor of the mouth and rarely in the upper lip. This report describes the case of a 29-month-old girl with a palpable mass in the inner mucosa of the upper lip. The lesion was surgically enucleated using an intraoral approach and histopathologically diagnosed as epidermoid cyst.

Anatomic Study on the Lacrimal Duct using Computerized Tomograph

  • Choung Pill-Hoon;Lee Ui-Lyong;Hong Jong-Rak
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.2
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    • pp.109-112
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    • 2002
  • 구순 구개열 환자의 악교정 성형수술로 구강내 Le Fort II 골절단술이나 비중격 성형술이 많이 이용되는데, 이때 비골의 외측골절단술을 요하며, 이에 대한 술 후 합병증으로 비루관의 폐쇄나 비골의 분쇄골절 등이 발생할 수 있어, 악안면기형 환자를 다루는 구강악안면외과의사에게 비루관의 웅용해부학적 연구는 중요하다. 본 연구의 목적은 교합면을 기준으로 촬영된 컴퓨터 단충 촬영에서 비루관의 위치와 크기를 조사하는데 있다. 2000년 7월부터 2003년 2월까지 서울대학교병원 구강악안면방사선과에서 컴퓨터 단층촬영을 시행한 환자 62명을 대상으로 비상악봉합선에서 비루관까지의 최단거리와 비루관의 최대반경과 최소반경을 측정하였다. 우측비상악 봉합선에서 비루관까지의 거리는 5.68mm이고, 좌측은 5.67mm였다. 좌우 및 성별간의 차이는 없었다. 이의 해부학적 지견은 악기형 수술시의 비루관 폐쇄라는 합병증의 예방책으로 기여하리라 생각된다.

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Synchronous Multiple Primary Cancers of the Esophagus, Stomach, Lung and Oral Cavity (식도, 위, 폐 그리고 구강에 동시 발생한 다발성 원발암)

  • Shin, Su-Min;Shim, Young-Mog
    • Journal of Chest Surgery
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    • v.42 no.5
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    • pp.662-665
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    • 2009
  • A 65-year-old-male had a mass in the oral cavity, and this was ultimately determined to be squamous cell carcinoma and he underwent wide excision for it. Postoperatively, he underwent the staging work up; this showed that he had other cancers in the esophagus, stomach and lung. We performed a curative resection of all the lesions simultaneously. We report here on a case of synchronous multiple cancers of the esophagus, stomach, lung and oral cavity.

Oral health and hygiene in the neurosurgical patients in intensive care unit (일부 대학병원 신경외과 중환자실 환자의 구강상태에 관한 연구)

  • Kim, Eun-Kyong;Lee, Hee-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.147-152
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    • 2015
  • Objectives: The purpose of this study was to investigate the oral health and hygiene in the neurosurgical patients in intensive care unit(ICU). Methods: The subjects were 92 neurosurgical patients in intensive care unit(ICU) from March, 2011 to December, 2012. The oral examination consisted of number of residual teeth, DMFT index, clinical attachment loss, gingival index, plague index, and Candida species colony of tongue and saliva. Plaque was inoculated from tongue and saliva and incubated in 36.5C incubator for 48 hours using $Dentocult^{(R)}$ CA(Orion Diagnostica, Espoo, Finland). Glasgow coma scale(GCS) was measured to evaluate the consciousness of the patients on the basis of medical record. Results: Oral health was poor in clinical attachment loss and gingival index. Oral hygiene in neurosurgical patients in ICU was very poor due to high plaque index and Candida colonization of tongue and saliva. Plague index was closely related to Candida colonization of tongue and saliva(p<0.05). Conclusions: Oral health and hygiene of patients in neurosurgical ICU were very poor. More careful oral hygiene care is very important and necessary to enhance the oral health improvement of the neurosurgical patients in ICU.

Submental Intubation for Maxillofacial Surgery -A Case Report - (구강악안면수술을 위한 악하 기관 삽관 -증례보고-)

