• Imaging Science in Dentistry
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• v.36 no.3
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• pp.163-168
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• 2006

A 60-year-old female, who complained of delayed healing and swelling after extraction of left lower second molar during chemotherapy, visited our department. She had a history of a resection surgery of breast cancer and postoperative radiotherapy. The conventional radiographs showed diffuse permeative bone destruction in posterior mandibular body, which gave the first radiologic impression of osteonecrosis associated with radiotherapy or chemotherapy. And bone metastasis from the breast cancer was also considered in the differential diagnosis. On the enhanced computed tomography (ECT) the posterior mandibular body was occupied by a large expansile lesion showing central low attenuation with peripheral rim enhancement. Magnetic resonance images revealed that the low attenuated area on ECT did not show as high signal intensity as water on T2 weighted image and indicated solid component of a tumor. The final diagnosis was central squamous cell carcinoma. We present the diagnostic imaging features of the patient with special emphasis on the differential diagnosis.

• Archives of Craniofacial Surgery
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• v.20 no.5
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• pp.324-328
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• 2019

Intraorbital infection shows a low incidence, but it might cause blindness or even death. This case is unusual in that its origin from a craniofacial bone fracture prior to infection of the maxillary sinus. A 33-year-old female patient was referred for right cheek swelling. When she visited the emergency room, we removed right cheek hematoma and bacterial examination was done. In the past, she had craniofacial bone surgical history due to a traffic accident 6 years ago. Next day, the swelling had remained with proptosis and pus was recognized in the conjunctiva. We planned an emergency operation and removed the pus which was already spread inside the orbit. And the evaluation for sinusitis was consulted to the otorhinolaryngology department simultaneously. There were Prevotella oralis and methicillin-resistant Staphylococcus epidermidis bacterial infection in the intraorbital and sinus respectively. Afterwards, the vigorous dressing was done for over a month with intravenous antibiotics. Though the intraorbital infection was resolved, blindness and extraocular movement limitation were inevitable. In conclusion, close follow up of the maxillary sinus in facial bone fracture patients is important and aggressive treatment is needed when an infection is diagnosed.

• Polymer(Korea)
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• v.35 no.4
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• pp.363-369
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• 2011

To study the effect of incorporation of a surface crosslinking layer on a crosslinked poly (sodium acrylate) (cPSA) absorbent with ethylene glycol dimethacrylate CEGDMA), we synthesized several surface crosslinked cPSAs with EGDMA by an inverse emulsion polymerization method to delay the absorption of excess water in concrete, Liquid paraffin was used as a continuous phase. cPSA was synthesized with acrylic acid (AA) neutralized with aqueous 8 M sodium hydroxide solution as a monomer, N,N-methylene bisacrylamide (MBA) as crosslinking agent and ammonium persulfate (APS) and sodium metabisulfite (SMBS) as a redox initiator system by inverse emulsion polymerization. FTIR spectroscopy was used to characterize $Ca^{2+}$ ion interaction with cPSA and cPSA-EGDMAs. The swelling ratios of synthesized absorbents were evaluated from the absorption in deionized water, cement saturated aqueous solution and aqueous solution of calcium hydroxide (pH 12). Equilibrium swelling times for cPSA and surface crosslinked cPSA with EGDMA were 2 and 3 hrs, respectively. We also observed an increase in setting time of the cement and an increase in the compressive strength of mortar by addition of the synthesized cPSA-EGDMA.

• Archives of Plastic Surgery
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• v.38 no.6
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• pp.875-878
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• 2011

Purpose: Absorbable implants are frequently used to fix facial bone fractures, because they are radiolucent and compatible with magnetic resonance imaging (MRI). Despite their increasing usage, however, there have been few reports about their long-term side-effects. In this paper, a case in which absorbable implants led to a foreign body reaction 17 months after their insertion is presented. Methods: A previously healthy 19-year-old male fell from a flight of stairs and visited the authors' hospital with right periorbital pain. Zygomaticomaxillary fracture involving right orbital floor was detected via a facial bone computed tomography (CT). Internal fixation with absorbable implants was followed by open reduction. 17 months after the surgery, the patient complained of localized periorbital swelling. Removal of the granulomatous lesion including the absorbable implants along with their biopsy and culture was performed. Results: The granulomatous lesion around the implants was firm and extended into the maxillary sinus. The histologic finding showed a microabscess with a foreign body reaction. Methicillin-sensitive Staphylococcus aureus growth was confirmed in the culture. No definite abnormal symptoms ensued after the complete removal. Conclusion: A microabscess-forming granulomatous lesion around the absorbable implant can cause delayed symptomatic foreign body reaction despite its rare occurrence. Complete removal of the lesion including implants is expected to have a successful outcome if it is encountered.

