• Title/Summary/Keyword: Conservative Treatments

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Osteomyelitis on the Mandibular Malunion and Nonunion Site: A Case Report

  • Song, Chi-Woong;Yoon, Hyun-Joong;Lee, Sang-Hwa
    • Journal of Korean Dental Science
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    • v.6 no.2
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    • pp.96-101
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    • 2013
  • The proper management of mandibular fractures involves reduction, rigid fixation, and immobilization to allow bone healing. Nonunion or malunion at the fractured sites is a well-known complication of fracture when the treatments are inappropriate. We present a case of left mandibular fracture due to shrapnel during the Korean War. The patients did not receive appropriate treatment at that time, so nonunion and malunion developed. Sixty years after the accident, mandibular osteomyelitis on the fracture site developed due to dental-origin inflammation. The treatment was based on relatively conservative care, such as saucerization and administration of antibiotics. There was no complication during the short-term follow-up. We present the case with literature review.

Ceramic veneers without tooth reduction: A clinical report

  • Lee, Wonsup;Kwon, Ho-Beom
    • The Journal of the Korean dental association
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    • v.54 no.5
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    • pp.342-347
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    • 2016
  • This clinical report presents conservative and esthetic ceramic veneer treatments without tooth reduction. Patients' benefit from avoiding invasive procedure is discussed in terms of biologic price. The margin is placed not only at the cervical area, but also at any place on the tooth where additive volume increase is required. Techniques to camouflage the margin is described where contact lens effect is difficult to achieve. Proper case selection would be imperative to avoid periodontally hazardous restoration.

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Operative Treatment of Hallux Valgus (무지 외반증의 수술적 치료)

  • Lee, Jung-Woo;Ahn, Jae Hoon;Kim, Man-Soo;Kim, Seung-Chan
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.2
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    • pp.48-55
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    • 2014
  • Hallux valgus, or a 'bunion', is a deformity characterized by lateral deviation of the big toe. Surgery is indicated when conservative treatments have failed to result in improvement of symptoms. Operative techniques include simple bunionectomy, distal soft tissue procedure, phalangeal osteotomy, metatarsal osteotomy (distal, shaft, or proximal), arthrodesis (metatarsophalangeal or tarsometatarsal), or resection arthroplasty. Good results are expected when the selection of operative technique is based on the correct treatment principle.

Iatrogenic subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration

  • Lee, Sang-Woon;Huh, Yoon-Hyuk;Cha, Min-Sang
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.1
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    • pp.49-52
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    • 2017
  • Subcutaneous facial emphysema after dental treatment is an uncommon complication caused by the invasion of high-pressure air; in severe cases, it can spread to the neck, mediastinum, and thorax, resulting in cervical emphysema, pneumomediastinum, and pneumothorax. The present case showed subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration. The patient was fully recovered after eight days of conservative treatment. The cause of this case was the penetration of high-pressure air through the gingival sulcus, which had a weakened gingival attachment. This case indicated that dentists should be careful to prevent subcutaneous emphysema during common dental treatments using a high-speed hand piece and gingival retraction cord.

Treatment of Calcaneovalgus Deformity Following Operative Treatment of Diplegic Equinovarus Deformity in Cerebral Palsy Patient (A Case Report) (뇌성마비로 인한 양측성 첨내반족 변형의 수술적 치료 후 발생한 종외반족 변형의 치료(1예 보고))

  • Kim, Yu-Mi;Lee, Woo-Chun;Chung, Ung-Seo
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.197-202
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    • 2009
  • Calcaneal or calcaneovalgus deformity can occur after surgical treatment of equinus or eguinovarus deformity in cerebral palsy patient. It is a serious complication and the results of many conservative and operative treatments are reported unsatisfactory. We experienced one case of both calcaneovalgus deformity following operative treatment of diplegic equinovarus deformity in a spastic cerebral palsy patient and report about the result of the treatment.

