• 제목/요약/키워드: Hyperplasia

검색결과 999건 처리시간 0.033초

치은비대를 동반한 척수성 근위축증 환자의 마취관리 -증례보고- (General Anesthesia in a Child with Possible Spinal Muscular Atrophy Combined with Gingival Hyperplasia -A Case Report -)

  • 서광석;박창주;김현정;염광원
    • 대한치과마취과학회지
    • /
    • 제4권2호
    • /
    • pp.100-103
    • /
    • 2004
  • Spinal muscular atrophies are inherited neurodegenerative disorders affecting anterior hem cells. There are various problems, especially weakness of respiratory muscle and abnormal reaction to muscle relaxants during the general anesthesia. And gingival hyperplasia can make the proper airway management difficult. Experience with anesthetic management in a patient with spinal muscular atrophy combined with gingival hyperplasia has been very rare. We report the anesthetic experience of a wheel-chair-bound child, who underwent gingivectomy under general anesthesia. The child was safely managed with fibroscopic nasotracheal intubation under sevoflurane without muscle relaxants. Also, there was no deterioration of her underlying neurologic conditions.

  • PDF

Lipomatosis: a diverse form of hemifacial hyperplasia

  • Arora, Preeti Chawla;Umarji, Hemant R.;Arora, Aman;Ramaswami, Easwaran
    • Imaging Science in Dentistry
    • /
    • 제42권3호
    • /
    • pp.191-195
    • /
    • 2012
  • A case of hemifacial hyperplasia that presented with muscular, skeletal, and dental hyperplasia along with lipomatous infiltration was described. Advanced imaging was useful in identifying the lipomatous infiltration present in the lesion, which raises the possibility of lipomatosis having a diverse presentation in hemifacial hyperplasia. As there was a scarcity of related literature in the field of dentomaxillofacial radiology, this report would make us familiar with its computed tomographic and magnetic resonance image findings.

기계적 자극에 의한 구강내 반응성 증식 (Reactive Hyperplasia of Intraoral Soft Tissue by Mechanical Irritation)

  • 김지현;박준상;고명연
    • Journal of Oral Medicine and Pain
    • /
    • 제26권2호
    • /
    • pp.115-120
    • /
    • 2001
  • Intraoral soft tissue can easily be injured by weak mechanical irritation. Each symptom by irritation is various, but most of patients show chronic inflammatory lesion. The fibroma is the most frequent disease found in intraoral area followed by pyogenic granuloma, epulis fissuratum, palatal papillomatosis, and epulis granulomatosum. The inflammatory hyperplasia by mechnical irritation is easily different from other disease, but this shows similar to several benign and malignant tumors required differential diagnosis. By microscopic feature, the lesions is divided by granulatory stage, mixed stage, and fibrotic tissue stage. The inflammatory hyperplasia is differently treated by each clinical features.: only removal of cause or, and excisional biopsy is/are required. This is the cases report of reactive hyperplasia of intraoral soft tissue by mechanical irritation that suggests various treatments of each cases.

  • PDF

Three-Dimensional Flow Simulations of End-to-Side Vascular Anastomoses : Flow Dynamic Aspect on Preferential Development of Intimal Hyperplasia or Thrombosis

  • Kim, Young H.;Krishnan B.Chandran
    • 대한의용생체공학회:의공학회지
    • /
    • 제15권3호
    • /
    • pp.253-258
    • /
    • 1994
  • Three-dimensional steady and pulsatile flows in an end-to-side anastomosis were investigated using a finite difference method in order to understand the flow dynamics in the preferential development of distal anastomotic intimal hyperplasia or thrombosis. Steady flow results revealed that a double helical vortex was formed in the host artery and flow recirculations near toe find heel regions were restricted due to the secondary flow. Oscillating wall shear stress with significant secondary flow might be flow dynamic reason of developing intimal hyperplasia or thrombosis near the anastomotic region.

  • PDF

혈류의 유동이 혈관-인조혈관 접속부 혈관 내막 세포증식에 미치는 영향 (Hemodynamic Effects on Artery-Graft Anastomotic Intimal Hyperplasia)

  • 이계한
    • 대한의용생체공학회:의공학회지
    • /
    • 제15권2호
    • /
    • pp.143-150
    • /
    • 1994
  • Wall shear rate or stress is believed to be a major hemodynamic variable influencing atherosclerosis and artery-graft anastomic intimal hyperplasia. The purpose of this study is to verify the effects of radial wall motion, artery-graft compliance and diameter mismatch, and impedance phase angle on the wall shear rate distribution near an end-to-end artery-graft anastomosis model. The results show that radial wall motion of the elastic artery model lowers the mean wall shear rates under pulsatile flow condition by 15 to 20 % comparing to those under steady flow condition at the same mean flow rate. Impedance phase angle seems to have small effects on the mean and amplitude of the wall shear rate distribution. In order to study the effects of compliance and diameter mismatch on the wall shear rates, two models are studied-Model I has 6% and Model I has 6% and Model II has 11% smaller graft diameter. Divergent geometry caused by diameter mismatch near the distal sites reduces the mean wall shear rates significantly, and this low shear region is believed to be prone to intimal hyperplasia.

