• 제목/요약/키워드: Oral and Maxillofacial

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Importance of immediate surgical intervention and antifungal treatment for rhinocerebral mucormycosis: a case report

  • Kim, Jin-Geun;Park, Hye Jeong;Park, Jung Hyun;Baek, Jiwoong;Kim, Hyung Jun;Cha, In-Ho;Nam, Woong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권5호
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    • pp.246-250
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    • 2013
  • Rhinocerebral mucormycosis (RCM) is an opportunistic, potentially life-threatening fungal disease. This infective disease invades not only the facial sinuses, but also the maxilla, zygoma, and rhino-cerebral structures with a massive destruction of the facial skeletons and soft tissue. This disease progresses within various underlying diseases, such as diabetes mellitus, hematologic malignancy, renal failure, and systemic immunodepression. The relationship between mucormycosis and these underlying conditions have been discussed extensively in the literature. The authors studied 6 cases of RCM diagnosed by a tissue biopsy and treated at the department of oral and maxillofacial surgery, from 1997 to 2012. Patients were treated with several kinds of surgical interventions and antifungal agents, and their clinical & radiological signs, underlying conditions, surgical methods, and outcomes were analyzed.

Acquired facial lipoatrophy: A report of 3 cases with imaging features

  • Lee, Chena;Kim, Jo-Eun;Yi, Won-Jin;Heo, Min-Suk;Lee, Sam-Sun;Han, Sang-Sun;Choi, Soon-Chul;Huh, Kyung-Hoe
    • Imaging Science in Dentistry
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    • 제50권3호
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    • pp.255-260
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    • 2020
  • Acquired facial lipoatrophy is a rare disease with an unclear etiology and pathological pathway. The distinct causative factors of this disease have been not elucidated, but it is suspected to be associated with immune system-related diseases, most notably AIDS. Although the management of facial lipoatrophy is very important for patients' social life and mental health, no treatment framework has been developed due to the unknown nature of the disease manifestation. The present case report was designed to provide sequential imaging to visualize the disease progression. The clinical backgrounds of the patients are also introduced, helping characterize this disease entity more clearly for maxillofacial specialists.

Application of radiographic images in diagnosis and treatment of deep neck infections with necrotizing fasciitis: a case report

  • Kim, Young-Joo;Kim, Ju-Dong;Ryu, Hye-In;Cho, Yeon-Hee;Kong, Jun-Ha;Ohe, Joo-Young;Kwon, Yong-Dae;Choi, Byung-Joon;Kim, Gyu-Tae
    • Imaging Science in Dentistry
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    • 제41권4호
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    • pp.189-193
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    • 2011
  • The advent and wide use of antibiotics have decreased the incidence of deep neck infection. When a deep neck infection does occur, however, it can be the cause of significant morbidity and death, resulting in airway obstruction, mediastinitis, pericarditis, epidural abscesses, and major vessel erosion. In our clinic, a patient with diffuse chronic osteomyelitis of mandible and fascial space abscess and necrotic fasciitis due to odontogenic infection at the time of first visit came. We successfully treated the patient by early diagnosis using contrast-enhanced CT and follow up dressing through the appropriate use of radiographic images.

상악동 증대술과 관련된 상악동염의 처치: 증례보고 (Sinusitis Managment Associated with Maxillary Sinus Augmentation: Case Report)

  • 홍수련;이용욱;윤경성;최지혜;하주효;김인호;정수진;이현수;양수남
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권6호
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    • pp.558-562
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    • 2010
  • Sinusitis has been reported as a complication of sinus lift surgery. Obstruction of the sinus outflow tract by mucosal edema and particulate graft material may result in sinusitis. Two main surgical procedures have been proposed for the treatment of associated infectious complications; inferior meatal antrostomy and functional endoscopic sinus surgery through transnasal approach. We performed superior lateral wall antrostomy through introral approach in patient suffering from the sinusitis after sinus floor augmentation and implant installation. This procedure permitted easier access to the maxillary sinus for treat sinusitis caused by sinus lifting.

