• Title/Summary/Keyword: 골괴사

Search Result 117, Processing Time 0.032 seconds

Potential Seizurogenic Effect of Tramadol in a Dog with Necrotizing Meningoencephalitis (괴사성 뇌척수막염을 가진 진돗개에서 Tramadol에 의한 잠재적 경련발생 증례)

  • Kim, Se-Hun;Heo, Su-Young;Lee, Ki-Chang;Lee, Hae-Beom;Kim, Nam-Soo;Kim, Min-Su
    • Journal of Veterinary Clinics
    • /
    • v.28 no.3
    • /
    • pp.323-327
    • /
    • 2011
  • A Jindo dog (8-month-old, intact male) was referred for hind limb lameness on the right side. The dog was diagnosed with a simple femoral fracture by radiological examination. After surgical fixation of the femoral fracture, tramadol: a narcotic-like synthetic analgesic was intravenously administrated for post-operative analgesia. After injection of the tramadol, generalized tonic clonic seizure was immediately occurred in the dog. Seventeen hours later, the dog died despite intensive care. We suspected that tramadol might induce the seizurogenic effect resulted in death. A necropsy was performed to examine the cause of the death. In consequence, the dog was diagnosed as necrotizing meningoencephalitis (NME) based on histopathological examination. We would be concerned that tramadol may be related to seizure activity in the NME patient. From this case, it is known that although tramadol has been proven to be a safe and effective agent for the control of pain in veterinary medicine, it would be carefully used to patient with history of neurological diseases including meningoencephalitis, hydrocephalus, and encephalopathy.

INVASION OF ALVEOLAR BONE INTO ROOT CANAL AFTER TRAUMATIC INJURY (외상 후 근관내로의 치조골 함입)

  • Im, Ye-Jin;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.38 no.4
    • /
    • pp.399-406
    • /
    • 2011
  • Traumatic injury on tooth occurs frequently among trauma patients, and mainly occurs on tooth with premature roots which influences pulp tissue, periodontal ligament, alveolar bone, and Hertwig's epithelial root sheath. According to the degree of trauma, a number of kinds of healing process can be observed, such as complete re-vascularization of pulp, root canal obliteration, growth suspension of root apex, and invasion of alveolar bone into root canal, and there can be some complications such as necrotic change of inflammatory root resorption and partial pulp necrosis due to pulp necrosis toward complete necrosis. In this clinical case, 3 patients who had traumatic injury showed root growth suspension and alveolar bone invasion into root canal due to proliferation of periodontal ligament cell and osteocyte at the base of extraction socket into pulp chamber because of the injury on Hertwig's epithelial root sheath. If intrusion of alveolar bone into root canal due to injury on Hertwig's epithelial root sheath after having traumatic injury doesn't show any complication, the pulp may be considered to have normal vitality and doesn't need any further treatment, therefore differential diagnosis is very necessary. However, it may be accompanied with suspension of root growth, therefore, additional trauma during the treatment of injured tooth should not be applied.

Liposclerosing Myxofibrous Tumor - A case report - (지방경화성 점액섬유종(Liposclerosing myxofibrous tumor) - 1예 보고 -)

  • Yoo, Chang-Young;Jung, Eun-Sun;Park, Gyeong-Sin;Lee, Youn-Soo;Jee, Won-Hee;Kang, Chang-Suk;Lee, Kyo-Young
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.12 no.2
    • /
    • pp.126-130
    • /
    • 2006
  • Liposclerosing myxofibrous tumor (LSMFT) is a fibro-osseous lesion of the bone with a marked predilection for the intertrochanteric region of the proximal femur. It is characterized by a complex mixture of histological elements including fibrous dysplasia-like features, myxofibrous tissue, lipomatous area, ischemic ossification, xanthoma cells and pseudo-Paget's bone. Though some consider LSMFT as a variant of the fibrous dysplasia, intraosseous lipoma, or other benign osseous lesions, recently LSMFT is emerged as a genuine clinicopathologic entity. We experienced a 48-year female patient with typical histologic and radiologic findings of LSMFT. It was located at the intertrochanteric area of the femur. Radiologically, the lesion was radiolucent and ground-glass appearance with sclerotic rim in the plain film and magnetic resonance imaging. Histologically, myxofibrous tissue, lipomatous area and fibrous dysplasia-like features were predominant findings.

