• Title/Summary/Keyword: 수술 가이드

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A procedure for the computer-guided implant planning: A narrative review (임플란트 가이드 수술을 위한 Planning 방식에 대한 고찰)

  • Kim, Jong-Eun;Kim, Nam-Hoon;Park, Ji-Hyun;Shim, June-Sung
    • The Journal of the Korean dental association
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    • v.54 no.2
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    • pp.108-122
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    • 2016
  • Prosthetic-driven implant placement is a concept considering the dental implant restoration first based on the final form of that prosthesis to be restored. The latest development of the imaging technology and digital dentistry was able to be obtained the high quality images of CBCT with low radiation exposure and it has also enabled the process to reconstruct the intraoral state in three dimensions due to the development of the intraoral, model and impression scanner. Computer-guided implant placement simulations and template production was able to be more widely used in this context. In this narrative review, the features and the types of implant surgical guides will be introduced. It will also be described the diagnosis and treatment plan using computerguided implant software to reduce the number of visit and to increase the accuracy of the implant surgery through the top-down approach based on the shape and location of the final prosthesis.

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Anaphylaxis Induced by Surgical Prophylactic Cefotetan and The Application of World Allergy Organization Guide: A Case Report (사례보고: 수술예방적 항생제 Cefotetan에 의한 아나필락시스 보고 및 World Allergy Organization 가이드라인활용)

  • Jung, Kyung Lae;Kyung, Eun Jung;Lee, Hee Young;Kim, Eun Young
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.3
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    • pp.268-273
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    • 2012
  • The definition of anaphylaxis is 'a serious, life-threatening generalized or systemic hypersensitivity reaction' and is considered as the life threatening adverse drug reaction. We experienced a case of cefotetan induced anaphylaxis with negative pre-skin test, used for surgical prophylaxis. A 82-year-old female was scheduled for total knee replacement therapy. She had no previous history of allergy and her skin test results were also negative. On her right knee surgery, she underwent cefotetan therapy as a surgical prophylaxis for a week with no problems identified. Next left knee surgery, she also received the prophylaxis of intravenous cefotetan. However, a few minutes later, anaphylactic reaction developed with vomiting, severe hypotension, bronchospasm, and dyspnea. After immediate intensive care treatment, she recovered without significant complications. Though commonly used laboratory data in case reports, such as the specific IgE, tryptase, histamine, or allergic skin prick test were limited, we successfully confirmed anaphylaxis based on clinical criteria for diagnosing anaphylaxis based on WAO 2011 guideline with through concurrent patient°Øs medical history review and the process of identifying the causes.

A Study on the Guideline in the EMC(Electromagnetic Compatibility) Standard of High-Frequency Medical Devices (고주파 응용의료기기의 전자파장해·내성 가이드라인 개발 연구)

  • Choi, S.S.;Lee, J.S.;Hwang, I.H.;Cha, J.H.;Hur, C.H.;Park, K.J.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.35-41
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    • 2010
  • By the development of medical devices, high-frequency medical devices are becoming widely used. Imaging diagnosis in hospital and clean treatment by high-frequency medical devices and cancer treatment through high-frequency heaters around us, all serve as the examples. However, it still lacks the measures to the problems of the RF(Radio Frequency) mutual interference between the high-frequency devices. In order to prevent the problematic factors for technical and industrial development, a new reasonable and suitable test method is required. In this paper, we study a standard test method for EMC evaluation to solve the RF mutual interference.

Remodeling of Traumatic Sternal Segment Dislocation in a 13-Year-Old Boy (13세 남아의 외상성 흉골 분절 탈구 후 재형성)

  • Kim, Kyungil;Cho, Yoon Joo;Lee, Han Yong
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.82-86
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    • 2021
  • A traumatic sternal segment dislocation in children is very rare. Of the few cases reported, some recommended surgical treatment, while others reported good results by conservative treatment. Therefore, the treatment remains unclear. This paper reports a case of completely remodeled traumatic sternal segment dislocation in a 13-year-old boy treated by the restriction of activity and periodic observations.

Clinical Role of Interventional Radiology in Abdominal Solid Organ Trauma (복부 고형 장기 외상에 대한 인터벤션의 임상적 역할)

  • Hyun Seok Jung;Chang Ho Jeon;Sang Hyun Seo
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.824-834
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    • 2023
  • Interventional management is commonly used for traumatic injuries to the abdominal solid organs. The American Association for the Surgery of Trauma (AAST) and the World Society of Emergency Surgery (WSES) recently published guidelines for the management and treatment of liver, spleen, and kidney injuries, emphasizing the importance of interventions. Here, we discuss the characteristics of each organ and the procedure method for each organ that interventional radiologists need to know when treating trauma patients.

