• Title/Summary/Keyword: Conservative surgery

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A combined approach to non-carious cervical lesions associated with gingival recession

  • Yang, SungEun;Lee, HyeJin;Jin, Sung-Ho
    • Restorative Dentistry and Endodontics
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    • v.41 no.3
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    • pp.218-224
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    • 2016
  • Non-carious cervical lesions (NCCLs) with gingival recession require specific consideration on both aspects of hard and soft tissue lesion. In the restorative aspect, careful finishing and polishing of the restorations prior to mucogingival surgery is the critical factor contributing to success. Regarding surgery, assessment of the configuration of the lesion and the choice of surgical technique are important factors. The precise diagnosis and the choice of the proper treatment procedure should be made on the basis of both restorative and surgical considerations to ensure the successful treatment of NCCLs.

Natural History of Osteochondral Lesion of the Talus (거골 골연골병변의 자연 경과)

  • Kyung, Min Gyu;Lee, Dong-Oh;Lee, Dong Yeon
    • Journal of Korean Foot and Ankle Society
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    • v.24 no.2
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    • pp.37-41
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    • 2020
  • Many articles on operative treatment strategies for osteochondral lesions of the talus (OLT) have been published. On the other hand, there are only a few reports on the conservative treatment of OLT. Understanding the natural history of OLT is essential to establishing the correct treatment. Conservative treatment might lead to comparable clinical outcomes compared to the current options of the operative treatment in isolated OLT lesions. OLT lesions can be divided into two (or possibly three) types. Hence, the prognosis and outcome of certain operative treatments should be evaluated further. The prognosis of OLT combined with instability or malalignment appears poorer than that of isolated OLT lesions. Therefore, concomitant pathologies should be evaluated together when treating patients with OLT.

Spontaneous Resolution of Chronic Subdural Hematoma : Close Observation as a Treatment Strategy

  • Kim, Hyung Chan;Ko, Jung Ho;Yoo, Dong Soo;Lee, Sang-Koo
    • Journal of Korean Neurosurgical Society
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    • v.59 no.6
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    • pp.628-636
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    • 2016
  • Objective : Chronic subdural hematoma (cSDH) is common condition in neurosurgical field. It is difficult to select the treatment modality between the surgical method and the conservative method when patients have no or mild symptoms. The purpose of this study is to provide a suggestion that the patients could be cured with conservative treatment modality. Methods : We enrolled 16 patients who had received conservative treatment for cSDH without special medications which could affect hematoma resolution such as mannitol, steroids, tranexamic acid and angiotensin converting enzyme inhibitors. The patients were classified according to the Markwalder's Grading Scale. Results : Among these 16 patients, 13 (81.3%) patients showed spontaneously resolved cSDH and 3 (18.7%) patients received surgery due to symptom aggravation and growing hematoma. They were categorized into two groups based on whether they were cured with conservative treatment or not. The first group was the spontaneous resolution group. The second group was the progression-surgery group. The mean hematoma volume in the spontaneous resolution group was 43.1 mL. The mean degree of midline shift in the spontaneous resolution group was 5.3 mm. The mean hematoma volume in the progression-surgery group was 62.0 mL. The mean degree of midline shift in the second group was 6 mm. Conclusion : We suggest that the treatment modality should be determined according to the patient's symptoms and clinical condition and close observation could be performed in patients who do not have any symptoms or in patients who have mild to moderate headache without neurological deterioration.

Development of a Chest Wall Deformity after Conservative Treatment for a Sternal Fracture

  • Kim, Do Wan;Jeong, In Seok;Na, Kook Joo;Song, Sang Yun;Lee, Kyo Seon;Kang, Seung Ku
    • Journal of Trauma and Injury
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    • v.29 no.4
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    • pp.184-186
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    • 2016
  • Although sternal fractures are relatively common, treatment has not been clarified. Thus, the authors report a case of a patient with a sternal fracture associated with a thoracic spinal fracture who had received conservative treatment, but the outcome was not satisfactory.

Non-conservative Management of Chylothorax

  • Ahn, Hyo Yeong;I, Hoseok
    • Journal of Chest Surgery
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    • v.54 no.4
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    • pp.325-329
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    • 2021
  • Chylothorax is caused by lymphatic leakage, which can develop after thoracic surgery and is associated with cancer. Although prospective randomized trials have not been performed, radiological interventions have been performed in several cases with persistent chylothorax, adjunct to 2 weeks of conservative management. The success rate of such interventions is diverse due to anatomical variations, although the results are promising. However, in cases of treatment failure after cycles of interventions, a team approach may be necessary to determine whether surgical management is warranted.