상악동 국균증의 치험 2례 (CASE REPORT : MAXILLARY SINUS ASPERGILLOSIS)

  • 장용욱;송경호;정진원;이슬기;김좌영;송상훈;양병은;김성곤
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권4호
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    • pp.480-484
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    • 2008
  • The incidence of aspergillosis infections in the maxillary sinus has increased recently, because of overuse of antibiotics, steroids, anticancer agents, immunosuppressant, antimetabollites, and uncontrolled diabetes mellitus. The clinical features of maxillary sinus aspergillosis include pain, swelling and foul odor nasal excretion. This needs to be differentiated from bacterial maxillary sinusitis, and surgical treatment with antifungal agents are suggested. Recently, we treated two patients with maxillary sinus aspergillosis surgically (Caldwell Luc operation) and with antifungal agents(itraconazole). The results were satisfactory so we report these cases with literature review.

구강악안면 재건을 위한 미세혈관 문합술의 종류 (Classification of microvascular anastomosis in oral and maxillofacial reconstruction)

  • 이정아;강지영;어미영;명훈;김명진;이종호;김성민
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권4호
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    • pp.312-320
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    • 2011
  • A reconstruction following a resection of malignant oral cavity tumors is one of the most difficult problems in recent oral oncology. For a better understanding of oral and maxillofacial reconstructive procedures, basic and advanced microvascular anastomosis techniques must be learned and memorized. The aim of this article was to clarify and define the microvascular anastomosis methods, such as primary closure after an arteriotomy, end to side anastomosis, end to end anastomosis, and side to side anastomosis with an artery and vein. This review article discusses the basic skills regarding microvascular anastomoses with brief schematic diagrams in the Korean language. This article is expected to be helpful, particularly to young doctors in the course of the Korean national board curriculum periods for oral and maxillofacial surgery.

Orthognathic Surgery Using Three-piece Segmental Maxillary Osteotomy to Correct Severe Facial Asymmetry: A Case Report

  • Kim, Seo-Yoon;Kim, Su-Gwan;Oh, Ji-Su;Ahn, Yu-Seok;Moon, Kyung-Nam;Jeon, Woo-Jin;Lee, Jeong-Hoon;Im, Jae-Hyung;Yoo, Kyung-Hwan;Kim, Jin-Ha
    • Journal of Korean Dental Science
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    • 제3권1호
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    • pp.39-42
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    • 2010
  • This case report presents a case that underwent three-piece segmental maxillary osteotomy and sagittal split ramus osteotomy on a patient with severe facial asymmetry accompanied by maxillary prognathism, severe left scissor bite, and chin point deviation. The resulting facial appearance and occlusion were improved, thereby three-piece segmental maxillary osteotomy is regarded effective methed in treating severe facial asymmetry.

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Bisphosphonate-related osteonecrosis of jaw의 치료에 대한 고찰 (Consideration for treatment of bisphosphonate-related osteonecrosis of the jaw)

  • 유경하;윤규호;배정호;박재안;박군찬;신재명;백지선;정정권
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권3호
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    • pp.206-210
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    • 2010
  • Bisphosphonates are widely used to treat osteoporosis, hypercalcemia of malignant tumor. Despite their clinical benefit, bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a newly documented complication to patients receiving these drugs and first recognized by Marx in 2003. Thus, consideration of prevention and needs regarding unequivocal treatment regimen have emerged. Recently, several authors emphasized reports on appropriate clinical availability of surgical approach. It serves to concern about guideline for surgical and conservative treatment modalities. So, it is the purpose of this paper to review the current literatures about treatment regimens of BRONJ.

Intra-sinus rigid fixation of a resorbable barrier membrane to repair a large perforation of the sinus membrane: a technical note

  • Won-Jun Joung;Seo-Hyoung Yun;Yongjin Kim;Yong-Seok Cho;Won-Woo Lee;Jin-Won Seo;Marco Tallarico;Kyung-Gyun Hwang;Chang-Joo Park
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제49권5호
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    • pp.297-303
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    • 2023
  • A resorbable barrier membrane is commonly used for the repair of perforated sinus membranes during sinus lifting surgeries. However, repairing largescale perforations poses challenges for clinicians as the protection and isolation of graft material remain uncertain. With this technique, we aimed to prevent graft material loss and subsequent sinus-related complications using intra-sinus rigid fixation of the resorbable barrier membrane in cases with a large perforation of the sinus membrane.