• 한국임상수의학회지
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• 제34권1호
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• pp.58-60
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• 2017

An 11-year-old, castrated Maltese dog presented with a 3-week history of periocular swelling, epiphora, and intermittent strabismus. On examination, a foreign body was observed in the anterior chamber, along with orbital cellulitis. Severe gingivitis and plaque accumulation were also diagnosed. The foreign body was surgically removed, and dental prophylaxis and dental extraction were performed. The foreign body entrance could not be found intraoperatively, and the foreign body, later identified as a feather, was removed through a clear corneal incision. The right maxillary molar, which had periodontal inflammation, was also extracted. One day postoperatively, severe hypopyon developed, although the periocular swelling was reduced. These signs persisted despite topical and systemic antibiotic and anti-inflammatory therapy; therefore, the right eye was enucleated 1 week later. Intraoperatively, a fistula was found connecting the orbital medial wall, right maxillary molar root, and sclera. The fistula entered the dorsomedial sclera approximately 7 mm behind the limbus. Enterobacteria were cultured from the area. Foreign bodies can enter the anterior chamber not only through the cornea, but also through the mouth. Therefore, when the entry point cannot be found in the cornea, a careful dental examination is required, and the foreign body must be removed through the sclera rather than the cornea.

• 한국임상수의학회지
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• 제38권1호
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• pp.32-35
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• 2021

Three dogs (a 30-month-old spayed female English bulldog; a 12-month-old castrated male English bulldog; a 19-month-old castrated male Shar-pei dog) were presented to the Dana Animal Hospital Eye Center with clinical signs of blepharospasm, epiphora, and ocular discharge (serous to mucopurulent) in one or both eyes. Through ophthalmic examination, the dogs (5 eyes) were diagnosed with trichiasis caused by upper and lower eyelid entropion, including the lateral canthus. To correct upper and lower eyelid entropion, modification using a combination of the Stades forced granulation method for upper eyelid entropion and Hotz-Celsus procedure for lower eyelid entropion was performed in all cases. At the last follow-up, mean 274 days after surgery, clinical signs disappeared and no recurrences of entropion were observed in any of the 3 dogs (5 eyes). Therefore, the combination of the Stades forced granulation method and Hotz-Celsus procedure may be an effective treatment for trichiasis caused by upper and lower eyelid entropion in dogs.

• Journal of Acupuncture Research
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• 제23권4호
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• pp.81-89
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• 2006

Objectives : This study is designed in order to evaluate oriental medical treatment of deveation of the eye and mouth caused trauma. Methods : The authors observed patient by Yanagihara's unweighted grading system for operated acupuncture treatment, herbal medicine treatment and physiotherapy. Conclusion : 1. Deveation of the eye and mouth is caused by trauma ; intra cranial trauma, intra temporal bone trauma, extra, temporal bone trauma, etc. Cardinal symptom is palsy of Facial muscle, slobbering, articulation disorder, epiphora, ear pain, hyperacusis, laterality hypogeusia. 2. Deveation of the eye and mouth patient by Lt. temporal bone Fx. is seen evaluate of Yanagihara's total score ; from S to 35. 3. Deveation of the eye and mouth patient by facial nerve inhury is seen evaluate of Yanagihara's total score ; from 10 to 30. 4. Traumatic Deveation of the eye and mouth patient evaluate by oriental medical treatmend ; acupuncture treatment, herbal medicine treatment and physiotherapy. This is based on sil(賞) of stomach channel of foot yangming & larhe intestine channel of hand Yangming.

• 대한한방내과학회지
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• 제26권2호
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• pp.467-474
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• 2005

The main symptoms of allergic rhinitis are sternulation, rhinorrhea and rhinanchon. It is also characterized by frontal headache, ohotophobia and epiphora. Alleric rhinitis occurs when inhaled alleren is in contact with nasal mucosa which causes immune response. Bojungiki-Tang is one of the most frequently used medical treatment for the allergic rhinitis. Two chronic perennial allergic rhinitis sutterers, whose alleraies are thought to be due to house dust and ticks, were investigated through the eosinoohil numerical index and the subject symptom numerical index for three months. After treatment, both patients showed a lower index for both tests. The symptom index scores diminished from 17 to 3, and from 16 to 5. The eosinophil numerical index taken through blood tests, diminised from 4 to 2, and from 4 to 3. The above results suggest that Bojungiki-Tang has the inhibitory effects on allergic rhinitis.

