• 제목/요약/키워드: 구강악안면외과

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볼에 발생한 혈관지방종: 증례 보고 (Infiltrating Angiolipoma of the Cheek : A Case Report)

  • 김진수;이승준;최민호;김창현;박재억
    • 대한구강악안면병리학회지
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    • 제42권5호
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    • pp.119-123
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    • 2018
  • Lipomas are the most common benign mesenchymal tumors composed of mature adipocytes. They are usually slow-growing, soft and asymptomatic masses. Angiolipomas are rare benign soft tissue tumors that are distinguished from common lipomas by a marked degree of vascularization. The diagnosis and prognosis of angiolipomas are based entirely on the findings of histological evaluations. Angiolipoma, showing characteristics of both lipoma and hemangioma, usually develop in the trunk and extremities, and rarely arise in the head and neck region. Angiolipoma of the cheek is very rare. This report presents the clinical and histopathological features of infiltrating angiolipoma excised from the cheek.

Subcutaneous emphysema after uncommon traumatic and iatrogenic events: a report of two cases

  • 김민수;김규태;김충남;김수호;이의석;임호경
    • 대한치과의사협회지
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    • 제56권11호
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    • pp.598-604
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    • 2018
  • Cervicofacial subcutaneous emphysema is defined as the abnormal introduction of air into the subcutaneous tissues of the head and neck. It is mainly iatrogenic and traumatic in origin. Our two case reports are also due to the same cause, but the features of the trauma and the site of the dental treatment are different from the existing reports. A 29-year-old man visited our hospital with facial swelling and pain after experiencing facial trauma in a soccer game. Another 55-year-old woman visited with similar symptoms after replacement of her maxillary anterior fixed prosthesis. In the two cases presented, subcutaneous emphysema was gradually treated with no complications during antibiotic prophylaxis and supportive care. In this paper, we report two cases of traumatic and iatrogenic subcutaneous emphysema and their diagnoses, etiologies, complications, and treatments based on a literature review.

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하악지 영역에 발생한 미분화성 다형성 육종: 수술 후 재발한 증례 (Undifferentiated Pleomorphic Sarcoma in the Mandibular Ramus and Post-Operative Recurrence: A Case Report)

  • 안재명;장승일;홍종락;팽준영
    • 대한구강악안면병리학회지
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    • 제42권5호
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    • pp.135-143
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    • 2018
  • Undifferentiated pleomorphic sarcoma (UPS) in the mandible region is a rare malignant neoplasm. We encountered the case of a patient who had been diagnosed with deep benign fibrous histiocytoma (DBFH) prior to surgery, but the final biopsy revealed the presence of tumor tissues in the resected margin, which indicated a UPS. Therefore, radiotherapy was conducted post-operatively, but the tumor recurred approximately 3 years later and a second surgery was performed. The difference between the initial and final diagnoses was considered to be due to the characteristics of the tumor, as it involved both benign and malignant components. DBFH and UPS can occur in young women. DBFH can transform to a malignancy and UPS may also appear as a benign tumor during early biopsy. Hence, attention should be paid to diagnosis and treatment methods, and ongoing close observation is required.

악안면외과 교정술(I)

  • 남일우
    • 대한치과의사협회지
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    • 제21권7호통권170호
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    • pp.548-549
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    • 1983
  • 악안면외과 교정술은 악골, 안면 혹은 구강에 어떤 기형증에 있을때 이를 외과적 처치에 의하여 개선하거나 치료하는 것을 말한다. 악안면, 구강영역에 발생하는 기형증은 여러가지가 있으나 대체로 비대칭성안모, 악골의 전돌증이나 후퇴증, 개교증, 토순, 구강파열 및 선천성안모발육부전증등 여러 가지가 있다. 본인은 지난 83년 2월부터 5월 초순까지 스위스 쥬리히 치대 악안면외과 교실을 방문하여 이곳 교수들과 접하고 의견을 나누었으며, 강연도 듣고, 하여 주기도 하였다. 또한 이곳 병원에서 외과적안모교정술 등 여러 가지 새로운 시술방법등을 견학하면서 새로운 시술방법을 연구한 바 있다. 지면과 시간이 허락되는 범위안에서 앞으로 수회에 나누어서 악안면외과 교정술에 대하여 구체적으로 소개하고저 한다.

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구강내 발생한 임상적, 방사선학적 악성 및 조직병리학적 양성 병소 (A Clinically, Radiologically Malignant, but Histopathologically Benign Lesion in Oral Cavity)

  • 오현준;전재호;명훈
    • 대한구강악안면병리학회지
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    • 제42권6호
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    • pp.199-204
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    • 2018
  • Differential diagnosis of the malignant lesion and the benign lesion is critically important for the precise treatment. A clinician should diagnose in a comprehensive manner considering clinical, radiological, and histopathological perspectives. The lesion in the oral cavity in this study was clinically and radiologically malignant. However, the lesion was histopathologically benign. Surgical intervention was not performed except biopsy. The lesion improved after about one month of supportive medication after the biopsy. The importance of decision making process was emphasized in this report.

영역분쟁, 무엇이 문제인가?

