• 제목/요약/키워드: Diagnosis, Oral

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안면부에 발생한 혈관근종의 치험례 : 증례보고 (Angiomyoma on Face : A Case Report)

  • 최준호;장학
    • 대한두경부종양학회지
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    • 제29권2호
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    • pp.48-50
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    • 2013
  • Angiomyoma is a rare, benign smooth muscle cell tumor. These tumors may be found anywhere in the body. They frequently occur in the lower extremities except venous type. Angiomyoma in the head and neck area is very rare, and only a few cases have been reported. A 63 year-old male patient visited to outpatient clinic due to size-growing nodule-like lesion in the Lt. alar area. Excisional biopsy was done for diagnosis. The lesion was totally excised with 2 mm safety margin. Frozen biopsy of the lesion was requested, and all resection margins were proved negative. To cover the raw surface, full thickness skin grafting was performed. The graft was harvested from Rt. posterior auricular area. Tie over dressing was applyed on Lt. alar area. The graft was well taken and healed without any complication in both short term and long term follow up periods of 2 weeks, 1 month, 2 months, and 6 months. Donor site completed healed without any complications. The leiomyoma is benign tumor originated from smooth muscle, and it can be classified into solid leiomyoma, angiomyoma, and epithelioid leiomyoma. Especially, the angiomyoma consists of smooth muscle cell and blood vessel, and it is originated from the tunica media of blood vessel. Angiomyoma alone frequently occurs in the lower extremities as solitary painless subcutaneous tumor. Venous type of angiomyoma in the oral cavity was reported in other references, but on the facial surface it may be the first case reported as paper. So this report can be very meaningful.

과도한 치아 마모 환자에서 수직고경 증가를 동반한 전악 수복 증례 (Full mouth rehabilitation with vertical dimension elevation in the patient with severely worn dentition: case report)

  • 이은지;신수연
    • 구강회복응용과학지
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    • 제30권4호
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    • pp.315-323
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    • 2014
  • 과도한 치아의 마모는 수직 교합 고경의 감소를 야기하여 구강 및 저작계의 병적 변화를 일으킬수 있으며, 이 경우 새로운 교합 설정과 수직 고경 회복 시 정확한 진단과 분석이 필수적이다. 이에 본 증례에서는 고딕 아치 트레이서를 통해 거상된 수직고경에서의 중심위를 기록한 후 전악 수복을 시행하였다. 본 증례는 70세 남자 환자로서 이가 시리고 아파서 음식을 먹지 못한다는 주소로 내원하였다. 전반적인 치아 마모에 의한 수직고경의 감소를 보여 면밀한 모형분석을 통해 수직고경의 거상을 결정하였다. 거상된 수직고경에 맞춰 고딕 아치 트레이서를 이용하여 중심위 채득 후 임시 보철물을 장착하였다. 4개월 동안 임시 보철물을 통해 적절한 교합을 형성하였으며 이를 이용하여 최종 보철을 제작하였다. 치료를 통해 기능적, 심미적으로 만족할 만한 결과를 얻었기에 이를 보고하는 바이다.

심부 경부 감염 후 합병된 흉강내 감염 2예 (Two Cases Presenting Thoracic Complications of Deep Neck Infection)

  • 염문선;김태희;김도연;정수진;이창배;이혜진;이진화;김혜영;박영식;김명래;장중현
    • Tuberculosis and Respiratory Diseases
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    • 제48권4호
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    • pp.543-549
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    • 2000
  • 저자 등은 치주 농양 및 심부 경부 감염에 합병된 급성 종격동염, 심낭 삼출, 폐렴 및 농흉 등의 흉강내 감염 2예를 경험하였으며, 위와 같은 심부 경부 감염시 흉강내 감염의 예방을 위해 조기 진단 및 완전한 배농과 적절한 항생제 등의 처치가 필요하며, 일단 흉강내 감염으로 진행시 높은 사망률을 동반할 수 있음을 문헌 고찰과 함께 보고하는 바이다.

