• 제목/요약/키워드: sinusitis

검색결과 299건 처리시간 0.03초

자발적으로 배출된 상악동 내 함입되었던 임플란트: 증례보고 (Spontaneous Discharge of a Dental Implant Displaced Into Maxillary Sinus: A Case Report)

  • 조승연;김수연;김인수;이원
    • 대한구강악안면임플란트학회지
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    • 제22권4호
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    • pp.236-241
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    • 2018
  • This case report is to report an extraordinary case of the spontaneous discharge of a dental implant. A 45-year-old woman was referred to our department complaining of symptoms of acute Maxillary sinusitis. She underwent a computed tomography scan that revealed a dental implant dislocated in the maxillary sinus. A preoperative medical treatment [Amoxicillin - Clavulanate (375 mg) and Streptokinase-Streptodornase (12500IU)] three times a day for two weeks was administered in order to prepare her for surgery. Unexpectedly, she reported that she had discharged the implant from mouth in the early morning. Mucociliary clearance in combination with a local osteolytic inflammatory process and mucolytics therapy are the likely causes of this unusual discharge.

Airway foreign body occurs unintentionally during anesthetic management of patient with asthma

  • Cho, Woo Jin;Yun, So Hui;Choi, Yun Suk;Lee, Bang Won;Kim, Mi Ok;Park, Jong Cook
    • Journal of Medicine and Life Science
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    • 제16권2호
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    • pp.43-45
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    • 2019
  • Intraoperative delivery of salbutamol (${\beta}_2$ agonist) through a breathing circuit may be performed in asthma patient. A 28-year-old woman with a history of asthma was diagnosed with chronic sinusitis and bilateral nasal polyps, and an endoscopic sinus surgery was performed. The patient was recommended salbutamol nebulization every 4 hours during the perioperative period because of the risk of asthma attack. At the end of the operation, when salbutamol was sprayed through the tube before extubation and the connector tip went inside the tube during injection. The patient was immediately referred to the pulmonary medicine department for bronchoscopy, where the foreign body was removed safely without any complications. When general anesthesia is performed on a patient who usually uses an inhaler for asthma, caution is required because the tip that connects the inhaler and the breathing circuit can aspirate into the endotracheal tube and enter the lungs when applying the inhaler before waking up the patient.

부비동 내시경 수술 후 후각변화에 대한 예측 인자 (The Predictive Factors of Olfactory Changes after Endoscopic Sinus Surgery)

  • 예미경
    • Journal of Rhinology
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    • 제25권2호
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    • pp.63-68
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    • 2018
  • 본 종설에서는 부비동 수술 후 후각 회복에 영향을 미치는 인자들에 대해 서술 하였으며, 이들을 숙지함으로써 술 전에 후각 회복 여부를 예측할 수 있고, 술 후 후각 회복율을 높이는데 도움을 주고자 하였다. 부비동 내시경 수술 후 후각 기능은 다양한 치료 결과를 나타내고, 호전되었다고 하더라도 저후각증 상태로 남아있는 경우도 많은데, 이는 반복적인 감염과 상피조직의 손상이 후각신경세포들의 불가역적인 손상이나 편평상피화 및 섬유화를 초래함으로써 기인할 수 있다. 수술 후에도 지속되는 점막의 부종이나 후열 부위의 염증도 후각 회복을 저해할수 있다. 술 전 후각이 무후각증 일수록, 비용종이 있을수록, CT상 후열 혼탁이 경도일수록, 부비동 수술 과거력이 없을수록, 후각장애 기간이 짧을수록, 비호산구성 부비동염, 상처 회복이 순조로울수록 수술 후 후각 회복율이 높다고 할 수 있다. 만성부비동염에 동반되는 후각 장애는 환자나 의사 모두에게 해결이 힘든 문제이자 수술 후 결과를 정확하게 예측하기 어려운 문제로 남아있으며, 향후 더 많은 연구가 필요할 것으로 생각한다.

Cone-beam computed tomographic imaging of silent sinus syndrome: A case series and a literature review

  • Manila, Nisha G.;Arashlow, Mehrnaz Tahmasbi;Ehlers, Scott;Liang, Hui;Nair, Madhu K.
    • Imaging Science in Dentistry
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    • 제50권4호
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    • pp.365-371
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    • 2020
  • While silent sinus syndrome (SSS) is familiar to otolaryngologists and ophthalmologists, it is a rare clinical entity in dentistry and is likely to be underdiagnosed due to dentists' lack of awareness of this condition. SSS presents a diagnostic challenge to dentists, as patients typically have no history of trauma or sinusitis. The characteristic feature of SSS is a gradual retreat of the maxillary sinus walls, resulting in enophthalmos and hypoglobus. Multidetector (multislice) computed tomography is the imaging modality of choice for SSS and other paranasal sinus diseases. Cone-beam computed tomography promises to be an alternative low-dose imaging modality. This report describes 3 cases of SSS in adults, who had no identified clinical symptoms except diminutive and opacified maxillary sinuses, as well as the inward bowing of the sinus walls as noted on cone-beam computed tomographic imaging.

