• 제목/요약/키워드: pediatric case

검색결과 2,591건 처리시간 0.03초

췌모세포종 2예 (Two Cases of Pancreatoblastoma)

  • 허영수;하정옥;장선모;이정훈
    • Advances in pediatric surgery
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    • 제6권2호
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    • pp.139-142
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    • 2000
  • Pancreatoblastoma is uncommon in children and is exceedingly rare in adults. Prognosis is good if the tumor is removed prior to metastasis. Complete tumor resection is the most important factor for long survival. We report two cases of pancreatoblastoma in 4 and 7 years old girls. Palpable abdominal mass was accidentally found by their parents. Abdominal CT scan showed a huge retroperitoneal mass of unknown origin in one case and a mass involving the pancreas in the other case. At laparotomy, well encapsulated tumor mass($10{\times}10$ cm in maximum dimension) was noted in the body of pancreas in one case, and in the tail of pancreas in the other case( $8{\times}7$ cm). We resected the tumor and preserved the spleen in both cases. Histological examination revealed that the tumors were pancreatoblastoma. Patients received postoperative chemotherapy with 6 cycles of cisplatinum, adriamycin, ifosfamide and etoposide and are alive in good condition 19 months and 17 months after operation.

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개구 장애가 심한 소아환자에서 전신마취 하 치과치료를 위한 기도관리 (Dental Treatment of Pediatric Patients with Mouth Opening Limitation under General Anesthesia)

  • 한효조;서광석;김현정;신터전;권영선
    • 대한치과마취과학회지
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    • 제11권2호
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    • pp.172-176
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    • 2011
  • For dental treatment of children with severe dental phobia, sedation or general anesthesia is usually selected for enhancement of cooperation. But in the case of mouth opening limitation due to temporomandibular disorders, general anesthesia administration is a challenge for anesthesiologist. Because airway management failure was concerned, awake fibroscopic intubation is selected first. But, skillful fibroscopic intubation is not easy in case of uncooprative children patients. In this report, we present two cases of pediatric patients with mouth opening limitation. In the first case, the patient was 52 months old and the maximum opening distance was 1.2 cm, and in the second case the patient was 38 months old and the maximum opening distance was 1.5 cm. Both patients showed severe dental phobia. After sevoflurane inhalation without any intravenous drug, we successfully performed intubation using a fibroscope.

Cornelia de Lange 증후군 환아의 구내증상과 치과치료: 증례보고 (CORNELIA DE LANGE SYNDROME: A CASE REPORT)

  • 최은주;현홍근;김영재;김정욱;이상훈;김종철;한세현;장기택
    • 대한소아치과학회지
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    • 제38권1호
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    • pp.56-61
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    • 2011
  • Cornelia de Lange 증후군(Cornelia de Lange Syndrome)은 성장지연, 정신지체, 골격과 외모의 이상을 특징으로 하는 선천성 희귀병이다. 대표적 합병증으로는 위-식도 역류증이 있는데, 이로 인한 구토증은 기도를 폐쇄하여 질식의 우려가 있으므로 전신마취 시 특별한 주의가 요구된다. 10세 4개월 Cornelia de Lange 증후군 환아가 치아우식증을 주소로 서울대학교 치과병원 소아치과에 내원하였다. 임상적으로 하악 왜소증, 치열 총생, 왜소치, 치아우식증, 치아부식증, 구개수열의 소견을 보였으며, 중증의 정신지체 및 청각장애로 인해 환자 협조도가 부족하여 외래 전신마취 하에 치과치료를 시행하였기에 보고하는 바이다.

Levoatrial Cardinal Vein: Occluder Embolization and Complication Management

  • Mercan, Ilker;Akyuz, Muhammet;Guven, Baris;Isik, Onur
    • Journal of Chest Surgery
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    • 제54권3호
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    • pp.214-217
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    • 2021
  • In rare cases, levoatrial cardinal vein may occur as an isolated condition without additional congenital anomalies. Depending on the direction and flow of the shunt, this pathology may produce symptoms; alternatively, it may be asymptomatic, as in the case presented in this study. In asymptomatic cases, complications, such as paradoxical embolism and brain abscess, can arise later. In the 11-year-old patient whose case is presented here, the levoatrial cardinal vein was asymptomatic and incidentally detected. The percutaneous closure method was applied first. However, by 16 hours after the procedure, the occluder device had embolized to the iliac artery. Emergency surgery was performed; first, the occluder device was removed, and levoatrial cardinal vein ligation was then performed via a mini-thoracotomy. The symptoms, diagnosis, and treatment modalities of isolated levoatrial cardinal vein are discussed in the context of this case described herein.