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미니어처 슈나우저에서 발생한 원발성 부갑상선기능저하증 (Primary Hypoparathyroidism in a Miniature Schnauzer Dog)

  • 강민희;박희명
    • 한국임상수의학회지
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    • 제26권6호
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    • pp.603-605
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    • 2009
  • 7연령의 암컷 미니어처 슈나우저견이 갑작스런 발작과 근육 떨림 증상을 주증으로 내원하였다. 내원 당시 발열과 헐떡임이 두드러졌으며, 신체검사 상에서 현저한 앞다리 근육 강직증상, 근육부분수축과 뻣뻣한 걸음걸이가 관찰되었다. 실험실 검사에서 심각한 저칼슘혈증과 함께 고인혈증이 특징적으로 관찰되었다. 이와 더불어 관찰된 낮은 농도의 부갑상선 호르몬과 이온화된 칼슘농도, 뇨중 칼슘과 인의 배설 량 측정을 통하여 원발성 부갑상선기능저하증이 진단되었다. 이 환축은 10% 글루콘산칼슘 투여를 통한 초기 치료에 반응이 좋았으며, 비타민 D 유사체와 칼슘 보조제를 통한 유지 치료에 의해 잘 관리 되고 있다. 부작용으로 일시적인 고인혈증이 나타났으나, 이 역시 경구용인 흡착제인 sevelamer hydrochloride를 이용한 치료에 의해 안정화 되었다. 결론적으로 본 증례의 경우 개에서 나타나는 원발성 부갑상선기능저하증의 임상증상과 특징적인 실험실 검사 결과 그리고, 치료 반응에 대한 국내 첫 증례보고이다.

A Clinical Study on an Acute Therapy for Recovering the Normal Physiology in Narcotists using Tuo Yin Tang Jiang made of Chinese Medical Herbs

  • Yu, Zhao-Qun;Lee, J.I.
    • 한국자원식물학회:학술대회논문집
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    • 한국자원식물학회 2000년도 The 7th International Symposium
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    • pp.34-51
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    • 2000
  • Narcotic drugs generally refer to serious and habitual hidden rash such as opium, heroin, methyphetamin, nabinol, cocaine, and so forth. At present, narcotic drugs are spread unchecked and are causing a big social problem. So many countries and narcotists are making every effort to set up a barricade against narcotic drugs. And there is a limit suitable treatment for them. Thus Tuo Yin Tang hang is developed. As indicated by Chinese letters, Tuo yin Tang Jiang(TYTJ) is a crude drug. It is a traditional chinese medicine developed by the study done from lune in 1998 to lune in 1999 that Hubeisheng was entrusted with by People's Republic of China. This study is a treatise on etiology and syntomatology or narcotism. TYTJ is a medicine which is in accord with Pharmacopeia of the People's Republic of China in order to remove from the body the toxic materials resulting from narcotic drugs such as opium and heroin. According to the standard diagnosis on narcotism, 105 cases are studied and treated at the Rehabilitation Center attached to Enshi Autonomous Region Hospital in Hubeisheng. 105 cases are divided into 2 groups by double-blind method. One is the experimental group which has 56 cases. The other is the control group which has 49 ones. 13 cases among 105 cases are addicted by intravenously injections. 9 cases are by oral takings. It took 10 days for this experiment to be performed. Two groups didn't show a striking individual variation based on the age, gender, period of taking drugs, withdrawal symptoms, complication, and state of health. The experimental group had a higher effect of treatment than the control group had. TYTJ treats diseases effectively and has no side effect, irrespective of the serious or slight addiction to opium and morphine.

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세 마리 개에서 호산구성 기관지폐병증의 영상학적 특징 (Imaging Features of Eosinophilic Bronchopneumopathy in Three Dogs)

  • 지서연;이강재;김준영;윤정희;최민철
    • 한국임상수의학회지
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    • 제29권2호
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    • pp.194-197
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    • 2012
  • 호흡곤란과 기침을 주 증상으로 보이는 세마리 개가 내원하였다. 신체검사, 혈액검사와 더불어 영상학적 검사가 진행되었다. 한마리 개에서는 흉부 방사선 사진상 연부조직 밀도를 보이는 종괴가 폐엽에서 확인 되었고 CT 검사를 통해 종양 가능성이 배제되었다. 두마리 개에서 폐에 기관지 확장증이 동반된 기관지 간질 침윤이 확인되었고 세 마리 개 모두 조직병리학적 검사 혹은 세포학적 검사를 통해 호산구성 기관지폐병증이 진단되었다. 약 처방 후 임상 증상은 신속히 개선되었고 영상검사상에서 병변의 감소가 뚜렷하게 관찰되었다.