  • 안정미
    • 대한치과의사협회지
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    • 제37권2호통권357호
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    • pp.117-122
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    • 1999
  • 의료계에서는 사실 보이지 않게 영역문제로 갈등을 겪고 있으며 치과에서는 특히 메디컬적 성격이 강한 구강악안면외과가 성형외과나 이비인후과와 영역갈등을 겪고 있는 것으로 나타났다. 이에 구강악안면외과를 중심으로 타의과와의 영역문제와 대책에 대해서 살펴본다.

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전자매체(스마트폰)를 이용한 치과임플란트환자의 구강위생 관리 (Oral hygiene management of patients with dental implants using electronic media (Smartphone))

  • 양현우;김진;최한마음;방일흠;김소영;이천의
    • 대한치과의료관리학회지
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    • 제7권1호
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    • pp.39-43
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    • 2019
  • Smartphone usage has become so common that it has reached 2 billion people in the last year. As a result of this, hospitals have started making use of smartphones at various medical sites and research services for patients. This study aimed to establish support for developing a long distance program for patients with implants who have difficulty visiting clinics or with busy modern lives, by using smartphones for oral hygiene management instruction. The data were collected for 12 weeks, from July 24 to October 21, 2015, for patients who agreed to participate in the study. Although the subjects found the process of transferring photos via smartphone to be cumbersome (75%), the satisfaction level of the oral hygiene management program was excellent for all participating patients, and they all wanted to continue with further management using this process. The results from the phone satisfaction survey showed that oral hygiene self-management after oral hygiene control training by smartphones was mostly equal to previous habits (87.5%) or had partially increased but had not decreased. The need for data on more varied age groups and the issues of protecting the security of personal information on smartphones require further study. However, our study confirmed the efficacy of using electronic media (smartphones) for oral hygiene management in patients with a dental implant due to their improvement of oral hygiene performance as evidenced by less bleeding from probing on post-program visit.

전남대학교병원 응급실에 내원한 구강악안면외과 환자에 대한 임상적 연구 (A CLINICAL STUDY ON ORAL & MAXILLOFACIAL PATIENTS VISITING CHONNAM UNIV-HOSPITAL EMERGENCY ROOM)

  • 조규승;김기영;이성훈;박홍주;소광섭;조용기;오희균;유선열
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권4호
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    • pp.435-446
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    • 1997
  • 본 교실에서는 1992년 1월 1일부터 1996년 12월 31일 까지 최근 5년간 전남대학교병원 응급실에 내원한 구강악안면외과 환자에 대한 실태조사를 시행하여 다음과 같은 결과를 얻었다. 남녀의 성비는 2.5 : 1의 비율로 남성에서 호발하였으며, 하발연령층은 20대, 30대, 9세 이하의 순이었다. 응급실에 내원한 환자의 수는 9월과 10월에 11%로 가장 많았다. 응급실에 내원한 원인으로는 교통사고, 추락사고, 구타사고 순이었다. 손상내용은 악안면열상, 악안면골절, 치아손상 순이었다. 악안면골절은 하악골 단독골절이 가장 많았으며 관골-상악골 복합골절, 하악골-상악골 복합골절 순이었으며 하악골 골절시 정중부, 과두부, 우각부 순으로 발생하였다. 저녁 6시부터 새벽 3시 사이에 응급실에 내원한 환자가 전체의 57%를 차지하였다. 주소 발생에서 응급실 내원까지는 8시간에서 12시간 사이가 가장 많았다. 이상의 결과는 구강악안면외과 영역의 응급환자가 비교적 많이 발생하고 있으므로 이를 전담할 수 있는 구강악안면외과 분양가 시급히 개설되어야 할 것임을 시사하였다.

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제5차 근로환경조사를 통해 조사된 재택근무와 수면장애 간의 연관성 연구 (A Study on the relationship between work from home and sleep disturbances among workers: using the 5th working environment survey)

  • 김현중;박서연;권형진;방일흠;이예의
    • 대한치과의료관리학회지
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    • 제11권1호
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    • pp.78-88
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    • 2023
  • This study aimed to analyze the correlation between working from home and sleep disorders among domestic workers using data from the 5th Working Environment Survey in 2017. Out of the total 30,108 wage workers, 818 employees work from home and 4,090 work in an office. A random sample of 1:5 pairs, considering gender and occupational group, was selected from these employees as the study subjects. The analysis included personal characteristics, occupational characteristics, work-from-home arrangements, and sleep disorders. Age, education, employment status, years in the workforce, weekly working hours, work-life balance, self-perceived health, depression, and anxiety were all adjusted as potential confounding variables. Conditional logistic regression analysis was conducted to examine the relationship between working from home (independent variable) and sleep disorder (dependent variable). This analysis aimed to analyze the correlation between working from home and sleep disorder. The analysis revealed that working from home was associated with sleep onset latency disorder OR=3.23 (95% CI=2.67~3.91), sleep maintenance disorder OR=3.67 (95% CI=3.02~4.45), and non-restorative sleep OR=3.01 (95% CI=2.46~3.67), which showed a statistically significant relationship with all three types of sleep disorders. Factors influencing the correlation between working from home and sleep disorders included work-life balance, social isolation, and anxiety.