  • PDF

A case of necrotizing sialomataplasia : consideration on cause, bone change, and incidence (괴사성 타액선화생 1증례 : 발병원인, 골변화, 발병율에 대한 고찰)

  • Lee Jae-Seo;Kang Byung-Cheol
    • Imaging Science in Dentistry
    • /
    • v.35 no.3
    • /
    • pp.175-178
    • /
    • 2005
  • Necrotizing sialometaplasia (NS) is a rare, benign, self-limiting lesion, but it mimics carcinoma both clinically and histologically. Authors present a case of NS on the right posterior hard palate in a 16-year-old boy. This case showed underlying erosive bone change on CT images. We supposed this lesion resulted from the local anesthesia for dental treatment. Presented NS is the only one case from approximately 1,500 oral and maxillofacial biopsies $(0.07\%)$ at Chonnam National University Hospital during the period from 1999 to 2004.

  • PDF

Diagnosis of Aseptic Necrosis of the Talus by Bone Scan; Case Report (골(骨)스캔에 의한 거골(距骨)의 비패혈성(非敗血性) 괴사진단(壞死診斷) 예(例))

  • Park, Hyoung-Gun;Lee, Myung-Chul;Koh, Chang-Soon;Yang, Yung-Sik;Park, Won-Chang
    • The Korean Journal of Nuclear Medicine
    • /
    • v.18 no.1
    • /
    • pp.63-65
    • /
    • 1984
  • Bone scan is a very useful technique for detection of aseptic necrosis and frequently used in the detection of aseptic necrosis of the femoral head. We have used this diagnostic tool in a patient to detect aseptic necrosis of the talus, a common complication resulting from foot injuries.

  • PDF

A CASE REPORT OF OSTEORADIONECROSIS (방사선 골 괴사증의 일례)

  • Kim Chong Youl;Sung Kwang Sook;You Kwang Yul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.6 no.1
    • /
    • pp.23-25
    • /
    • 1976
  • The patient, 19 years old male, visited with complaints of trismus and consults for construction of denture. 4 years ago, he received /sup 60/Coteletherapy of left laryngeal area for treatment of throat tumor. Clinical apperance showed rampant dental caries, multiple root rests, xerostomia, disturbance of mandibular growth and asymmetry of face. Roentgenographic examination disclosed deep cervical caries, destruction of alveolar crest, punched out bone destruction of mandible and maxilla.

  • PDF

Study on Anodized Magnesium alloy for biocompatibility (생체적합성이 뛰어난 마그네슘 아노다이징 방법 개선)

  • Gwon, Sang-Jun;Heo, Jin-Yeong;Lee, Hong-Gi
    • Proceedings of the Korean Institute of Surface Engineering Conference
    • /
    • 2014.11a
    • /
    • pp.190-191
    • /
    • 2014
  • 마그네슘 합금을 생체재료로 사용되는데 두가지 중요한 문제점을 가지고 있다. 매우 빠른 부식을 가지고 있으며, 초기 빠른 부식으로 수소기체를 발생하여 인체 내 피부나 골조직의 괴사를 동반한다. 이러한 문제점을 해결하기 위해 생체적합성이 뛰어난 아노다이징 방법을 개발 하였으며, 새롭게 개선된 방법의 특징을 비교하기 위해 이번 실험에서는 불화물이 포함된 전해액으로 아노다이징 처리한 샘플을 제조하여 형태학 분석을 진행 하였고, Hank's solution(생체모사용액)을 사용하여 부식 특성을 분석하였다. 또한 L929 세포를 이용하여 세포독성 평가를 진행하였다. 새롭게 제조한 방법은 기존의 방법과 비교하였을 때, 부식 성능은 비슷하고 생체적합성이 높아 생분해성 금속의 표면처리에 적합하다고 판단된다.

  • PDF

Osteoradionecrosis of the jaws (악골에 발생된 방사선골괴사)

  • Ahn Hyoun-Suk;Koh Kwang-Joon
    • Imaging Science in Dentistry
    • /
    • v.31 no.1
    • /
    • pp.57-65
    • /
    • 2001
  • Osteoradionecrosis is one of the most serious complication after heavy irradiation of bone and most particularly following treatment of cancers within the head and neck. The irradiated bone has the decreased vascularity and is easily infected. As a result, the spread of infection may cause a nonhealing wound that is very difficult to be treated. A comprehensive prophylactic dental care as well as proper blocking of the radiation field before radiotherapy must be considered to reduce the risk of osteoradionecrosis. We present three cases of osteoradionecrosis which developed after extraction of teeth in irradiated patients.