진도개에서 홍반천포창(pemphigus erythematosus)의 진단 (Diagnosis of pemphigus erythematosus in a Jindo dog)

  • 방동하;최을수;김민규;최은화;정윤찬;강민수;김대용;황철용;이창우;윤화영
    • 대한수의학회지
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    • 제46권2호
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    • pp.165-169
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    • 2006
  • A 6-year-old female Jindo dog weighing 20 kg was presented to the Veterinary Medical Teaching Hospital of Seoul National University for the formation of crust and erosion of the nasal bridge and planum, and for alopecia of ear margin. Erythema, crusts, alopecia and erosions were present in the nasal planum and the bridge of the nose on physical examination. There were no abnormalities on CBC, serum chemistry, and basic dermatologic examination which included skin scraping, bacterial cultures, and fungal cultures. On cytology, the acantholytic cells were surrounded by non-degenerate neutrophils. Biopsy samples obtained from skin lesionswere diagnosedpemphigus erythematosus by histopathology and immunochemical staining. Therefore the dog was initially treated with oral prednisolone as an immunosuppressive dose for tour weeks, but clinical manifestations did not improve so far.

Comparisons of the diagnostic accuracies of optical coherence tomography, micro-computed tomography, and histology in periodontal disease: an ex vivo study

  • Park, Jin-Young;Chung, Jung-Ho;Lee, Jung-Seok;Kim, Hee-Jin;Choi, Seong-Ho;Jung, Ui-Won
    • Journal of Periodontal and Implant Science
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    • 제47권1호
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    • pp.30-40
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    • 2017
  • Purpose: Optical coherence tomography (OCT) is a noninvasive diagnostic technique that may be useful for both qualitative and quantitative analyses of the periodontium. Micro-computed tomography (micro-CT) is another noninvasive imaging technique capable of providing submicron spatial resolution. The purpose of this study was to present periodontal images obtained using ex vivo dental OCT and to compare OCT images with micro-CT images and histologic sections. Methods: Images of ex vivo canine periodontal structures were obtained using OCT. Biologic depth measurements made using OCT were compared to measurements made on histologic sections prepared from the same sites. Visual comparisons were made among OCT, micro-CT, and histologic sections to evaluate whether anatomical details were accurately revealed by OCT. Results: The periodontal tissue contour, gingival sulcus, and the presence of supragingival and subgingival calculus could be visualized using OCT. OCT was able to depict the surface topography of the dentogingival complex with higher resolution than micro-CT, but the imaging depth was typically limited to 1.2-1.5 mm. Biologic depth measurements made using OCT were a mean of 0.51 mm shallower than the histologic measurements. Conclusions: Dental OCT as used in this study was able to generate high-resolution, cross-sectional images of the superficial portions of periodontal structures. Improvements in imaging depth and the development of an intraoral sensor are likely to make OCT a useful technique for periodontal applications.

원발성 기관지 방선균증 (Primary Endobronchial Actinomycosis)

  • 한윤창;김동규;모은경;김동환;박명재;이명구;현인규;정기석
    • Tuberculosis and Respiratory Diseases
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    • 제43권3호
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    • pp.467-471
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    • 1996
  • 저자들은 발열 및 마른기침을 주소로 내원한 20세 여자에서 기관지내시경검사 및 기관지조직 검사로 기관지 방선균증을 확진하고 소디움페니실린 정맥주사 및 테트라사이클린 경구투여로 완치한 원발성 기관지 방선균증 환자를 경험하였기에 문헌고찰과 함께 보고 하는 바이다.

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Cone-Beam CT를 이용한 악교정 수술용 스텐트 제작과 임상 적용 (SURGICAL STENT FABRICATION AND CLINICAL APPLICATION FOR ORTHOGNATHIC SURGERY USING Cone-Beam CT)

  • 김용일;김종렬;김성식;손우성;박수병
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제31권2호
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    • pp.158-166
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    • 2009
  • The application of CT with basis on 3 dimensional-reconstruction is getting more widely practiced. With the data obtained from cone-beam computed tomography(CBCT), not only the diagnosis of the patient with skeletal abnormality but also the virtual simulation of the orthognathic surgery were performed and its application would be popular in orthodontic field. We reported a case, a 19-year old man who was diagnosed mandibular prognathism and required orthognatic surgery. In this case, the virtual orthognathic surgery was simulated and surgical wafer was fabricated by using CBCT data. That wafer was applied the actual orthognathic surgery. After preoperative orthodontic treatment, we prepared surgery as follows. : (l)Acquisition of 3D image data, (2)Reconstruction of 3-dimensional virtual model, (3)Virtual model surgery, (4)Extraction of stere-olithographic image, (5)Check-up for occlusal interference, (6)Fabrication of surgical stent by stereolithography. Bilateral sagittal split ramus osteotomy was operated and used stereolithographic surgical stent. 1 month later, we superimposed CBCT datas of virtual surgery and that of actual surgery, and then compared the result. CT data's application for othognathic surgery yielded satisfactory outcomes.