• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.28 no.1
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• pp.235-243
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• 1998

Cementifying fibroma is an odontogenic tumor of periodontal ligament origin, consisting of a proliferation of fibrous tissue that forms cementum. Cemento-ossifying fibroma, cementifying fibroma and ossifying fibroma are difficult to distinguish on clinical and radiographic exmination, and on histopathology. However, when the calcified product is represented by ovoid or curvilinear deposits, the lesion is often referred to as cementifying fibroma. Cementifying fibromas of the jaws are well-circumscribed, generally slow-growing lesions. Although most lesions appear to be limited to the tooth-bearing areas, a few have extended into the angle-ramus area or encroached on the maxillary sinus. Radiographically, the cementifying fibroma could present as a radiolucent, radiopaque or mixed density lesion, depending on the degree of maturity. We have observed two cases of cementifying fibroma occurred in the left maxillary premolar-molar area of 38-year-old woman and 35-year old man. We obtained that two cases were shown the followed results; 1. Clinically, main clinical symptom was facial swelling and pain at palpation 2. Radiographically, well-circumscribed radiolucent lesion and radiolucent lesion with radiopaqu e foci were seen on the left maxillary premolar-molar areas. Loss of lamina dura and root resorption or divergency were also seen. 3. Histopathologically, many cementum-like calcifications were observed in the hypercellular connective tissue.

• Journal of Korean Medicine Rehabilitation
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• v.20 no.2
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• pp.219-225
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• 2010

Objectives : This study was performed to report the effect of oriental medical treatments in one patient with traumatic thigh subcutaneous hematoma by traffic accident. Methods : The patient was treated by acupuncture, herbal medicine, pharmacopuncture and cupping for 3 months. Results : After treatments, VAS(visual analog scale) score changed from 10 to 0. MR Imaging showed that the size of subcutaneous hematoma has decreased from $5{\times}11{\times}5.8cm$ to $2.4{\times}3.2{\times}2.6cm$. And the palpation results also showed that the size of subcutaneous hematoma has gotten smaller. Conclusions : Our study suggests that oriental medical treatments such as acupuncture, herbal medicine, pharmacopuncture and cupping may be effective in traumatic subcutaneous hematoma. More cases of controlled treatments are needed to define the effect of oriental medical treatments for traumatic subcutaneous hematoma.

• Korean Journal of Bronchoesophagology
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• v.6 no.1
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• pp.21-28
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• 2000

Background:Subacute necrotizing lymphadenitis or Kikuchi's disease is unknown ethiology and self-limiting process. This disease predominantly affects young women age but rarely affects pediatrics, and usually manifests as lymphadenopathy and fever. Even though this disease is self-limited, benign process, many cases are misidentified as malignant lymphoma. The purpose of this study is to report the clinicopathologic finding, radiological finding and many labolatory test and to compare with characteristics of adult patients in this disease. Meterial and Methods:We reviewed 27 pediarics patients with subacute necrotizing lymphadenitis by excision biopsy or fineneedle aspiration cytology.Result:The most common symptomes were palpation of cervical lymh node(88.9%) and fever(66.7%). The common site of the involvement was cervical lymph node. The multiple involvement was 93% and bilateral involvement was 59%. Leukopenia(52%) and elevated erythrocyte sedimentation rates(93%) appeared in abnormal laboratory data. Microscopically, the characteristic finding was the wide area of florid nuclear dusts engulfed by histiocytes and well-circumscrbed area with eosinophilic fibrinoid material. There was a striking degree ofkaryorrhexis and an absence of granulocyte with paucity of plasma cell. All patients recovered with the conservative treatment and there was no specific complication and recurrence. Conclusion : We reviewed pediatric patients with this disease. Characteristics of this disease inpediatric patients were similar to adult patients.