  • PDF

Osteomyelitis of Mandibular Condyle : A Case Report in 9-year-old Child (9세 소아에서 발생한 하악과두의 골수염)

  • Lee, Kyung-Eun;Choi, Soon-Jeong;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
    • /
    • v.34 no.3
    • /
    • pp.333-340
    • /
    • 2009
  • Osteomyelitis means inflammation of the bone marrow. It usually begins in the medullary cavity, involving the cancellous bone; then it extends and spreads to the cortical bone and eventually to the periosteum. The cause is usually thought to be microbiological. But there still are factors that predispose to produce a possible bone infection such as injuries, syphilis, actionomycosis, chronic kidney failure, alcoholism, malnutrition, radiotherapy, and chemotherapy. Treatment of modalities have been directed toward eradicating microbes and improving circulation in the early stage. In the case presented, surgical debridement and IV antibiotics were the treatment of choice. Osteomyelitis in children is mainly affected in the mandible. And in childhood, the mandibular condyle is regarded as an important center of mandibular growth. Therefore, in young patients, osteomyelitis involving this region may cause a restraint of mandibular development, resulting in facial asymmetry. So diagnosis in the early stage is important in child with osteomyelitis. Recently, we have encountered an interesting case of osteomyelitis of the mandibular condyle in 9-year-old boy. So we present the case and review the literature about osteomyelitis.

Histological Observation of Bone Reaction with Relation to Surface Treatment of Titanium (생체합금 Titanium의 표면처리에 따른 골반응의 변화에 대한 조직학적 관찰)

  • Ahn, Myun-Whan;Choi, Yong-Sug;Ahn, Jong-Chul;Seo, Jae-Sung;Lee, Dong-Chul;Jang, Jae-Hyuk
    • Journal of Yeungnam Medical Science
    • /
    • v.13 no.1
    • /
    • pp.116-133
    • /
    • 1996
  • The biocompatibility of the titanium has been estabilished through various experimental studies such as cell culture toxicity test, pyrogen test, mutagen test and others. In order to confirm biocompatibility after fabrication of titanium and to clarify the difference between the bone reaction after insertion of the lathed titanium rods and the bone reaction after insertion of the finished and polished rods, both rods were implanted into the proximal femur of a rabbit. Histologic reactions in the bone were observed according to the ASTM standards at the intervals of 6 weeks, 12 weeks and 26 weeks after implantation. The result were as follows : In 6 weeks after implantation of lathed titanium rods, inflammatory reactions, such as minimal degree infiltration of polymorphonuclear leukocytes and lymphocytes were observed in all cases. This was thought to he caused by surgical trauma. However, inflammatory cell infiltration was not seen after implantation of polished and finished rods in all cases. The cellular infiltration and the histologic reaction of the hone after implantation of lathed group were significantly more pronounced than those after implantation of the finished group. In 12 weeks after implantation of lathed rods, two of four cases revealed a minimal degree of cellular infiltration. No inflammatory cell infiltration was demonstrated after implantation of the finished group. The cellular infiltration and histologic reaction seemed to be more pronounced in the lathed group, but they were not significant statistically. At 26 weeks after implantation of the lathed and finished group, there was no cellular infiltration in both groups. New bone formation was observed up 26 weeks, and no difference between lathed titanium rods and finished titanium rods were apparent. Mild bone necrosis was observed in 1 case out of 11 cases in which lathed titanium rods were implanted. Bone necrosis was not observed in the finished titanium rod group. Fibrosis was observed in both groups, but differences were not significant between the experimental groups. In the lathed titanium rods group and the shorter interval group, inflammatory cell infiltration was significantly higher. Finished titanium rods and longer interval groups had markedly decreased tendences in histologic reaction ratings. As a conclusion, although certificated titanium might be safe to use, difference of biocompatibility were observed depending on the method of surface finish. By identifying biocompatibility as a long-term standardized animal study, we can develop progressed internal fixation device that is safe for human beings.

  • PDF