  • PDF

황백(黃柏)이 전립선비대증(前立腺肥大症) Rat에 미치는 영향 (The Effects of Phellodendri Cortex Ex on Experimental Rat Model of Benign Prostatic Hyperplasia)

  • 박정준;이장식;김용성
    • 한국한의학연구원논문집
    • /
    • 제16권2호
    • /
    • pp.131-141
    • /
    • 2010
  • Objective : Benign prostatic hyperplasia(BPH) is one of the most common diseased among elderly men. BPH can be treated with alpha-1 adrenergic blocker or $5{\alpha}$-reductase inhibitor(Finasteride) that reduces serum dihydrotestosterone(DHT). Phellodendri Cortex Ex has been broad studied on its chemical components, pharmacological activity, and clinical effects on anti-inflammation, anti-allergy, anti-tumor, immunity, antibacteria and other bioactivities. In this study, we investigated the therapeutic effects and action mechanism of Phellodendri Cortex Ex with a BPH induced by castration and testosterone treatment. Methods : Sprague-Dawley rats were treated with testosterone after castration for induction of experimental benign prostatic hyperplasia, which is similar to human benign prostatic hyperplasia in histopathological profiles. Phellodendri Cortex as an experimental specimen, and Finasteride as a positive control, were administered orally. The prostates were evaluated by histopathological changes, and the expression of $5{\alpha}$-reductase genes. Results : While prostates of control rats revealed severe acinar gland atrophy and stromal proliferation, the rats treated with Phellodendri Cortex Ex showed a diminished range of the tissue damage. In the reverse transcription-polymerase chain reaction(RT-PCR) of $5{\alpha}$-reductase genes, Phellodendri Cortex inhibited the expression of $5{\alpha}$-reductase genes. Conclusions : These findings suggest that Phellodendri Cortex Ex may protect the glandular epithelial cells and also inhibit stromal proliferation in association with the suppression of $5{\alpha}$-reductase. From these results, we suggest that Phellodendri Cortex Ex could be a useful agent for treating the benign prostatic hyperplasia.

전립선비대증 환자의 하부요로증상의 중증도에 따른 생리학적 지수 및 불안, 우울 (A Study on Physiological Index, Anxiety and Depression by the Severity of Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia)

  • 김중경;김진범;송민선
    • Journal of Korean Biological Nursing Science
    • /
    • 제18권3호
    • /
    • pp.127-134
    • /
    • 2016
  • Purpose: The purpose of this study was to investigate the physiological index, anxiety and depression by the severity of lower urinary tract symptoms in patients with benign prostatic hyperplasia. Methods: This research was conducted from the 4th to the 27th of May in 2016 on112 patients with benign prostatic hyperplasia. The data were analyzed using a chi-square test, ANOVA, and Pearson Correlation Coefficients. Results: The results demonstrated a difference depending on the dysuria period of each lower urinary tract symptom, marital status, occupation and perceived health state of the patient. The physiological index by lower urinary tract symptoms showed a difference in the maximum flow rate, amount of post-void residual urine and Prostate-Specific Antigen (PSA), and anxiety and depression factors also revealed a difference. Lower urinary tract symptoms showed a positive correlation to the amount of post voided residual urine and PSA, a negative correlation to the maximum flow rate and also indicated a positive correlation to depression. Conclusion: The results of the study belonging to the moderate and severe categories were high when the result was based on the categorization of subjects with benign prostatic hyperplasia with lower urinary tract symptoms. Considering that depression levels increase as the symptom intensifies and the anxiety score is also high with mild symptoms, psychological support intervention is needed when a pattern of benign prostatic hyperplasia appears.

