• Title/Summary/Keyword: 증례

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RADIOLOGIC MANIFESTATIONS OF ODONTOGENIC TUMORS OF MESENCHYMAL ORIGINS (중배엽성 치성종앙에 대한 방사선학적 연구)

  • Park Tae Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.16 no.1
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    • pp.7-17
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    • 1986
  • 치성종양은 악구강계 영역의 질환 중 중요한 관심거리가 되어왔으며, 이중 상피성 치성종양에 관한 보고는 많으나, 중배엽성 치성종양에 관한 보고는 많이 이루어지지 않았다. 저자는 1975년부터 1985년까지 서울대학교병원 치과진료부에서 방사선학적, 병리학적으로 중배엽성 치성종양인 치성섬유종, 치성점액종, 백악질형성섬유종으로 진단된 증례들을 토대로 하여 연구, 분석한 결과 다음과 같은 결과를 얻었다. 1. 치성섬유종의 연령분포는 32세에서 72세로 광범위 하였으며, 발생위치는 모두 상악구치부이었고, 단방성이 2증례, 다방성이 1증례이었다. 2. 치성점액종의 연령분포는 40세에서 55세로 비교적 중년층에서 호발했고, 4증례가 상악에, 2증례가 하악에 발생하였다. 6증례 모두 방사선학적으로 다방성 방사선투과성을 보였으며, 경계는 비교적 불분명하였다. 3. 백악질형성섬유종은 주로 ?년에서 중년 성인 사이에 많이 발행하였고 40대에 가장 많은 출현율을 보였다. 남녀비는 약 1:2로 여자에게서 빈발하였다. 19증례중 하악에 15증례, 상악에 4증례가 발생하여, 하악이 호발부위였으며, 상하악 소구치, 대구치 부위에 발생하였다. 방사선학적으로 방사선투과성이 2증례, 혼합성이 12증례, 방사선불투과성이 5증례이었다.

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Tibial Tuberosity Advancement for Partial Rupture of Cranial Cruciate Ligament in Two Dogs (경골조면 전이동술을 이용한 개에서의 부분 전십자인대 단열치료 2례)

  • Heo, Su-Young;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.141-144
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    • 2014
  • Two dogs (Case 1 weighing 27 kg, Case 2 weighing 42 kg) were referred with hindlimb lameness. On physical examination, there was moderate pain on stifle joint testing and mild cranial translation on cranial drawer testing in Case 1. This translation was obvious when the patient was under general anesthesia. Case 2 showed discomfort during hyperextension of the stifle joint, but no significant cranial translation under general anesthesia. Joint effusion was detected on radiography in both cases. Based on physiologic and radiographic examinations, cranial cruciate deficiency was suspected, so exploratory arthroscopy was performed. Arthroscopy revealed partial rupture of the cranial cruciate ligament (CrCL) in both cases. Case 1 showed unstable partial CrCL rupture, while Case 2 had stable CrCL rupture. Tibial tuberosity advancement (TTA) was carried out as planned. Seroma occurred one week postoperatively in Case 2, and was removed surgically. The patients returned to satisfactory weight-bearing ambulation 5 months after initial surgery. Based on the results of these cases, TTA appears to be a useful procedure in the treatment of CrCL partial rupture.

Surgical Correction of Ectopic Ureter in Dogs (개에서 발생한 이소성 요관의 외과적 교정)

  • Choi, Sung-Jin;Lee, Gi-Ja;Kang, Eun-Hee;Jang, Se-Ung;Hwang, Eui-Hee;Jeong, In-Seong;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.137-140
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    • 2014
  • A Maltese (case 1) and a Labrador Retriever (case 2) presented with urinary incontinence. General conditions were good and screening tests, including a complete blood count, serum chemistry and radiography, were performed. Excretory urography was conducted, and fluoroscopy was performed for case 1 and computed tomography was performed for case 2. The dogs were diagnosed as right extramural ectopic ureter in case 1 and bilateral intramural ectopic ureter in case 2. We performed surgical corrections, including a neoureterocystostomy for extramural ectopic ureter and neoureterostomy for intramural ectopic ureter. After surgery, the dogs were catheterized with an indwelling catheter for 3 days. Urinary incontinence improved completely and the clinical outcomes were good. The choice of adequate surgical procedure is important for correcting ectopic ureters in canines.