Pediatric Finger Warts Treated Using Taeeumjowi-tang: a case report

  • Yeon-kyoung Pak;Sang-won Shin
    • 대한약침학회지
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    • 제27권2호
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    • pp.172-176
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    • 2024
  • Warts caused by the human papillomavirus (HPV) are generally treated with cryotherapy, CO2 laser ablation, interferon injections, and bleomycin injections. However, it is sometimes difficult to treat children because the treatment can be painful. In addition, recurrence may occur after treatment. In this study, warts completely disappeared following the administration of herbal medicine in two children, with warts in multiple parts of the hands and around the nails. Two pediatric patients visited the hospital for treatment of warts around their fingers and nails. Both patients received Taeeumjowi-tang (TJT) as a decoction for 60 days. TJT was performed twice per day for the 11-year-old patient and once per day for the 7-year-old patient. Patient progress was observed monthly, and the visual condition of the warts was photographed during the visits. After approximately two months of treatment, the warts disappeared from the fingers and nails of both patients. This case study suggests that the oral administration of TJT may be effective for pediatric patients with warts. Further studies are required to determine the efficacy and safety of these therapies.

소아치과 영역에서 러버댐의 다양한 임상적 적용에 대한 증례보고 (A CASE STUDY OF VARIOUS CLINICAL APPLICATION OF THE RUBBER DAM IN PEDIATRIC DENTISTRY)

  • 이성혁;김종범;장기택;김종철
    • 대한소아치과학회지
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    • 제24권3호
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    • pp.549-555
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    • 1997
  • Usage of the rubber dam has been advocated by countless number of dentists. The advantages of the rubber dam such as the following are well-known 1. Moisture control. 2. Improved field of vision. 3. Ease of approach. 4. Soft tissue retraction and Injury prevention. 5. Prevention of aspiration of materials or instruments. 6. Shortened chair time. 7. Induction of nasal breathing during administration of $N_2O-O_2$ sedation. Recent reports indicate the rubber dam can protect the dental staffs from the infection when treating HBV or HIV positive patients. Also, improved moisture control and freeing of both hands allowed by the rubber dam makes it very useful when bonding orthodontic brackets. This case study presents the various clinical application of the rubber dam on patients visiting SNUDH dept. of pediatric dentistry to emphasize the importance of its use in pediatric dentistry.

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외상에 대한 영구치 손상의 치험례 (TREATMENT OF INJURED PERMANENT TEETH FROM TRAUMA : A CASE REPORT)

  • 김준혜;한세현
    • 대한소아치과학회지
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    • 제21권2호
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    • pp.496-503
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    • 1994
  • Three cases of treated permanenet teeth are presented. A horizontal root fracture was treated by endodontic treatment in which coronal segment only was done. A replanted incisor is ankylosed because of false restorative method and long extraoral period. Resorption of traumatized bone can be seen in the third case. The prognosis of traumatized incisor depends on proper restoration, adequate amergency treatment and periodic follow-up check.

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Enamel and Dentin dysplasia를 동반한 소아환자의 치험례 (A CASE REPORT OF PEDIATRIC PATIENT WITH ENAMEL AND DENTIN DYSPLASIA)

  • 윤병근;김용기
    • 대한소아치과학회지
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    • 제21권2호
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    • pp.599-604
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    • 1994
  • Very few reports are available on the occurrence of abnormality of both enamel and dentin. This case has some characteristiced of both amelogenesis imperfecta and dentinogenesis imperfecta. Clinically, the enamel of primary dentition was completely absent and when the permanent teeth came to the pediatric dept. of Dankook University Dental Hopital for treatment. Fixed-removable type resin plate was delivered to increase vertical dimension and to solve esthetic and functional defects. Hypoplastic teeth were restored either stainless steel crown or composite resin restoration or both. The periodic recall check and oral hygiene education are recommended.

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NON-SYNDROME MULTIPLE SUPERNUMERARY TEETH의 증례보고 (NON-SYNDROME MULTIPLE SUPERNUMERARY TEETH : A CASE REPORT)

  • 이동혁;김현정;남순현;김영진
    • 대한소아치과학회지
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    • 제24권3호
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    • pp.487-494
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    • 1997
  • It is rare to find multiple supernumerary teeth in individuals with no other associated diseases or syndromes. 'Non-Syndrome multiple supernumerary teeth' reviewed by Yusof(1990) have more frequency of occurrence in the mandibular region. Especially, mandibular premolar region appears to be the site of predilection for no n-syndrome multiple supernumerary teeth. Also, these may develop after most permanent teeth have erupted, thus their effect upon the occlusion is limited. In this case, the patient had 20 supernumerary teeth without other associated diseases or syndromes. All of the supernumerary teeth were impacted, and thirteen of them were found in the premolar region. In the radiographic and clinical finding, other specific complication resulted from the supernumerary teeth weren't observed.

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