The effect of conservative neck dissection in the patients with oral cancer (구강암 환자에서 보존적 경부청소술의 효과)

  • Kim, Bang-Sin;Hur, Daniel;Kim, Kyung-Rak;Yang, Ji-Woong;Jeoung, Youn-Wook;Kook, Min-Suk;Oh, Hee-Kyun;Ryu, Sun-Youl;Park, Hong-Ju
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.6
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    • pp.490-496
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    • 2010
  • Introduction: This study examined the effect of a conservative neck dissection in patients with head and neck cancer. Materials and Methods: A total of 24 patients, who underwent a conservative neck dissection for the treatment of oral cancer from January 2002 to December 2007, were included. All procedures were performed by one oral and maxillofacial surgeon. The mean age was 58.2 years (range, 19 to 79 years). The medical recordings, pathologic findings, and radiographic findings were evaluated. The mean follow up period was 41.1 months (range, 4 to 88 months). Results: 1. Oral cancer was more common in men than women with a 3:1 ratio. 2. Histopathologically, squamous cell carcinoma(83%) was the most prevalent oral cancer in this study. 3. The most common primary site was the tongue(6 cases, 25%) followed by the mouth floor (5 cases, 21%), buccal mucosa (3 cases, 13%), lower lip, mandible, palate (2 cases, respectively) and salivary gland, retromolar area, oropharynx, alveolus (1 case, each). 4. Three out of the 24 (13%) subjects had a recurrence at the primary sites. 5. Two out of 24 (8%) subjects had a distant metastasis. 6. All 24 patients survived and there were eleven patients who passed 5 years postoperatively. Conclusion: A conservative neck dissection is a reliable and effective method for controlling neck node metastases in patients with oral cancer of the N0 or N1 neck node without serious complications.

Cryosurgical Treatment of Ameloblastoma: Case Report (법랑아세포종의 냉동수술 치험례)

  • Choi, Moon-Gi
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.3
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    • pp.226-232
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    • 2012
  • Although an ameloblastoma is a benign tumor histologically, it may act malignantly. It has locally destructive and recurrent tendencies. Many different strategies have been attempted in order to cure an ameloblastoma including curettage, enucleation, marsupialization, and resection with a safty margin. Curettage, enucleation, and marrsupialization can be classified into a conservative treatment and resection with a safty margin can be classified into a radical treatment. Radical treatment has better results than the conservative treatment. Thus, more radically conservative treatment methods are needed in order to improve the treatment results. The cryosurgery can be applied an ameloblastoam. In particular, with regards to the solid and intramural type, the application of the cryosurgery has its advantages over the conservative treatment. After resection of the diseased area we don't need to discard the diseased segment. Instead, by placing the segment in liguid nitrogen, the diseased segment can use the autogenous tray for packing several bone materials.

Congenital Cystic Adenomatoid Malformation(CCAM) (선천성 낭포성 유선종 기형)

  • 김수원
    • Journal of Chest Surgery
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    • v.21 no.6
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    • pp.1084-1094
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    • 1988
  • Conservative management of 3 iatrogenic perforations of intrathoracic esophagus was reviewed. The primary disorders were achalasia in 2 patients and congenital tracheoesophageal fistula in 1 patient. Perforation occurred after treatment of the primary disorders in the distal esophagus in 2 patients and mid-thoracic esophagus in 1 patient. All the perforations appeared late after the previous treatments and the inflammation spread to mediastinum and pleural cavity in all the 3 patients. Conservative management of esophageal perforation was carried out with intraluminal drainage from the perforated site of esophagus[insertion of Levin`s tube and continuous suction], pleural drainage and feeding of liquid diet through gastrostomy tube with Fowler`s position. The patients revealed spontaneous closure of perforated sites about 3 to 4 weeks after this conservative management without open thoracotomy. This result suggests that this conservative management may be accepted as therapeutic method in the thoracic esophageal perforations regardless of cause and time of the perforation.

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The Case Report of Conservative Treatment on Failed Back Surgery Syndrome (요추 추간판 탈출증 수술 실패 증후군 환자레 대한 보존적 치료 치험 1례)

  • Hong, Soon-Sung;Jin, Eun-Seok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.163-172
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    • 2009
  • Objectives : The purpose of this study is to evaluate the conservative treatment for FBSS patient. Method : We used Acupuncture, Beevenom, CHUNA manual therapy, Herbal medication, for this patient. And we measured of VNRS and ODI score to evaluate the conservative treatment effects. Result : Patient's LBP & Rt.leg pain VNRS and ODI score were decreased.

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The epithelial ingrowth in specimen from the apical surgery and the clinical conditions

  • Park, Chin-Su;Kim, Jin;Lee, Seung-Jong
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.620-620
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    • 2003
  • The purpose of this study was to see the occurrence of the epithelial ingrowth in the periapical lesion and its relevance with the clinical symptoms. The subjects of this study included 129 specimens which were obtained from the apical surgery during the year of 2001-2002. The patterns of epithelial ingrowth were classified as either as either lining or networking. The clinical records were reviewed and the relevance between the clinical symptoms and the pattern of the epithelial ingrowth were evaluated under the light microscope.(중략)

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