• Advances in Traditional Medicine
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• v.10 no.3
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• pp.150-154
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• 2010

The immunosuppressive activity of the Methanol extract of bark of Madhuca longifolia (Koenig) consisting of a mixture of saponins, flavonoids, tannins, steroids, phenol and glycosides was studied on the immune responses in mice. Methanol extract of Madhuca longifolia (MLL) was administered orally at doses of 50, 100 and 150 mg/kg/day to healthy mice divided into four groups consisting of six animals each. The assessment of immunomodulatory activity was carried out by testing the humoral (antibody titre) and cellular (foot pad swelling) immune responses to the antigenic challenge by sheep RBCs. Furthermore, the effect on hematological parameters as well as relative organ weight was determined. On oral administration MML showed a significant decrease delayed type hypersensitivity (DTH) response whereas the humoral response to sheep RBCs was unaffected. Thus MLL significantly suppressed the cellular immunity by decreasing the footpad thickness response to sheep RBCs in sensitized mice. With a dose of 100 and 150 mg/kg/day the DTH response was $7.66{\pm}2.75$ and $6.41{\pm}1.21$ respectively in comparison to corresponding value of $14.50{\pm}2.38$ for untreated control group. These differences in DTH response were statistically significant (P < 0.05). The study demonstrates that MLL shows preferential suppression of the components of cell-mediated immunity and shows no effect on the humoral immunity.

• Clinics in Shoulder and Elbow
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• v.5 no.2
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• pp.98-101
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• 2002

The 48 years old female who complained of painful swelling with discharge on the medial end of the left clavicle which has been lasting 3 months. We experienced arare case of tuberculosis that involved only the clavicle without other involvement. Diagnostic disturbance delayed appropriate medical therapy, leading to development of a discharging sinus with secondary infection, which further confused pathologic feature. The ability of this disease to mimic many skeletal pathologies, this has to be included in the differential diagnosis, especially at unusual sites.

• Korean Journal of Head & Neck Oncology
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• v.12 no.1
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• pp.47-51
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• 1996

Malignant tumors of the sinonasal tract constitute about 2% of those arising in the head and neck. Exposure to industrial fumes has been associated with an increased incidence of this malignant tumor. Early symptomatology of this cancer is identical to the symptomatology seen in benign conditions, such as swelling on forehead, headache, diplopia, and rhinorrhea. Thereby, delayed diagnosis leads to poor prognosis. Squamous cell carcinoma is the most common malignancy of the sinonasal tract, constituting about 80%, and primary carcinoma of the frontal sinus is extremely rare. Recently, authors experienced a case of primary carcinoma of the frontal sinus in a 60 year old male and performed transcranial resection. Now we report this case with brief review of literatures.

• Journal of Korean Foot and Ankle Society
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• v.6 no.1
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• pp.134-138
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• 2002

The acute osteomyelitis of calcaneus has been rarely reported. A diabetic patient, 44 year-old male was appeared with painful swelling on the hindfoot after being injected with steroid on the lateral area of hindfoot at a private clinic. The diagnosis was an acute calcaneal osteomyelits which was based on MRI finding. We report a case of the acute osteomyelitis of calcaneus, which was successfully treated with the curettage, antibiotic- impregnated bone cement beads, and delayed autogenous iliac bone graft, using the lateral approach.

• Korean Journal of Pharmacognosy
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• v.22 no.3
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• pp.183-191
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• 1991

The effects of Ephedrae herba on cellular and humoral immune responses were investigated in mice. Group A and B of mice received intraperitoneal injection of methanol extracts, ether fraction(E), petroleum ether fraction(PE), ethyl acetate fraction(EA) and water fraction(W) for 5 days or 10 days before sensitization. The other group received i.p. injection of ephedrine (Ep) or pseudoephedrine $({\psi}\;Ep)$ for 1 day prior to sensitization. The change of body and spleen weights showed a tendency of decreasing but that of thymus showed increasing. Ear swelling was maximum at 48 hours after challenge and was significantly decreased in the groups treated with EA, W, Ep, and ${\psi}\;Ep$. HA titer was enhanced in EA, W and EP treated groups, HE titer being significantly decreased.

• The Korean Journal of Nuclear Medicine
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• v.13 no.1_2
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• pp.55-60
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• 1979

The radiographic diagnosis of osteomyelitis can be suspected early with deep soft tissue swelling, but the actual bone changes of osteomyelitis may be delayed as long as 10 to 14 days after onset or may be totally aborted by antibiotic therapy. Recognition of osteomyelitis by bone imaging is far more rapid than by conventional radiographic examination and can be used on admission to establish the diagnosis. Ten patients suspected of having early, acute osteomyelitis were studied by TC-99m Pyrophosphate bone imaging. Radiographs taken at the same time were all negative. Of these 9 patients showed positive bone images. The bone imaging provides a safe, accurate, noninvasive technique for the early diagnosis of osteomyelitis.