Prospect for 3D Printing Technology in Medical, Dental, and Pediatric Dental Field (의료 3D 프린팅 기술의 전망 및 소아치과분야에서의 활용)

  • Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.93-108
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    • 2016
  • One of the fields to which the 3D printing technology can be applied is the field of medicine. Recently, the application of 3D printing technology to the bio-medical field has been gradually increasing with the commercializing of the bio-compatible or bio-degradable materials. The technology is currently contributing to the biomedical field by reducing times required for operations or minimizing adverse effects through preoperative identification of post-surgical consequences or model surgery with artificial bones and organs. This technology also enables the production of customized biomedical auxiliary products like hearing aids or artificial legs etc. For the field of dentistry, the 3D printing technology is also expected to elevate the level of dental treatment by making the customized orthodontic models, crown, bridge, inlay, and surgical guides for implant and surgery. However, issues remaining unidentified or incomplete in printing materials, modeling technology, software technology associated with CAD, verification of bio-stability and bio-effectiveness of materials or in compatibility and standardization of the technology are yet to be solved or be clarified for the full-scale application of the 3D printing technology, thus, it seems such issues should be resolved through further studies.

All-on-4 implant restoration with full-digital system preserving existing occlusion: A case report (완전 디지털 시스템으로 기존 교합을 보전한 All-on-4 임플란트 수복증례)

  • Kim, Kyoung Hee;Jeong, Seung-Mi;Lee, Ye Chan;An, Xue Yin;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.330-337
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    • 2018
  • In edentulous patients, implant - supported fixed prosthesis treatment has been proved to be useful, but involves complex treatment process. On the other hand, in the modern dentistry, digital technology has been developed day by day and it has expanded its range to the implant restoration of edentulous patients. In this case, a digital system was used for all stages of diagnosis, surgery, design and fabrication of provisional implants fixed prosthesis restoration in 66-year-old mandibular edentulous patients. In the preoperative diagnosis stage, a provisional restoration was designed based on the mucosal scan using the intraoral scanner and the stable occlusion of prefabricated complete denture of the patient. After flapless implant surgery using the surgical guide, the prefabricated interim restoration was connected to the implant and used as immediate provisional restoration. The final restoration was designed and fabricated by transferring the vertical dimension and the centric relation of the provisional restoration with stable occlusion using digital technology. We report a simple protocol of implant treatment in edentulous patients by using digital techniques to preserve the patient's vertical dimension and occlusion.

Prosthetic rehabilitation with digital implant planning for a minimally invasive surgery approach (디지털 임플란트 플래닝을 통한 최소침습 보철수복 증례)

  • Jeong, Areum;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.283-292
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    • 2022
  • For fixed prosthetic treatment using implants, implants must be placed in a suitable location for prosthetic treatment. During surgery, minimally invasive prosthetic restoration is possible using a flapless method using a surgical guide. The patient in this case was an 86-year-old male patient who wanted treatment due to discomfort when using conventional dentures. Due to systemic disease, the patient had difficulty using removable local dentures, so full dentures for the maxilla and fixed implants for the mandible were restored. Because there is a high risk of bleeding due to systemic disease, the implant was placed in a flapless method using a surgical guide. Finally, prostheses were fabricated with maxillary full denture and mandibular screw-retained zirconia, and this report shows satisfactory esthetic and functional recovery.

Sinus floor elevation and implant-supported fixed dental prosthesis in the posterior area, with full-digital system: a case report (완전 디지털 시스템을 이용한 상악동 거상술 및 구치부 임플란트 고정성 보철 수복 증례)

  • Gang Soo Park;Sunjai Kim;Se-Wook Pyo;Jae-Seung Chang
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.157-164
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    • 2024
  • A variety of digital technologies are being used throughout the entire implant treatment process of diagnosis, surgery, impression, design, and fabrication of prostheses. In this case, using a digital surgical guide, sinus floor elevation was performed without complications, and the implants were placed in the planned position. After the healing period for osseointegration, CAD-CAM (Computer-aided design-Computer-aided manufacturing) customized abutments and provisional prostheses were delivered. While using the provisional prosthesis, occlusal change was observed. To transfer the intermaxillary relationship and abutment position that reflect occlusal change and axial displacement, double scanning and abutment-level digital impressions were taken. Abutment superimposition was used to capture the subgingival margin without gingival retraction. Then, the definitive prosthesis was designed and fabricated with digital system. We report a case applying digital system, to achieve the predictable result as well as the efficient treatment process from implant surgery to fabricating prosthesis in the posterior area.

Superficial Esophageal Cancer Treated with Multidisciplinary Care: A Case Report (다학제 접근을 통해 치료에 성공한 표재성 식도암 1례)

  • Oh, Gyu Man;Park, Moo In;Jung, Kyoung Won;Kang, Sung Min;Son, Min Young;Kim, Jae Hyun;Moon, Won;Park, Seun Ja
    • Journal of Digestive Cancer Reports
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    • v.8 no.1
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    • pp.71-75
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    • 2020
  • Esophageal cancer is easy to infiltrate and metastasize because esophagus does not have serosa, and is difficult to remove it because esophagus is in the middle of the chest. Because of this, treatments of esophageal cancer do not always follow the guideline. In this situation, efforts to increase treatment efficiency and improve survival rate through multidisciplinary treatment are increasing. In this case, we report the patient with three superficial esophageal cancers (one in cervical esophagus and two in thoracic esophagus). The patient was treated with concurrent chemoradiotherapy instead of surgery through multidisciplinary discussion. The patient reached a complete remission through this discussion. This case is intended to inform the usefulness of multidisciplinary treatment in patients with esophageal cancer.