• 한국임상수의학회지
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• 제33권4호
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• pp.228-230
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• 2016

An 1-year-old, spayed, female Labrador Retriever was presented for bilateral epiphora. A complete ophthalmic examination was conducted, including Schirmer tear test, rebound tonometry, fluorescein staining, slit lamp biomicroscopy, and binocular indirect ophthalmoscopy. To determine the patency of the nasolacrimal duct system, a nasolacrimal flush and dacryocystorhinography were also performed. Although the nasolacrimal flush showed patency in the upper and lower lacrimal puncta in both eyes (OU), the lower lacrimal puncta were not found in the original palpebral conjunctiva, but on medial canthal skin with very small opening. Moreover, the nasolacrimal ducts in OU were not patent with flushing. Bilateral nasolacrimal duct atresia was confirmed by dacryocystorhinography. No other abnormalities of the eyes were found on complete ophthalmic examinations. Bilateral congenital anomalies of the lower lacrimal puncta and nasolacrimal duct atresia were diagnosed in this dog.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제16권3호
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• pp.419-427
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• 1994

Because of the prominence of the nose and its central location, it is the most frequently encountered fractures in the face. Yet reports about the nasal bone fractures are virtually rare in the oral and maxillofacial surgical literatures. This is a retrospective study on 19 nasal bone fractures treated in Chosun university hospital Department of Oral & Maxillofacial Surgery from Jan. 1991 to Sep. 1993, under admission to our Dept. and the obtained results were as follows. 1. Of the 240 patients with facial bone fractures, 28 patients suffered nasal fractures(12%) and male to female ratio was 5.3:1. 2. The most frequent cause was traffic accidents(39%)m, the next fall down(36%), first blow(4%). 3. The age frequency was the highest in the fifth decade (32%). 4. Clinical classification of nasal fractures was simple fractures(74%), combined fractures(26%), and single fractures(37%), combined fractures(63%). 5. The most frequently combined site was maxilla(50%). 6. Treatments of nasal fractures were closed reduction(63%), open reduction(5%), and secondary rhinoplasty(32%). 7. The initial treatment time from accident was 1.7 days in single fractures, and 3.5 days in combined fractures, and the period of splint retained was about 8.2 days in single fracture, about 8.7 in combined fracture. 8. It was necessary to treat secondarily in delayed treatment, and all treatment methods showed relatively good prognosis. 9. Closed reduction was treated under local anesthesia, but open reduction & secondary rhinoplasty was treated under general anesthesia except 1 case. 10. The complications were disturbance of swellings 5 cases, ethetic problem 5 cases, epiphora 3 cases, abnormal sensation 6 cases in relation with other fractures.

• Archives of Plastic Surgery
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• 제40권6호
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• pp.742-747
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• 2013

Background The medial canthus is an important area in determining the impression of a person's facial appearance. It is composed of various structures, including canthal tendons, lacrimal canaliculi, conjunctiva, the tarsal plate, and skin tissues. Due to its complexity, medial canthal defect reconstruction has been a challenging procedure to perform. The contralateral paramedian forehead flap is usually used for large defects; however, the bulkiness of the glabella and splitting at the distal end of the flap are factors that can reduce the rate of flap survival. We reconstructed medial canthal defects using ipsilateral paramedian forehead flaps, minimizing glabellar bulkiness. Methods This study included 10 patients who underwent medial canthal reconstruction using ipsilateral paramedian forehead flaps between 2010 and 2012. To avoid an acute curve of the pedicle, which can cause venous congestion, we attempted to make the arc of the pedicle rounder. Additionally, the pedicle was skeletonized from the nasal root to the glabella to reduce the bulkiness. Results All patients had basal cell carcinoma, and 3 of them had recurrent basal cell carcinoma. All of the flaps were successful without total or partial flap loss. Two patients developed venous congestion of the flap, which was healed using medicinal leeches. Four patients developed epiphora, and 2 patients developed telecanthus. Conclusions Large defects of the medial canthus can be successfully reconstructed using ipsilateral paramedian forehead flaps. In addition, any accompanying venous congestion can be healed using medicinal leeches.