비염증성 치은증식증의 상피 및 상피하조직내 세포변화에 관한 면역조직화학적 연구 (AN IMMUNOHISTOCHEMICAL STUDY ON THE CELLULAR CHANGE IN EPITHELIUM AND SUBEPITHELIAL TISSUE OF NON-INFLAMMATORY GINGIVAL HYPERPLASIA)

  • 최영욱;한경윤
    • Journal of Periodontal and Implant Science
    • /
    • 제23권3호
    • /
    • pp.605-621
    • /
    • 1993
  • The gingival hyperplasia refers to an increase in the size of the gingival tissue produced by an increase in the number of its component cells. In order to investigate the cellular change in epithelium and subepithelial tissue of noninflammatory gingival hyperplasia, the gingival tissues were surgically obtained from the patients with dilantin gingival hyperplasia and idiopathic gingival hyperplasia. The excised tissue samples were fixed in neutral formalin for 6-24 hours, embedded with paraffin, sectioned at $4-6{\mu}m$ in thickness, mounted on glass slides coated with 3-aminopropyltriethoxysilane(Sigma Chemical Co., St. Louis, MO, U.S.A.) and immunocytochemically processed by Avidin-Biotin peroxidase complex method for detecting proliferating cell nuclear antigen, tenascin and collagen type IV. Monoclonal mouse anti-human PCNA antibody(Oncogene Science, Uniondale, NY, U.S.A., 1 : 250,000), monoclonal mouse anti-human tenascin antibody(Chemicon-International Inc., Temecula, CA, U.S.A., 1:5,000), and monoclonal mouse anti-human collagen type IV(Dakopatts, Glostrup, Denmark, 1: 50) were used as primary antibodies. The results were as follows: 1. In non-inflammatory gingival hyperplasia, the positive reaction to proliferating cell nuclear antigen was localized in the basal cell layer of gingival epithelium and well-developed rete pegs. 2. The positive reaction to tenascin was shown in the connective tissue subjacent to basament membrane of gingival tissue, and especially strong positive reaction was noted in the tip portion of connective tissue projections. 3. The positive reaction to collagen type IV was localized along the basement membranes of gingival epithelium and blood vessels. The results suggest that connective tissue enlargement may affect the proliferation of gingival epithelium.

  • PDF

구강점막에 발생한 섬유성 과증식의 처치 (MANAGEMENT OF FIBROUS HYPERPLASIA IN ORAL MUCOSA)

  • 함선영;송창규;박세희;김진우;조경모
    • Restorative Dentistry and Endodontics
    • /
    • 제34권4호
    • /
    • pp.340-345
    • /
    • 2009
  • 구강점막은 흡입되거나 압력을 받아, 병적이진 않으나 임상적으로 뚜렷한 변화를 일으키는 수많은 상황에 놓이게 된다. 협점막과 혀는 치아가 상실되었거나 여분의 공간이 존재하는 부위에서 돌기가 형성될 수 있다. 점막이 여분의 공간으로 압력을 받거나 흡입되어 섬유성 과증식이 발생하게 되는 것이다. 이번 증례보고에서는 구강점막의 섬유성 과증식의 처치에 대해 기술하고자 한다. 섬유성 과증식은 구강점막에 가해진 습관성 압력이나 흡입에 의해 형성될 수 있다. 섬유성 과증식의 치료는 단순 절제술과 원인을 제거하는 것이다. 또한 습관 조절이 재발을 방지하기 위한 중요한 요소가 된다.

자궁내막증식증에서 한약 치료의 효과에 대한 체계적 문헌 고찰 및 메타분석 - 중국 임상 연구를 중심으로 (A Systematic Review and Meta-Analysis on the Effect of Herbal Medicine for Endometrial Hyperplasia - Focusing on Chinese Randomised Controlled Trials)

  • 유진실;박경선;안영태;조유진;강은솔;정성엽;이윤재
    • 대한한방부인과학회지
    • /
    • 제34권3호
    • /
    • pp.96-113
    • /
    • 2021
  • Objectives: The purpose of this study is to analyze the effectiveness of herbal medicine that are used for endometrial hyperplasia. Methods: We searched on three databases [PubMed, China national knowledge infrastructure (CNKI), and Oriental medicine advanced searching integrated system (OASIS)] with keywords for Endometrial hyperplasia(English, Korean, and Chinese) and evaluated the risk of bias. Meta-analysis was performed on the selected studies. Results: 15 RCTs were finally selected. According to the analysis, Most of the participants were endometrial hyperplasia without atypia. And the combined therapeutic effects of hormonal medicine and herbal medicine were statistically significant (RR 1.21 [95% CI 1.15, 1.28], P<0.00001), The endometrial thickness tended to be thinner when treated combined therapy. And they also showed improvement on levels of pictorial blood assessment chart (PBAC) and hemoglobin. Also, the therapeutic effects of herbal medicine can be identified as similar to Western medicine, and no superior effects have been confirmed (RR 1.05 [95% CI 0.87, 1.28], P=0.60). Conclusion: The combination Western and herbal medicine was more effective than Western medicine alone treated for endometrial hyperplasia without atypia. Moreover there were also significant improvements in endometrial thickness, PBAC and hemoglobin levels.