Rectovaginal Fistula with Anal Atresia in Two Dogs (개의 항문폐쇄증 2례)

  • Ki-dong Eom;Jin-min Lim;Sang-bum Song;Jung-hee Yoon;Jong-man Kim;Myung-cheol Kim;Young-won Lee
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.482-485
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    • 1999
  • 45일된 암컷 English Coca Spaniel(0.65kg, 증례 1)과 60일 된 암컷 진돗개(2.05 kg, 증례 2)가 항문폐쇄증으로 내원하였다. 증례 1은 생후 5일부터 만성적인 설사를 보였으며, 내원 7일 전에 이유시켜 상업용 건사료로 바꾸었다. 내원 당시의 임상증상은 복부팽창, 식욕부진, 항문폐쇄 그리고 질 주위에 오줌과 변으로 오염되어 있었다. 증례 2는 내원 당시 우울증, 복부팽만, 항문폐쇄 등의 임상증상을 보였고 질 주위에 수양성 변으로 오염되어 있었다. 증례 1과 2에서 직장 조영술을 실시해서 직장과 질에 누공이 형성되고, 결장이 팽만되어 있음을 확인하고 수술을 실시하여 누공을 폐쇄하고 항문 형성술을 실시하였다. 증례 1은 수술직후 항문에 변이 불연속적으로 배출되었고, 2달후에는 정상적인 항문괄약근의 운동을 관찰할 수 있었다. 증례 2는 술후 4일에 식욕부진과 원기소실로 폐사하였다.

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Thermokeratoplasty as a Treatment for Ulcerative Keratitis Caused by Corneal Endothelial Degeneration in Two Dogs (개의 각막내피세포 변성증에 의한 각막 궤양에 적용한 각막열성형술 2례)

  • Park, Young-Woo;Kim, See-Un;Ahn, Jae-Sang;Ahn, Jeong-Taek;Lee, Yesran;Lee, Eui-Ri;Yi, Na-Young;Seo, Kang-Moon;Jeong, Man-Bok
    • Journal of Veterinary Clinics
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    • v.28 no.5
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    • pp.533-537
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    • 2011
  • A 13-year-old, female, Shih-tzu and a 10-year-old, female, Yorkshire terrier were presented with ulcerative keratitis caused by corneal endothelial degeneration. Generalized corneal edema, conjunctival hyperemia, focal corneal pigmentation, corneal neovascularization, sub-epithelial bullae, and positive fluorescein staining were observed during ophthalmic examinations. Thermokeratoplasty was performed on the overall edematous corneas. Healing of the cornea was completed within 25 days and corneal ulceration has not recurred after healing of the cornea in both cases. Other ocular complications were not observed except for a slight increase in corneal pigmentation. According to this study, thermokeratoplasty could be an effective treatment for corneal ulceration secondary to corneal endothelial diseases in dogs.

CLINICAL STUDY ON THE POSITIONAL CHANCE OF THE MANDIBLE AFTER TREATMENT OF CLASS III MALOCCLUSION(Permanent Dentition) (III급 부정교합 치료후의 하악골의 위치변화에 관한 임상적 고찰(영구치열에서))

  • Park, Hyo-Sang
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.63-86
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    • 1994
  • The purpose of this study was to find out some relationship between the positional change of mandible during treatment and the prognosis after treatment of ClassIII malocclusion. The patients selected for this study were sucessfully treated two patients, and three patients who wert also sucessful in active treatment but showed relapse during observation. Serial Cephalograms, photos, models, treatment record of these patients were analysed in each term of treatment and observation period. The results might be summarized as follows: The patient with swing back type in which mandible rotated posteroinferiorly during active treatment showed good dental md skeletal relationship during observation. Among the patients with Y-axis type, one who had harmonious growth between maxilla and mandible showed stable dental relationship during observation, the other who had not showed relapse. The swing back type was not changed during and after treatment but the patients who had Y-axis type were unchanged in some patients, and changed into forward type in the others. During active treatment, was lower facial height(ANS-Me) increased in all 5 patients, and in observation period the patients showing increase in lower facial height had stable occlusion but the others having decrease showed unstable dental relationship.