• The Korean Journal of Pain
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• v.24 no.1
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• pp.48-52
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• 2011

Occipital neuralgia is usually defined as paroxysmal stabbing pain in the greater or lesser occipital nerve (GON or LON) distribution. In occipital neuralgia patients, surgical considerations are carefully taken into account if medical management is ineffective. However, identification of the occipital artery by palpation in patients with thick necks or small occipital arteries can be technically difficult. Therefore, we established a new technique using transcranial Doppler (TCD) sonography for more accurate and rapid identification. The patient was a 64-year-old man who had undergone C1-C3 screw fixation and presented with intractable stabbing pain in the bilateral GON and LON distributions. In cases in which pain management was performed using medication, physical therapy, nerve block, or radiofrequency thermocoagulation, substantial pain relief was not consistently achieved, and recurrence of pain was reported. Therefore, we performed occipital neurectomy of the bilateral GON and LON by using TCD sonography, which helped detect the greater occipital artery easily. After the operation, the patient’s headache disappeared gradually, although he had discontinued all medication except antidepressants. We believe that this new technique of occipital neurectomy via a small skin incision performed using TCD sonography is easy and reliable, has a short operative time, and provides rapid pain relief.

• Journal of Korean Physical Therapy Science
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• v.16 no.4
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• pp.59-65
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• 2009

Background: Human body is formed of symmetric bilateral structures that are comprised of eye, upper arm, lower arm and etc. but, we are used only dominant components. The purpose of this study was to analysis length cognition ability in dominant eye & hand. Method: Total 180 persons (male 32, female 138) were participated in this study. They were tested with 'hole in the card' test for identification of dominant eye's side and the question for identification of dominant hand's side, then the length cognition ability was measured in right & left axillary level by describing 10cm line. Results: The results by independent t-test were as follows. In difference of length cognition ability in right axillary level between right dominant eyed group & left dominant eyed group, right dominant eyed group was superior to left dominant eyed group, but significant difference was not existed statistically(p>.05). In left axillary level, right dominant eyed group was superior to left dominant eyed group, but significant difference was not existed statistically(p>.05). In axillary level of dominant eye's side, non-crossed group was superior to crossed group, but significant difference was not existed statistically(p>.05). In axillary level of non-dominant eye's side, non-crossed group was superior to crossed group, but significant difference was not existed statistically(p>.05). Conclusion: These result can be applied to the learning of palpation & observation skill in physical therapy.

• Journal of Veterinary Clinics
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• v.33 no.5
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• pp.316-319
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• 2016

A 12-year-old thoroughbred mare with four days history of anorexia and high fever was submitted to the Equine Hospital. She failed to conceive in the following the breeding season in spring. In rectal palpation, mass could be palpable surrounding ovary. Because of the poor prognosis, full necropsy for mare was decided. The mass is located between right large and small colon, cranial to ovary using ultrasonography. Grossly, the mass was about $5{\times}3.5{\times}4cm$ in size, and the cut surface of mass showed brownish yellow in color with red-to orange granular areas Histopathologically, neoplastic cells were mixed with well differentiated spindle shape cells arranged in interlacing, interwoven pattern and poorly differentiated spindle cells. Neoplastic cells had abundant pink cytoplasm and bland and cigar-shaped nuclei with low mitotic figures. Many arteriole-like blood vessels with thick muscular wall were present throughout the mass. Masson's trichrome staining revealed muscle origin tumors in this case. Immunohistochemically, the neoplastic spindle cells showed positive reactions for smooth muscle actin and desmin. In our best knowledge, this is the first report of uterine angioleiomyoma in mare in Korea.

