• Title/Summary/Keyword: A case report

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RECONSTRUCTION OF UNILATERAL TMJ ANKYLOSIS WITH METALLIC CONDYLAR PROSTHESIS;REPORT OF A CASE (금속 이식물을 이용한 악관절 강직증의 치험례)

  • Lee, Dong-Keun;Yim, Chang-Joon;Kang, Moon-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.2
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    • pp.40-46
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    • 1989
  • Destruction of normal temporomandibular joint architechture may produce serious functional and cosmetic deficiencies. The literature is well documented as to the etiology and pathogenesis of temporomandibular joints. Numorous surgical procedure have been advocated for temporomandibular joint ankylosis from condylectomy to arthroplasty, cartilage transplant, metallic prosthesis, interpositional implant. These were to able reconstruct the normal mandibular function, and any even procedure could obtain the satisfactory results. In this paper, we reviewed young adult patient with TMJ ankylosis and facial asymmetry who was treated with metallic condylar prosthesis and orthognathic surgery.

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A Case Report of Prescribing Tong shun-san for Three Patients with Compression Fracture (통순산(通順散)을 투여한 압박골절(壓迫骨折)환자 치험 3례)

  • Han, Sang-Wook;Jung, Young-Hun;Kim, Jeong-Won;Kim, Choo-Young;Uhm, Bong-Kun;Lee, Cha-Ro;Lee, Jae-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.145-154
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    • 2011
  • Objectives : The purpose of this study is to investigate the clinical application of Tong shun-san to three patients with compression fracture. Methods : Three patients were hospitalized at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as compression fracture and treated mainly with herbal medicine ; Tong shun-san. Their conditions were measured by VAS(Visual Analogue Scale) score. Results : After taking Tong shun-san, their pain was reduced. And VAS score was decreased. Conclusions : During three patients with compression fracture were taking Tong shun-san, their conditions were improved.

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Acellular Dermal Matrix for Wound with Large Dead Space in 3 Dogs (개의 큰 사강을 갖는 창상에서 무세포성 진피기질의 적용 3례)

  • Youp, Kyoung-A;Byeon, Ye-Eun;Lee, Sun-Tae;Kim, Hee-Jung;Cho, Ji-Young;Kweon, Oh-Kyeong;Kim, Jin-Young;Kang, Ke-Won;Kim, Wan-Hee
    • Journal of Veterinary Clinics
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    • v.27 no.3
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    • pp.299-301
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    • 2010
  • An acellular human dermal matrix (ADM) was applied to wounds from dogs with significant dead space and delayed healing. This treatment is typically effective for the treatment of wounds with subcutaneous dead space and injuries between muscular planes. The size of the dead space defect and the amount of wound discharge decreased rapidly with ADM treatment in the present study. The average time to disappearance of the dead space defect was 10 days. In addition, complications including severe inflammation were not seen in this case report.

Surgical Treatment of Peripheral Arterial Disease -Clinical Analysis Of 55 Cases- (말초동맥질환의 외과적치료 -55예의 임상분석-)

  • 김한용
    • Journal of Chest Surgery
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    • v.24 no.12
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    • pp.1173-1184
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    • 1991
  • This report is a review of 55 cases of peripheral arterial disease, who were treated at the department of thoracic and cardiovascular surgery, Masan Koryo General Hospital from January, 1986 to December, 1990. The result are summerized as follows ; 1. The incidence of peripheral arterial disease were as follows that : Arterial injury was in 21 cases(38.2%), arteriosclerosis oblitrans 18cases(32.7%), thromboembolism 9cases(16.4%), Buerger's disease was in 7cases(12.7%). 2. Overall male to female ratio was 6.8 : 1, the prevalent age was 3rd and 4th decade in arterial injury, 7th and 8th decade in atherosclerosis and thromboembolism and 5th and 6th decade in Buerger's disease. 3. The farmer was the first ranked occupation of these patients with chronic occlusive arterial disease, which was composed of 17 cases (68%). 4. 23 cases of patients with chronic occlusive disease has been smoking and most of them have been smoking over 10 years. 5. The clinical symptoms in acute and chronic arterial obstruction were pain, claudication, gangrene and coldness in order. 6. The duration of symptom of chronic arterial occlusive disease was less 1 years in 15 cases(60%). 7. The lower extremity were more affected than upper extremity in peripheral arterial disease. 8. The cause of arterial injury was traffic accident 9 cases(42.9%) stab wound 8 cases (38.1%), postangiography 2 cases(9.5%) and belt injury 1 case. 9. The etiologic factors of acute arterial occlusion was arterial fibrillation myocardial ischemia and postangiography in order. 10. Lumber sympathectomy in Buerger's disease, artificial bypass graft in atherosclerosis and thromboembolctomy in thromboembolism, end to end with vein graft in arterial injury were performed frequently. 11. Conclusively overall result was satis factory but 3 cases was below knee amputated after operation of chronic arterial occlusive disease.