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CLINICAL STUDY ON ORTHOGNATHIC SURGERY FOR 8 YEARS IN OUR DEPARTMENT (최근 8년간 본교실에서 시행한 악교정수술의 임상적 검토)

  • Kwon, Tae-Geon;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.1
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    • pp.1-9
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    • 1995
  • We observed 117 orthognathic surgery cases with dentofacial deformity for 8 years from Jan. 1986 to Dec. 1993. The ratio of male female was 1 : 1.4 and the mean age was 23.0 years ranged from 16 to 35 years. The most dominant group was related to mandibular prognathism (75.0%). Surgery method were divided into 88 cases of mandible surgery, 6 cases of maxilla surgery and 23 cases of two jaw surgery. Sagittal split osteotomy were performed on 84 cases (71.8%). Rigid fixation was increased after 1989 and total percent of rigid fixation was 66%. We used autotransfusion method from 1992 to all orthognathic surgery patient. Lower lip numbness caused by Inferior alveolar nerve injury is the most common problem after operation, and it was 63 cases (53.8%) of total operation cases. In our clinic, we performed 5 cases of re-operation because of segment malalignment, condylar sag, and fixation instability.

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CLINICAL EFFORTS FOR TECHNICAL IMPROVEMENT IN TOOTH FRAGMENTATION (초기 영구 전치 파절시의 치아 재부착술의 임상 증례)

  • Choi, Sung-Chul;Lee, Keung-Ho;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.125-131
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    • 2002
  • When a tooth is fracture with the pulp exposure, and if a fragment is large enough to save, reattachment of the fragment would be a choice of treatment and reattachment of the fragment provides several advantages over other forms of dental restoration following crown fracture. For the purpose of tooth reattachment, it is important to preserve the sound enamel around fracture area. For young patients, tooth reattachment has more advantages in the sense that they recover faster and that it enables other treatments at the same time. Through the continuous advancement in adhesion technology and the effort for aestheticism, various reattachment methods have been practiced and more efforts are considered necessary. The presented cases are that we had practiced in our department in Kyung Hee Medical center, I may address that fragmentation has been successfully done with aesthetically fine results, and no pathologic changes were found in short term follow-ups.

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The Role of Forensic Odontology and Cases Report in Individual Identification (개인식별에 있어서의 법치의학의 역할과 증례 보고)

  • Ahn, Yong-Woo;Ro, Chang-Se;Ok, Seung-Joon;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.31 no.4
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    • pp.317-326
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    • 2006
  • Forensic odontology in individual identification has been progressing rapidly and its significance has been increasing. But not all individual identification can be done single method solely. Therefore, understanding the advantage and disadvantage of each method is necessary to achieve forensic individual identification properly in each case for it to be applied promptly, economically and precisely. Now 4 cases of forensic odontology are studied. 2 cases are age identification and 2 cases is forensic confirmation.

Recurrent ossifying and cemento-ossifying fibroma of the jaws;report of 2 cases (재발된 골섬유종과 백악질골섬유종)

  • Ryu, Sun-Youl;Oh, Hee-Kyun;Kim, Geon-Jung;Yun, Young-Su;Choi, Hong-Ran
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.297-308
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    • 1989
  • These are two case reports of recurrent ossifying and cemento-ossifying fibroma in a year or 5 months following conservative treatment. Ossifying fibroma or cemento-ossifying is a relatively uncommon benign fibro-osseous tumor of the jaws, and is generally believed to originate from periodontal ligaments. In recent, it is not demanded more differentiation of ossifying, cementifying and cemento-ossifying fibroma due to the thought that these lesions represent a spectrum of the same disease process rather than separate entities. The tumor commonly presents as an asymptomatic mass lesion and is usually well-circumscribed clinically so that conservative surgical excision has been the treatment of choice, but on occasion extended surgical procedures may become necessary, especially for those tumors which demonstrate rapid expansions and are poorly encapsulated (either initially or when recurrent) and when tumor growth is progressed aggressively or recurrent. En-bloc resection of mandible with iliac bone and inferior alveolar nerve graft was performed in case 1, recurrent cemento-ossifying fibroma of 32-year old male patient, and extended surgical enucleation of mass including normal marginal bone was done in case 2, recurrent ossifying fibroma of 72-year old female patient. By follow-up check of the patients, we obtained good result without any sings of recurrence.

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