• Journal of Veterinary Clinics
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• v.37 no.4
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• pp.231-234
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• 2020

An 11-year-old, 4.3 kg, mixed breed, intact female dog exhibiting vomiting and a reduced appetite was presented. On physical examination, palpation of the right kidney elicited discomfort. Blood analysis revealed leukocytosis with neutrophilia, and elevation of alkaline phosphatase and blood urea nitrogen. Escherichia coli was detected in urine culture, whereas urine analysis showed absence of glucose. Radiography and ultrasonography suggested that there was gas in the right renal parenchyma, and computed tomography was performed while the dog was awake to investigate the suspected gas in the right kidney. After unilateral ureteronephrectomy, a histological diagnosis of right emphysematous pyelonephritis (EPN) was made. EPN refers to a severe necrotizing infection of the renal parenchyma with gas accumulation in the tissue. It is rare in both human and veterinary medicine, and almost all EPN patients have uncontrolled diabetes mellitus. This case report describes the imaging-based diagnosis of a rare occurrence of unilateral EPN in a non-diabetic dog.

• The Journal of Internal Korean Medicine
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• v.22 no.3
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• pp.431-436
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• 2001

Objective : Erectile dysfunction is defined as the inability to attain and maintain penile rigidity sufficient to allow sexual intercourse. Although erectile dysfunction is usually considered a benign disorder, it has a dramatic impaction quality of life of the patient as well as their sexual partners. we carried out 2 cases of erectile dysfunction patient with cerebral infarction in past history. Method : 2 patients with erectile dysfunction were included in this study. Each patient was treated with palmigihwang-tang and acupuncture. The erection was evaluated clinically by manual palpation and estimated on a 5-point scale as no response, some enlargement, full, enlargement, erection sufficient for intercourse, and full rigidity, In addition ,each patient assessed his satisfaction with the treatment using a 3-point scale as poor, fair, or good Result : 2 cases patients with erectile dysfunction was improved full rigidity by treatment of using palmigihwang-tang and acupunction. Satisfaction with the treatment was reported Good. Conclusion : Treatment of using Palmigihwang-tang and acupuncture was highly effective at producing an erection satisfaction for vaginal intercourse.

• Journal of Oral Medicine and Pain
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• v.25 no.2
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• pp.215-221
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• 2000

A 69-year-old male pateint was admitted for discomfort on right temporomandibular joint during opening, closing and chewing that started few months ago. The patient had no special medical history except for lung tuberculosis approximately 30 years ago and nothing specific appeared on a physical exam taken 2 months ago. Clinical tests show that mouth opening of 53mm which was normal and no joint sound, deviation, pain during opening. But tenderness to palpation on Rt masseter muscle and pain existed on Rt temporomandibular joint during loading test on the right joint. No pain existed during resistance test and protrusion and range of lateral movement was normal. Rt temporomandibular joint was not swollen and no palpable mass was observed. No previous trauma history to the face existed. On X-ray calcific material existed in the joint cavity and on CT image, approximately 2mm sized calcific material appeared on the Rt temporomandibular joint but no change in bone appeared on the condyle nor the temporal bone. The patient was diagnosed as loose body, and the symptoms were relived after 2 physical therapies and is under regular check ups. The purpose of this case is to review disease that cause loose bodies.

• Journal of Oral Medicine and Pain
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• v.25 no.2
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• pp.223-228
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• 2000

The relationship between TMD and otologic symptoms such as tinnitus, vertigo and dizziness has been noted for many years. The existence of otologic symptoms in patients with TMD can be explained by the anatomic proximity and embryologic origin of the structures of the ear and the temporomandibular joint, however the pathogenesis of the symptoms is poorly understood. Serveral hypotheses have been proposed. : Eustachian tube hypothesis, the tensor tympani hypothesis, the otomandibular ligament hypothesis, excessive somatic concern hypothesis. Some investigators have reported that palpation of the deep masseter muscle, sternocleidomastoid muscle or clenching can intensify a patient's tinnitus and in that case, TMD therapy would improve their otologic symptoms. Although tinnitus and vertigo are common symptoms in the general population and also increase with increasing age, those are highly significantly associated with TMD compared with control group. This case report describes the possible mechanism and management of otologic symptoms in patient with TMD who has visited our clinic complaining asymmetric tinnitus and dull pain on her left masseter muscle.