  • Kim, Soung-Min;Kwon, Kwang-Jun
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.4 no.2 s.7
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    • pp.96-99
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    • 2004
  • 구강저를 통한 기관내 삽관은 1986년 Altemir에 의해 처음 소개된 바 있는데 그 후 1993년 Hoenig와 Braun 및 같은 해 Stoll 등에 의해서나, 또는 1996년 Prochno 등에 의해 계속 변형된 방법으로 문헌에서 기술되어 왔다. 이 방법은 치과 영역 특히 구강악안면외과의 외상수술시 이상적인 교합을 얻기 위해 임시 상하악간 고정(intermaxillary fixation)을 할 수 있고 중안모 골절(midface fracture)의 회복을 위한 비관 삽관의 불편함을 피할 수 있는 유리한 점이 있으며, 또한, 정복 및 고정술이 필요한 비골 골절(nasal bone fracture)에서나 두개기저골 골절(skull base fracture)에서 여러 감염 등 합병증을 피하기 위해 추천될 수 있다. 또한, 목 부위에 비심미적인 반흔을 만들게 되며 여러 합병증을 초래할 수 있는 기관절개술(tracheostomy)보다 유용할 수 있다. 본 증례보고에서는 교통사고로 두개기저부 골절을 동반한 심한 중안모 골절 환자에서 적용시킨 경우를 알아보고, 아울러 이러한 악하부 삽관의 장, 단점 및 시술 과정 등에 대해 고찰해보고자 한다.

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Foundation and management of oral cancer research center in korean association of oral and maxillofacial surgeons (대한구강악안면외과학회의 구강암 연구소 설립 및 운용)

  • Kim, Kyung-Wook
    • The Journal of the Korean dental association
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    • v.48 no.7
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    • pp.507-512
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    • 2010
  • Today, one in four Koreans dies of cancer. Cancer is fast becoming one of the most serious diseases faced by not only Koreans, but for human kind, and this trend is forecasted to continue in the future. Korean association of oral and maxillofacial surgeons(KAOMS) have founded oral cancer research center since 1995. Now, KAOMS oral cancer research center is playing essential role as headquaters for conquering oral cancer. KAOMS oral cancer research center currently functions in the following areas: 1. performing basic and clinical research on oral cancer 2. promoting oral cancer prevention act 3. offering education and training about cancer treatment for oral and maxillofacial surgeons

RECONSTRUCTION OF ORAL AND MAXILLOFACIAL DEFECTS USING TEMPORAL MUSCLE FLAP (구강악안면 영역에서의 측두근판(temporal muscle flap)을 이용한 재건술)

  • Bae, Chan-Yong;Hwang, Soon-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.1
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    • pp.69-73
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    • 2002
  • Temporal muscle flap is usefull for the reconstruction of tissue defect at the oral and maxillofacial area. This article reports 3 cases of temporal muscle flap for the soft tissue reconstruction of infraorbital, palatal and mandibular retromolar area after tumor ablation. The advantages and disadvantage, postoperative complications and technical variations were reviewed and our 3 cases were evaluated in this aspects.

CLINICAL EVALUATION OF THE EFFECTIVENESS OF PEDICLED BUCCAL FAT PAD GRAFTS IN CLOSURE OF OROANTRAL COMMUNICATIONS (구강-상악동 누공의 폐쇄에 있어 유경 협부 지방 이식의 유용성)

  • Kim, Eun-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.3
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    • pp.297-300
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    • 2000
  • The author evaluated the effectiveness of pedicled buccal fat pad grafts for closure of oroantral communications. Nine patients with chronic oroantral communications and one patient with an oronasal communication were treated with pedicled buccal fat grafts. They were treated successfully in all cases, and there were no postoperative complications (i. e. shallow buccal vestibule), and minimal patient discomforts. It was concluded that this was a easy and time fast method for closure of oral defects and had wide application and high successful rate.

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The Clinical Study of Ketamine HC1 on Oral Surgery (구강외과 영역에 있어서 Ketamine HC1의 임상적 고찰)

  • Cho, Byoung-Uk
    • The Journal of the Korean dental association
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    • v.11 no.1
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    • pp.45-52
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    • 1973
  • Ketamine HC1(Phencyclidine derivative) is a white, crystalline substance with melting point 259℃. It is soluble in water to a 20% clear, colorless solution. a 10% aqueous solution has a pH 3.5. The chemical structure is 2-(O-chlorophenyl)-2-(methylamino) cyclohexanone hydrochloride. It is a rapid acting, nonhypnotic, nonbarbiturate drug with a wide safety margin. The author used the anesthetic ketamine hydrochloride for oral surgery procedure in 16 patients(2 to 33 years). Anesthesia was achieved with a single intramuscular injection by introduction of manufacture. Result obtained as follows : 1. It was easily administered. 2. Onset time was rapid and duration was short. 3. The mild cardiac stimulation resulted in moderate increase in the blood pressure and pulse. 4. There was no significant respiratory depression. 5. The airway can be maintained without artificial support or endotracheal intubation. 6. All protective reflex maintained, which was important in oral surgery. 7. The best results were achieved in pediatric patients than adults.

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