• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권6호
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• pp.474-480
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• 2009

These is a cases of chronic suppurative osteomyelitis occurred in the mandibular body to condyle of 48-year-old male patient. Extensive bone destruction was noted on the right mandibular body, angle, ascending ramus, mandibular notch and condylar region. We made a treatment plan that radicular mandibular resection from body to condyle and mandibular reconstruction with vascularized fibular flap at first time. But, we could observe marked bone regeneration with only mild curettage, local wound care and massive antibiotic therapy. So we preserved the anterior ramus portion of mandible. Defected mandibular condyle was reconstructed with costochondral graft. In this paper we present the case of a patient who has chronic osteomyelitis in mandibular area.

• 대한관절경학회지
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• 제6권2호
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• pp.192-194
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• 2002

만성 골수염의 치료는 육아 조직이나 반흔 조직, 사골(Sequestrum) 및 경화된 골 조직의 완전한 절제와 병소의 만성적인 허혈 상태를 제거해 혈액 순환을 원활하게 만들어 주어야 한다. 기존의 배상성형술(saucerization)로도 사골 등 병소의 확인과 병소의 적절한 제거가 충분히 가능하지만, 병소의 광범위한 절제로 인하여 혈관 손상을 줄 가능성이 있다. 본 정형외과학 교실에서는 만성 골수염 환자의 처치에 있어서 관절경을 이용한 골수강 내시경술(medulloscopy)을 시행한 결과, 관절경 사용시 비정상적 조직 및 사골의 직접적인 확인이 보다 용이하고, 혈관 손상도 줄이며 수술할 수 있는 장점이 있어 이의 증례를 보고하고자 한다.

• Journal of Korean Neurosurgical Society
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• 제48권1호
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• pp.85-87
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• 2010

We experienced a rare case of solitary syphilitic osteomyelitis of the skull without any other clinical signs or symptoms of syphilis. A 20-year-old man was referred due to intermittent headache and mild tenderness at the right parietal area of the skull with a palpable coin-sized lesion of softened cortical bone. On radiological studies, the lesion was a radiolucent well enhanced mass (17 mm in diameter). The erythrocyte sedimentation rate (52 mm/h) and C-reactive protein (2.24 mg/dL) were elevated on admission. Serum venereal disease research laboratory (VDRL) and Treponema pallidum haemagglutination assay (TPHA) tests were positive. There were no clinical signs or symptoms of syphilis. After treatment with benzathine penicillin, we removed the lesion and performed cranioplasty. The pathologic finding of the skull lesion was fibrous proliferation with lymphoplasmocytic infiltration forming an osteolytic lesion. In addition, a spirochete was identified using the Warthin-starry stain. The polymerase chain reaction study showed a positive band for Treponema pallidum. Solitary osteomyelitis of the skull can be the initial presenting pathological lesion of syphilis.

• 대한관절경학회지
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• 제10권2호
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• pp.199-202
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• 2006

소아의 급성 혈행성 골수염은 골의 혈액 공급과 구조의 차이로 인하여 환자의 나이에 따라 병의 효과들이 다르게 나타난다. 2세 이상의 소아에서 골수강내 및 골막의 혈액공급이 모두 손상되었을 때, 광범위한 농양을 형성한다. 농양부를 따라 긴 절개를 하더라도, 철저한 배농과 모든 괴사조직의 제거가 항상 가능하지는 않다. 저자들은 최근 11세 여아에서 경골에 광범위 농양을 형성한 급성 골수염을 2개의 소절개와 4-mm 내시경을 이용하여 성공적으로 치료하였다

• 대한한방내과학회지
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• 제36권2호
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• pp.207-216
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• 2015

Objectives: The purpose of this study is to report the clinical application of acupuncture, herbal medication, and antibiotic treatment to a patient with a diabetic foot infection. Methods: We treated the patient-who had ulcerations of the 1st, 2nd, and 4th toes and osteomyelitis on the right 1st and 2nd toes-with acupuncture, herbal medication, and antibiotics. We measured the state of this case by changes in his MRI signal and ulceration of his toes. Results: After treatment, the MRI signal indicated that the osteomyelitis had disappeared and the ulceration was diminished. Conclusions: A combination of acupuncture, herbal medication, and antibiotic treatment is effective for treatment of ulceration and osteomyelitis caused by diabetic foot infection.

• Imaging Science in Dentistry
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• 제38권3호
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• pp.177-182
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• 2008

A 27-year-old female was referred to our hospital postpartum due to rapid aggravation of facial swelling. She was diagnosed with osteomyelitis on clinical, radiological, and histopathological examinations, but the possibility of malignancy was not excluded. Clinical signs and symptoms such as facial swelling and discomfort were improved with four months of antibiotics treatment. This is as case of an osteomyelitis progressed from infected extraction socket in a woman with physiological changes of pregnancy. Decreased immunological response, increased sex hormone and calcium regulatory hormones regulate the response of the bone infection. We report this case for helping the diagnosis of unusual from of osteomyelities in pregnancy and postpartum.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제33권2호
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• pp.169-172
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• 2007

본 증례는 안면의 수포성 병변과 함께 치조골 괴사에 의한 자연적인 치아 발거가 나타난 경우이다. 환자는 대상포진과 악골 골수염에 대해 치료를 받고, 매달 정기적으로 경과 관찰 중이며, 골수염의 재발 징후 및 증상은 보이지 않고 현재까지는 양호하게 치유되고 있다. VZV가 재발하지 않는 한 예후는 양호할 것으로 생각된다. 괴사골과 이환치의 발거를 시행한 무치악부위는 일반적인 가철성 국소의치를 통해 수복되고 있다. 그러나, 병소의 하악관의 침범으로 인해서 우측 하악 영역의 감각이상은 여전히 남아 있다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제30권6호
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• pp.593-598
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• 2008

Arsenic trioxide is one of the 'tooth pulp devitalizing agents' used through the dental history when anaesthesia was not available. But owing to its capacity to kill cells in surrounding tissues, the use of arsenic trioxide in vital pulpotomy has been reduced. Arsenic trioxide can cause necrosis of gingiva, bone which can cause osteomyelitis of the jaws. But some dentists still continue to use arsenic trioxide in their endodontic practices. The purpose of this article is to present arsenic trioxide induced osteomyelitis on maxilla and treatment process.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제41권6호
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• pp.332-337
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• 2015

Dental infections and maxillary sinusitis are the main causes of osteomyelitis. Osteomyelitis can occur in all age groups, and is more frequently found in the lower jaw than in the upper jaw. Systemic conditions that can alter the patient's resistance to infection including diabetes mellitus, anemia, and autoimmune disorders are predisposing factors for osteomyelitis. We report a case of uncommon broad maxillary osteonecrosis precipitated by uncontrolled type 2 diabetes mellitus and chronic maxillary sinusitis in a female patient in her seventies with no history of bisphosphonate or radiation treatment.

• Journal of Oral Medicine and Pain
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• 제44권3호
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• pp.133-139
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• 2019

Osteomyelitis is an inflammatory condition of the bone caused by pathogenic bacteria. The causative pathogen is usually oral residing bacteria, but this is a report of patients with osteomyelitis infected with Enterobacteriaceae, which is not common. Enterobacteriaceae has been known to cause in-hospital infections for over last 30 years and is known to have multiple antibiotic resistances. Both cases in this study developed osteomyelitis after removal of the dentigerous cyst. Enterobacter aerogenes was cultured in one patient and Serratia marcescens in the other. After changing antibiotics through antibiotic susceptibility testing, clinical symptoms subsided and radiographic images confirmed that the callus formed and recovered at the same time.