• 제목/요약/키워드: Sinus

검색결과 1,645건 처리시간 0.021초

Unroofed Coronary Sinus Syndrome (Report of one case) (관상정맥동 천정 결손증 (치험 1례))

  • 조광현
    • Journal of Chest Surgery
    • /
    • 제22권4호
    • /
    • pp.655-660
    • /
    • 1989
  • The unroofed coronary sinus syndrome is a spectrum of cardiac anomalies in which part or all the common wall between the coronary sinus and the left atrium is absent. This defect is part of a developmental complex which includes absence of the coronary sinus and termination of a persistent left superior vena cava in the left atrium. Recognition of this complex is important so that interruption or diversion of the left superior vena cava may be done to prevent subsequent central nervous system complications. Surgical correction uses an intraatrial baffle to divert flow from the left superior vena cava to right atrium and to close the atrial septal defect. This report describes a 7 years old female patient in whom the left superior vena cava was identified preoperatively and the complex [unroofed coronary sinus syndrome, common atrium, mitral valve cleft] recognized at the time of operation. Surgical correction, following repair of cleft mitral valve, utilized a Dacron patch baffle to route the left caval blood to the right atrium and included closure of the atrial septal defect

  • PDF

Ruptured Sinus Valsalva Aneurysm In Children: a case report (소아에서 발생한 Valsalva동 동맥루 파열 [1례 치험 보고])

  • 성시찬
    • Journal of Chest Surgery
    • /
    • 제15권1호
    • /
    • pp.124-128
    • /
    • 1982
  • Here, we present a case of ruptured sinus Valsalva aneurysm with fistulous communication between the right coronary aortic sinus and the right ventricle in 8 year old boy. Ruptured sinus Valsalva aneurysm is rare. And several reports are describing its pathophysiologic features, clinical findings and management. This patient was asymptomatic and the physical examination revealed palpable thrill and Grade III pansystolic murmur at the 3rd and 4th intercostal space along the left sternal border. There was an oxygen step up from right atrium into right ventricle on the cardiac catheterization reports. On 15th July 1981, an open heart surgery was performed and we found ruptured right coronary sinus Valsalva aneurysm into the right ventricle, which was managed successfully by doing direct pledget sutures. The postoperative course was uneventful.

  • PDF

Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis

  • Kim, Dong Ha;Cho, Won Ho;Cho, Kyu Sup;Cha, Seong Heon
    • Journal of Korean Neurosurgical Society
    • /
    • 제55권1호
    • /
    • pp.61-63
    • /
    • 2014
  • A differential diagnosis between neurosarcoidosis and neurosyphilis is particularly problematic in patients with a positive serologic result for syphilis. We report here a patient with a solitary cavernous sinus sarcoidosis who had a history of syphilis and showed rapidly progressing cavernous sinus syndrome. A transsphenoidal biopsy was performed and a histopathologic examination revealed a non-caseating granuloma with an asteroid body. His facial pain disappeared after steroid therapy. He received oral prednisolone for one year. A follow-up magnetic resonance imaging of the brain revealed resolution of the mass over the cavernous sinus. Particularly in patients with a history of syphilis, neurosyphilis should be included in a differential diagnosis of neurosarcoidosis.

Delayed Occurrence of Maxillary Sinusitis after Simultaneous Maxillary Sinus Augmentation and Implant: A Case Report and Literature Review (상악동 거상술을 동반한 임플란트 식립 후 지연성으로 발생한 상악동염에 대한 고찰)

  • Lee, Jae-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제35권1호
    • /
    • pp.60-65
    • /
    • 2013
  • The maxillary floor sinus augmentation is considered as a safe and predictable procedure to ensure optimal implant placement. However, this procedure may have a variety of intra-surgical or post-surgical complications, also the major drawback of the procedure is deemed maxillary sinusitis. This case is a very unusual delayed occurrence of acute maxillary sinusitis after simultaneous maxillary sinus augmentation, using xenograft and implant placement. This report describes a serious complication of the maxillary sinus augmentation.

Autogenous tooth bone graft block for sinus augmentation with simultaneous implant installation: a technical note

  • Lee, Kwang-Ho;Kim, Young-Kyun;Cho, Woo-Jin;Um, In-Woong;Murata, Masaru;Mitsugi, Masaharu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제41권5호
    • /
    • pp.284-289
    • /
    • 2015
  • In cases of severe alveolar bone atrophy in the posterior maxillary area, which has only a thin sinus floor, the autogenous tooth bone graft block (ABTB) was used to wrap the implant to enhance its primary stability and osseointegration in the sinus. These cases with four years of clinical follow-up demonstrate the applicability of the ABTB in maxillary sinus membrane elevation to improve the outcomes of implant placement.