Implant Placement Using Palatal Bone in Patients with Severe Maxillary Alveolar Bone Defect: Case Series Study

  • Yu, Han-Chang;Yun, Pil-Young;Kim, Young-Kyun
    • Journal of Korean Dental Science
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    • 제13권2호
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    • pp.73-80
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    • 2020
  • Purpose: The purpose of this case study series was to introduce successful implant cases that used the palatal bone in patients with severe maxillary alveolar bone atrophy or defects. Case Presentation: In this case series study, a total of four patients underwent implant placement in the palatal bone of the maxilla. A total of 6 implants were installed using the palatine bone. The patients' ages ranged from 40 to 73 years with an average age of 63.5 years. The patients had maxillary sinus-related diseases, such as maxillary sinusitis, oroantral fistula, and dentigerous cysts, prior to implantation. To achieve initial stability, the implants were placed on the palatal side, and buccally tilted. The average postoperative recovery period was 8 months. No postoperative complications occurred in any of the cases, and the approach was used without reported issues. Conclusion: Implant treatment by securing the initial fixation in the palatal bone is a good alternative when an implant must be installed in a patient who requires extensive and invasive bone graft.

어성초 복용과 운동 수행이 중년여성의 복부 지방 및 혈중지질 성분에 미치는 영향 (The Effects of the Houttuynia Cordata Thunb Intake and Exercise Performance on Lipid Components and Abdominal Fat in Middle-Aged Women)

  • 김미숙;최현희;장명재
    • 운동영양학회지
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    • 제13권1호
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    • pp.59-67
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    • 2009
  • Houttuynia Cordata Thunb, well known as "E-Sung Cho" in Korea, has been used for the treatment of herpes simplex, chronic sinusitis and nasal polyps. Recently, some studies reported the antileukemic activity, anticancer activity, adjuvanticity, and antioxidant action of Houttuynia Cordata Thunb. In the present study, the anti-obesity activity of Houttuynia Cordata Thunb was investigated. Middle-aged women were examined over a period of 8 weeks (n=30). Participants were divided into four group: Houttuynia Cordata Thunb Exercise (HCE, n=7), Placebo Exercise (PE, n=8), Houttuynia Cordata Thunb Non Exercise (HCNE, n=8), and Placebo Non Exercise (PNE, n=7). Participants in Houttuynia Cordata Thunb groups were received 4.5 g Houttuynia Cordata Thunb and in placebo groups were received same dose of placebo thrice daily with meals. The result after 8 weeks demonstrated that HCE significant decreased visceral fat than PNE. Our present study provides the evidence that Houttuynia Cordata Thunb intake and exercise performance may reduce visceral fat and further studies with larger numbers of subjects are warranted to conclusively demonstrate effectiveness.

Surgery and Metronomic Chemotherapy in a Pet Rabbit (Oryctolagus cuniculus) with Mammary Gland Adenocarcinoma

  • Jihee Hong;Jeong-Min Lee;Ji-Young Lee;Han-Joon Lee;Dong-Kwan Lee;Joong-Hyun Song;Kun-Ho Song
    • 한국임상수의학회지
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    • 제40권6호
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    • pp.445-451
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    • 2023
  • An 8-year-old female pet rabbit presented at the veterinary clinic for mammary gland palpation due to the presence of a mass. Upon physical examination, a mass was identified in the left fourth mammary gland. Abdominal ultrasonography revealed a 3 × 2 cm mass in the right uterus and general thickening of the endometrium, suggesting uterine sinusitis. Multiple pulmonary nodules suspected to be metastatic lesions were identified on chest radiography. Surgery was performed to mastectomy and ovariohysterectomy (OHE). The histopathological examination of the tumor revealed mammary gland adenocarcinoma (simple-type) with multiple nodules consisting of the proliferation of tumor cells forming tubules containing secretory materials, cellular debris, and solid nests with a central area of necrosis. Metronomic chemotherapy was performed with cyclophosphamide and lomustine (CCNU) based on the histopathological findings. The quality of life has been well maintained, with no specific clinical symptoms observed for 8 months after metronomic chemotherapy. To the best of authors' knowledge, this study is the first to examine the effects of metronomic chemotherapy with cyclophosphamide and lomustine in a pet rabbit.