• 대한한방내과학회지
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• 제39권2호
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• pp.277-285
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• 2018

Objective: This study is designed to evaluate the effects of Korean medicine treatment for facial nerve palsy. Method: The patient was administered Korean medicine treatment, including acupuncture, pharmacopuncture, and herbal medicine. We used the House-Brackmann Grading System and Yanagihara's Unweighted Grading System to assess the symptoms of facial nerve palsy. Results: The patient's House-Brackmann grade was reduced from grade IV to grade II, and Yanagihara's grade was increased from 19 to 32. The patient's symptoms, which were facial pain, facial asymmetry, reduced wrinkling forehead, incomplete closing eye, epiphora, and tinnitus, improved during the hospitalization. Conclusion: This study shows that Korean medicine treatment may be an effective treatment for facial nerve palsy.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제27권2호
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• pp.183-187
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• 2005

관상접근법 후 발생한 측두부 함몰의 기전은 아직 명확하지는 않으나 중측두동맥의 손상에 의한 측두지방대의 소실과 변위, 측두근의 부피감소, 봉합시의 잘못된 위치에 의해 발생된다. 이에 저자등은 관상접근법 후 발생한 측두부 함몰을 빠른 혈관화와 골조직의 성장, 낮은 합병증을 보이는 $Medpor^{(R)}$를 이용하여 심미적인 개선을 얻을 수 있었고 이후 현재까지 양호한 경과를 보이기에 문헌고찰과 함께 보고하는 바 이다.

• 대한안과학회지
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• 제59권11호
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• pp.1001-1008
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• 2018

목적: 눈물길미세내시경을 이용한 실리콘관삽입술과 기존의 코내시경만으로 시행한 방법 간의 성공률을 비교하고자 하였다. 대상과 방법: 2014년 1월부터 2017년 6월까지 본원에서 실리콘관삽입술을 시행한 환자들을 대상으로 하였다. 술 전 눈물소관 관류검사와 눈물주머니조영술로 진단하였다. 술 후 3개월 때 실리콘관을 제거하였고 4, 12개월 때 성공률을 내시경 사용에 따라 두 군으로 나눠 분석하였다. 결과: 총 55명, 80안으로 술 전 진단에서 사용군은 부분폐쇄 26안, 완전폐쇄 14안, 미사용군은 부분폐쇄 35안, 완전폐쇄 5안이었다(p=0.018). 술 후 4, 12개월 때 성공률은 사용군에서는 87.5%, 80.0%, 미사용군에서는 72.0%, 62.1%였다(p=0.546, p=0.565). 부분폐쇄에서 사용군과 미사용군의 성공률은 4개월 때 92.3%, 82.9%, 12개월 때 71.4%, 62.9% (p=0.448, p=1.000), 완전폐쇄에서 성공률은 4개월 때 78.6%, 60.0%, 12개월 때 72.7%, 33.3%였다(p=0.570, p=0.505). 눈물길미세내시경의 사용과 폐쇄의 위치 및 정도의 차이가 술 후 4, 12개월 때 성공률에 유의한 영향을 미침을 확인하였다(p=0.001, p=0.022). 결론: 눈물길미세내시경을 이용한 실리콘관삽입술은 기존의 것에 비하여 성공률이 유의하게 높지는 않았으나, 코눈물길의 구조를 실시간으로 확인하여 적절한 진단 및 치료가 동시에 가능하다. 완전폐쇄로 진단되었던 환자들에게도 좋은 성공률을 보여 그 적용 범위를 확대시켜 비침습적인 치료를 시행할 수 있을 것이다.