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A Case Report and Literature Review : Treatment of Nasopharyngeal Cancer(NPC) Patient with AOSD(Adult Onset Still's Disease) (성인형 스틸씨 병에서 병발된 비인두암의 치료 및 문헌 고찰)

  • Kim, Jun Young;Kim, Jin Dong;Lee, Kyung Bin;Lee, Won Jae;Na, Gun Wung;Park, Wonil;Park, Gi Cheol;Kim, Tae Gyu;Ji, Jun Ho
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.1
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    • pp.15-19
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    • 2014
  • 비인두암에서 시행되는 방사선 치료 이후에 구강건조증과 피부 변화는 흔하게 볼 수 있는 합병증 중 하나이다. 비인두암의 좋은 예후를 고려할 때, 그러한 치료와 관련된 독성들은 상대적으로 오랫동안 문제를 야기하며 삶의 질 저하를 불러온다. 특히 류마티스 관절염, 루푸스와 같은 결합조직 질환을 가진 환자들에게서 방사선 치료를 시행하였을 때, 빈번하게 심각한 독성이 관찰된다. 본 증례는 성인형 스틸씨 병에서 병발된 비인두암의 치료로 항암방사선 동시치료를 실시한 결과, 비교적 경미한 구강 건조, 점막염, 불면증 등의 합병증이 관찰되었으나, 완전 관해가 획득되었다. 이에 저자들은 과거에 보고된 적 없는 성인형 스틸씨 병에 병발한 비인두암의 치료 경험을 다른 결합조직질환들에서 방사선 치료의 문헌들과 함께 보고하는 바이다.

An Yellowish Flat Intracordal Cyst : Open Cyst (노르스름한 성대점막 색변화를 보이는 편평 성대 낭종: 개방형 성대 낭종)

  • Kim, Ji-Hoon;Lee, Eun-Jung;Kim, Yeon-Hee;Hong, Hyun-Jun;Choi, Hong-Shik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.23 no.1
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    • pp.52-55
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    • 2012
  • Background and Objectives : Based on histological findings, intracordal cysts are divided in two subtypes : retention cysts and epidermoid cysts. They are typically located in the superficial layer of the lamina propria and appeared as opaque ovoid buldging masses underlying the epithelium. They are characterized by unilateral diminished mucosal wave on stroboscopy. In this article, we report some cases of patients with an oval shaped-yellowish flat cyst. Materials and Method : At the clinic of the department of otorhinolaryngology in Gangnam Severance Hospital, with 3 female complained of hoarseness as subjects, using the stroboscopy we checked preoperative and postoperative vocal cord and operative findings. Surgery was performed under general anesthesia by the senior authors. All patients noted subjectively that their performing voice was improved. Results : During surgery, an oval shaped-yellowish flat cystic lesion was distinguished from normal epithelium. On palpation of this area with microforceps and cottons, the yellowish discharge was noted to move out from the opening of the cyst. In one case, the cyst was ruptured but remove the capsule completely. In other cases, sulcus was noted at the oppsite site. Conclusion : Because of the opening, the cyst was not easy to dissect and remove completely. After the debris was move out, fibrosis around the opening and invaginated epithelium extending into the deeper layers to the fold. The cyst was must removed carefully and completely for improvement of voice quality before evolving into a sulcus vocalis.