Pott's puffy tumor of the upper eyelid misdiagnosed as simple abscess: a case report and literature review

  • Kuylhee Kim;Donghyun Lee;Soyeon Jung;Chul Hoon Chung;Yongjoon Chang
    • 대한두개안면성형외과학회지
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    • 제25권3호
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    • pp.141-144
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    • 2024
  • A 76-year-old woman, initially thought to have a simple abscess on her right upper eyelid, presented to our department of plastic and reconstructive surgery. Enhanced three-dimensional facial computed tomography (CT) revealed an abscess on the right upper lid, with a pyomucocele present in the right frontal sinus, accompanied by bone erosion in the superior wall of the right orbit. Based on the results of the CT scan, we diagnosed an atypical Pott's puffy tumor (PPT) with an abscess on the upper lid originating from the frontal sinusitis. First, surgical incision and drainage were performed in our department, and a percutaneous vacuum drain was placed. To provide a more definitive treatment, endoscopic sinus surgery (ESS) was subsequently performed by otorhinolaryngologists. The patient was discharged without any complications 5 days after ESS. At a 1-year follow-up, no recurrence or notable neurological symptoms were observed. In the case we observed, the patient presented with an upper eyelid abscess and cellulitis, indicating possible orbital involvement. For such patients, a CT scan is necessary. Given the possibility of PPT, it is critical to perform a comprehensive differential diagnosis rather than defaulting to a straightforward approach involving abscess treatment.

전산화단층사진을 이용한 부비동의 해부학적 변이에 관한 연구 (Computerized Tomographic Study on the Anatomic Variation of the Paranasal Sinus)

  • 최선영;임숙영;박주미;고광준
    • 치과방사선
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    • 제29권2호
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    • pp.477-491
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    • 1999
  • Objectives : To evaluate the anatomic variations of the paranasal sinuses on computed tomographs. Materials and Methods : The author examined the CT images of the paranasal sinuses retrospectively in 500 patients who visited Chonbuk National University Hospital between January 1996 and December 1997. Results : The highest incidence of anatomic variation of the paranasal sinuses in bilateral structures was agger nasi cel1(73.2%), followed by concha bullosa(31.1%), Onodi cell(24.0%), Haller ce1109.8%), maxillary sinus septum(3.0%), paradoxical middle turbinate(2.5%), pneumatized uncinate process(2.0%), and bent uncinate process. The highest incidence of anatomic variation in midline structures was nasal septum deviation(53.2%), followed by nasal septum aerated(29.4%), bulla galli(24.7%) asymmetric intersphenoid septum(22.3%), and nasal septum spur(13.8%). The correlation between anatomic variation and paranasal sinusitis was not found. Conclusions : The results of this study will aid in the diagnosis and treatment of paranasal sinus diseases, especially in the treatment planning before functional endoscopic surgery.

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Small Black Soybean (Glycine max Merr.) Inhibits Mast Cell-mediated Allergic Reaction and Inflammatory Cytokine Secretion

  • Shin, Hye-Young;Lim, Jong-Pil;Kim, Dae-Keun;Chae, Byeong-Suk;Kwon, Young-Ee;Oh, Chan-Ho;Cho, Moon-Gu;Lee, Tae-Kyoo;Park, Jeong-Suk;Lee, Jae-Hyeok;Jeon, Hoon;Shin, Tae-Yong
    • Natural Product Sciences
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    • 제13권3호
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    • pp.263-267
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    • 2007
  • The mast cell-mediated immediate-type allergic reaction is involved in many allergic diseases such as asthma, allergic rhinitis, and sinusitis. The discovery of drugs for the treatment of mast cell-mediated immediate-type allergic diseases is a very important subject in human health. In this study, we investigated the effect of small black soybean (Glycine max Merr.) (Leguminosae) on mast cell-mediated allergic reaction and pro-inflammatory cytokine secretion. Small black soybean (SBS) inhibited compound 48/80-induced systemic reaction. SBS attenuated immunoglobulin (Ig) E-mediated local allergic reaction. In addition, SBS decreased the phorbol 12-myristate 13-acetate plus calcium ionophore A23187-stimulated tumor necrosis factor $(TNF)-{\alpha}$ and interleukin (IL)-8 secretion in human mast cells. These results indicate that SBS may be beneficial in the treatment of mast cell-mediated immediate-type allergic reactions.