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Surgery for Synovial Fistula after Excision of the Lateral Malleolar Bursitis of the Ankle: A Case Report (족관절 외과의 점액낭염 절제술 후 발생한 활액막 누공의 수술적 치료: 증례 보고)

  • Jang, Hyo-Seok;Choi, Hong-Joon
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.3
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    • pp.118-121
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    • 2015
  • Lateral malleolar bursitis of the ankle is a commonly encountered disease in the department of orthopedic surgery. Although most cases of lateral malleolar bursitis are managed by conservative treatments, operative treatment is considered in cases of infected bursitis or complication after surgery. There are several potential complications associated with operative treatment, including wound healing problem, skin necrosis, nerve injury, or recurrence. However, synovial fistula of the ankle as a complication after surgery for lateral malleolar bursitis has not been previously reported. The author experienced the complication of synovial fistula after surgery for lateral malleolar bursitis and obtained a satisfactory result in revision surgery for the complication, which was coverage of the fistular formation with a periosteal flap from the distal fibula.

A Clinical Result of Treatment of Interdigital Neuroma with Decompression (4 Cases Report) (족지간 신경종의 감압술을 통한 임상적 치료 결과 (4예 보고))

  • Park, Hyun-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.106-110
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    • 2008
  • Morton's neuroma has been treated with resection of the enlarged interdigital nerve by most of surgeons, but the numbness after resection could bother the patients. We reported the experiences of the good results after treatment of Morton's neuroma with the decompression of the interdigital nerve. Three patients, 4 feet were diagnosed to Morton's neuroma and taken the surgery, decompression of the interdigital nerve after the conservative treatments. The decompression can be considered first as another choice of treatment for interdigital neuroma before resection of the nerve.

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Chronic Subdural Hematoma after Spontaneous Intracranial Hypotension : A Case Treated with Epidural Blood Patch on C1-2

  • Kim, Byung-Won;Jung, Young-Jin;Kim, Min-Su;Choi, Byung-Yon
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.274-276
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    • 2011
  • Spontaneous cerebrospinal fluid (CSF) leak is a recognized cause of spontaneous intracranial hypotension (SIH). Subdural hematoma (SDH) is a serious but rare complication of SIH. An autologous epidural blood patch at the CSF-leak site can effectively relieve SIH. We report a case of bilateral SDH with SIH caused by a CSF leak originating at the C1-2 level. A 55-year-old male complained of orthostatic headache without neurological signs. His symptoms did not respond to conservative treatments including bed rest, hydration and analgesics. Magnetic resonance imaging showed a subdural hematoma in the bilateral fronto-parietal region, and computed tomography (CT) myelography showed a CSF leak originating at the C1-2 level. The patient underwent successful treatment with a CT-guided epidural blood patch at the CSF-leak site after trephination for bilateral SDH.

Chronic Lateral Ankle Instability (만성 족관절 외측 불안정)

  • Bae, Su-Young
    • Journal of Korean Foot and Ankle Society
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    • v.24 no.1
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    • pp.1-8
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    • 2020
  • Acute ankle sprain is the most common injury in the lower extremities, and approximately 10% to 40% of acute lateral ankle ligament injury causes chronic pain or instability. For chronic symptoms lasting after an acute sprain, the possibility of joint damage, such as bony structures, ligaments, cartilage, and nerves around the ankle joint, should be considered. Patients with chronic lateral ankle instability usually complain of repeated sprains or giving way sensations. There has been steady progress in the treatment options until recently, however new treatments are still being attempted. This paper describes the causes, diagnosis, and recent trends in the conservative and operative treatment of chronic lateral ankle instability.

Non-invasive different modalities of treatment for temporomandibular disorders: review of literature

  • Abouelhuda, Amira Mokhtar;khalifa, Ahmad Khalifa;Kim, Young-Kyun;Hegazy, Salah Abdelftah
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.2
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    • pp.43-51
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    • 2018
  • Temporomandibular disorders (TMDs) are diseases that affect the temporomandibular joint and supporting structures. The goal of treatment for TMDs is elimination or reduction of pain and return to normal temporomandibular joint function. Initial treatment for TMDs is non-invasive and conservative, not surgical. Oral and maxillofacial surgeons should fully understand and actively care about non-invasive treatments for TMDs. The purpose of this study is to review the validity and outcomes of non-invasive and surgical treatment modalities for TMDs.