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Head Tilt Associated with Encephalitozoonosis in Four Pet Rabbits (애완 토끼에서 뇌포자육충에 의한 사경)

  • Shin, Jin-Cheol;Kim, Sang-Hun;Kim, Suk;Song, Kun-Ho
    • Journal of Veterinary Clinics
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    • v.32 no.2
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    • pp.212-214
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    • 2015
  • Encephalitoozoon cuniculi is an obligate intracellular microsporidian parasite commonly found in rabbits, causing encephalitozoonosis. This organism can also infect a wide range of hosts including humans, which is known to cause opportunistic infections in immunocompromised individuals. In this case, four rabbits presented with head tilt and nystagmus were diagnosed for E. cuniculi infection using ELISA. The rabbits were treated with fenbendazole for 4 weeks and therapeutic success was evaluated by assessing the neurological symptoms. Three out of 4 rabbits showed improved health condition 3 to 5 days after treatment, but one rabbit showed persistent anorexia and head tilt after treatment and then died after 10 days. This report is the first to investigate the therapeutic response of fenbendazole for rabbit encephalitozoonosis in Korea, and suggests that pet rabbits may serve as potential E. cuniculi reservoirs for both pet animals and humans.

Case Series of 10 Outpatients Complaining of Abnormal Uterine Bleeding (붕루(崩漏) 환자 10예에 대한 임상보고)

  • Ban Hye-Ran;Yang Seung-Joung;Park Kyung-Mi;Cho Seong-Hee;Lee Jin-A
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.5
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    • pp.1427-1432
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    • 2005
  • The purpose of this study is to report the effect of oriental treatments for the abnormal uterine bleeding. We treated 10 outpaients who had abnormal uterine bleeding and visited Dongshin University Oriental Medical Hospital by Herb medication, acupuncture therapy and moxibustion therapy at the same time in accordance with 塞流 ([sailiu]-stanch blood), 澄源([chengyuan]-correct origin) and 復舊([fujiu]-restore) which are principles of treatment of 崩漏 ([benglou]-metrorrhagia) and got good results from them. in herbal medication Yikweseungyang-tanggamibang or Junsaenghwalhyul-tanggamibang was used. In acupuncture therapy, Sp10(Hyulhae, 血海) K10(Umgok, 陰谷) Sp6(Samumgyo, 三陰交) Liv2(Haenggan, 行間) Liv3(Taechung, 太衝) CV3(Chungguk, 中極) were used. In Moxa Therapy, Sp6(Samumgyo, 三陰交) CV6(Qihae, 氣海) CV4(Kwanwon, 關元), CV3(Chungguk, 中極) were used. After the oriental medical treatments, abnormal uterine bleeding was disappeared and 10 outpaients recovered the normal menstrual cycle. This study showed successful orieantal herbal treatment of metrorrhagia. After this, further study and approach will be needed about the disease of the abnormal uterine bleeding.

Seven cases of Diphullobothrium latum infection (광절열두조충 인체 감염 7례)

  • 이순형;채종일
    • Parasites, Hosts and Diseases
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    • v.27 no.3
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    • pp.213-216
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    • 1989
  • Seven cases of Diphyllcbothrium latum infection were proved by collection of worms after prasiquantel treatment between October, 1986 and July, 1987. The patients were all males aged 20~44 years residing in Seoul or Ulungdo, Kyungpook Province. All of them had the history of eating several kinds of raw marine fishes, and they had never been to abroad. One of them exporienced abdominal pain and 6 experienced natural discharge of a chain of worm segments, but none revealed any sign of anemia, Total 12 worms (1~3/patient) were collected after praiiquantel treatment. The worms were 85~423 cm in length, and revealed the characteristic rosette-shape uterus in their gravid proglottides. The average egg size varied $61.0~65.3{\times}41.7~46.1{\;}{\mu\textrm{m}}$. The eggs were yellowish. brown, and ovoid to elliptical. Including the present 7 cases, the total number of human D. latum infections proven by worms in Korea becomes 28 cases.

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Surgical Management of Multiple Coronary Artery Aneurysms - A case report - (다발성 관상동맥류의 수술적 치료 - 1예 보고 -)

  • Kim, Chang-Young;Park, Kyung-Taek;Kim, Yeon-Soo;Ryoo, Ji-Yoon;Chang, Woo-Ik
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.106-109
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    • 2008
  • Multiple coronary aneurysms are rare in adults. The cause may be atherosclerosis, congenital malformations, post-traumatic or post-syphilitic vascular lesions, connective tissue diseases like Marfan and Ehler-Danlos syndromes or Kawasaki disease, all of which cause weakening of the media. Surgical intervention is indicated to prevent rupture, embolization or compression symptoms. The successful management of multiple coronary artery. aneurysms, associated with previous rupture and arrhythmia, originating from proximal potions of ramus intermedius and left circumflex artery are reported.