Arrested pneumatization of the sphenoid sinus mimicking intraosseous lesions of the skull base

  • Jalali, Elnaz;Tadinada, Aditya
    • Imaging Science in Dentistry
    • /
    • 제45권1호
    • /
    • pp.67-72
    • /
    • 2015
  • Arrested pneumatization of the sphenoid sinus is a developmental variant that is not always well recognized and is often confused with other pathologies associated with the skull base. This report describes the case of a patient referred for cone-beam computed tomography (CBCT) imaging for dental implant therapy. CBCT demonstrated a well-defined incidental lesion in the left sphenoid sinus with soft tissue-like density and sclerotic borders with internal curvilinear opacifications. The differential diagnoses included intraosseous lipoma, arrested pneumatization of the sphenoid sinus, chondrosarcoma, chondroid chordoma, and ossifying fibroma. The radiographic diagnosis of arrested pneumatization was based on the location of the lesion, its well-defined nature, the presence of internal opacifications, and lack of expansion. Gray-scale CBCT imaging of the area demonstrated values similar to fatty tissue. This case highlighted the fact that benign developmental variants associated with the skull base share similar radiographic features with more serious pathological entities.

Radiation Therapy of the Maxillary Sinus Lymphoma - A Case Report and Review of Literature - (상악동 임파종의 방사선 치료)

  • Ban, Sung-Beom;Kim, Chul-Young;Choi, Myung-Sun
    • Radiation Oncology Journal
    • /
    • 제4권1호
    • /
    • pp.51-53
    • /
    • 1986
  • Malignant lymphoma of the sinus is very rare but potentially radiocurable neoplasm. The disease is tend to be localized to the sinus and spread to adjacent local structures on initial presentation, and change to generalized lymphoma is uncommon. Most of sinus lymphoma is diffuse histiocytic type. Radiotherapy to the primary and neck nodes is the treatment of choice, and a survival rate of $50-70\%$ can be expected.

  • PDF

Intracardiac Repair of the Coronary Sinus Laceration during Retrograde Cardioplegia - A case report- (역행성 심정지 중 발생한 관상정맥동 파열의 심장내 복구의 치험 -1예 보고-)

  • 김시훈;양경아;김상익
    • Journal of Chest Surgery
    • /
    • 제37권10호
    • /
    • pp.861-864
    • /
    • 2004
  • Coronary sinus injuries related to the use of retrograde cardioplegia are rare and have potentially lethal complications. This report describes a case of coronary sinus laceration during retrograde cardioplegia in an old patient with mitral valve regurgitation, endocarditis, and left ventricular hypertrophy, and tells the details of the method of intracardiac repair.

Non-Odontogenic Toothache Caused by the Fungal Ball of Maxillary Sinus: Case Reports

  • Ha, Ji-Woo;Jung, Won;Lee, Kyung-Eun;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
    • /
    • 제44권4호
    • /
    • pp.174-178
    • /
    • 2019
  • A fungal ball (FB) of the paranasal sinuses is a chronic, non-invasive fungal sinusitis defined as the accumulation of dense aggregation of fungal hyphae in a sinus cavity. A patient with FB infection in a sinus cavity has usually non-specific symptoms such as post-nasal drip, nasal congestion, headache. However, facial pain and toothache can be developed if FB infection is in maxillary sinus. The aim of this case report is to present two cases of FB of the maxillary sinus which caused toothache in the upper molar region. It is also to make dental practitioners consider the non-odontogenic origins of toothache and to pay special attention to avoid unnecessary dental treatment.

Surgical Treatment of Ruptured Aneurysm of the Sinus Valsalva (발살바동 동맥류 파열의 외과적 치료)

  • Kim, Eung-Jung;Hwang, Seok-Ha;Park, Jin-Seok
    • Journal of Chest Surgery
    • /
    • 제26권6호
    • /
    • pp.488-491
    • /
    • 1993
  • Over the past 8 years, from 1985 to 1992, 6 patients with ruptured aneurysm of the sinus of Valsalva underwent open heart surgery in the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. Five aneurysms originated from the right coronary sinus and ruptured into right ventricle and one from noncoronary sinus into RA. Ventricular septal defects were associated with 5 cases and one had no associated cardiac anomalies. The ruptured aneurysms were repaired through double incisions in 3 cases, through aortotomy in 2 cases and through right atriotomy in 1 case. There were no early and late complications and follow up results are excellent in all patients.

  • PDF