• Title/Summary/Keyword: 하악신경

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The Clinical Report on 3 cases of the patient of Tempormandibular Disorder Treated with Motion Style Treatment (동작침법(M.S.T.)을 시행한 측두하악관절장애환자 치험 3례)

  • Moon, Ja-Young;Cho, Jae-Hee;Lee, Hyo-Eun;Lim, Myung-Jang;Kang, In;Wang, Wu-Hao;Park, Cheol-Jin;Lim, Jin-Kang
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.3 no.2
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    • pp.29-36
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    • 2008
  • Object : The purpose of this study is to report the improvement of Tempormandibular Disorder patients who were treated by M.S.T(Motion Style Treatment). Methods : The clinical study was done on 3 cases of patients with tempormandibular disorder we checked the diameter between the maxilla and mandible with jaws fully opened, and also checked NRS score after the treatment of M.S.T(Motion Style Treatment) each day. Results & Conclusion : The diameter of the open mouth increased after the treatment of M.S.T(Motion Style Treatment), whereas NRS score decreased after the treatment of M.S.T(Motion Style Treatment). It is concluded that the M.S.T might be effective to the patient with tempormandibular disorder.

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Ultrastructural Changes of the Rat Brain Stem under Restraint Stress (구속스트레스에 의한 백서 뇌세포의 미세구조 변화)

  • Baek, Seung-Ho;Lee, Dong-Sik;Chun, Yang-Hyun;Lee, Jin-Yong;Hong, Jung-Pyo
    • Journal of Oral Medicine and Pain
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    • v.26 no.3
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    • pp.173-180
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    • 2001
  • 스트레스가 질병 및 동통과 밀접하게 관련되어 있다는 것은 주지의 사실이며, 정서적으로 중요한 구강안면영역에는 측두하악관절장애증, 구강작열감증후군 등의 다양한 스트레스성 질환이 존재하는데, 이들의 병리학적 기전에 대해서는 아직도 논란의 여지가 있다. 그리고 중추신경계인 뇌는 스트레스 반응 및 동통 신호의 전달과 조절 등에서 중요한 역할을 하는 부분이다. 이에 저자는 스트레스와 신경과의 병리적관계를 조직학적으로 밝히고자 구속스트레스하의 백서 뇌조직을 채취하여 전자현미경으로 세포변화를 관찰하였다. 생후 8주된 Sprague-Dawley계 웅성 백서 (322-367 g/bw)를 대조군으로 3마리, 실험군으로 15마리를 배정하였다. 실험군은 구속스트레스를 실험 전기간에 걸쳐 부여하였다. 모든 실험동물의 뇌간을 적출하여, 전자현미경으로 조직변화를 관찰하였으며, 그 결과는 다음과 같다. 1. 정상 대조군에서는 정상적인 형태의 수상돌기 및 세포체가 관찰되었다. 2. 구속스트레스군의 5일군과 7일군에서 작은 크기의 사립체가 다수 출현하였다. 3. 구속스트레스 3일군부터 핵주위의 공포화(vacuolization)로 핵과 세포질이 이개되었으며, 7일군에서는 이러한 핵주위의 변성이 현저하였다. 구속스트레스 부여 후 뇌세포의 미세구조를 관찰한 결과, 세포내 미세구조 및 세포간극의 변화가 있었던 것은 스트레스에 의해 신경세포가 변성될 수 있다는 것을 의미하는 것으로, 이는 스트레스와 관련된 구강안면동통 등의 질병 기전을 밝히는데 도움이 되리라 사료되며, 향후 이에 대한 추가적인 조직학적, 분자생물학적인 연구가 필요하리라 생각된다.

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Clinical study on a case of a patient with a glossal tremor caused by a side effect of drugs (약물부작용(藥物副作用)으로 인한 설부(舌部) 진전환자(震顫患者) 증례보고(症例報告))

  • Kim, Geun-Woo;Koo, Byung-Soo;Kim, Hun-Il
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.1
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    • pp.133-139
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    • 2003
  • The most common and unacknowleged something in the secondary parkinsonism is parkinsonism caused by drug abuse. Patient had a glossal tremor caused by a side effect of GIT regulators and antispasmodics taked for the purpose of cured cholecystitis. We thought that the cause of a glossal tremor is 'Pungdam(風痰)' and gave 'Chukdamtang(滌痰湯)'. As a result this patient was taken a quick turn for the better. This case is specific. Because parkinsonism is caused by GIT regulators and antispasmodics, and the symptom of side effect is a glossal tremor. We hope that this case arouse people's attention to a tremor caused by a side effect of drugs and is useful to medical cure and prognosis.

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A Case Report of Numb Chin Syndrome with Facial Pain Caused by Diffuse Large B-Cell Lymphoma (미만성 큰 B-세포 림프종에 의해 발생한 안면 통증을 동반한 Numb Chin Syndrome 증례)

  • Jung, Jae-Kwang;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.36 no.4
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    • pp.253-259
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    • 2011
  • Numb chin syndrome, is a rare neuropathy, characterized by facial and oral numbness restricted to the distribution of the mental nerve. Even though this neuropathy is uncommon, but this still has an important clinical meaning because it can be related with a malignancy. Because orofacial symptoms can even present the first clinical feature of a malignancy, dentists should pay careful attention to their meaning and importance to detect the malignant tumor early. Moreover, patients who present with a sudden numbness on chin should be investigated for the undiagnosed malignancy. In this report, we described a patient with stabbing orofacial pain and numbness of chin who was diagnosed with diffuse large B-cell lymphoma and placed the importance on the diagnosis of NCS.

National survey of inferior alveolar nerve and lingual nerve damage after lower third molar extraction (하악 제3대구치 발치 후 발생한 하치조신경 및 설신경 손상에 관한 연구)

  • Han, Sung-Hee
    • The Journal of the Korean dental association
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    • v.47 no.4
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    • pp.211-224
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    • 2009
  • This retrospective study was to analyze the inferior alveolar nerve and lingual nerve damage after the removal of mandibular third molars. In this questionnaire study, the subjects chosen for this study were 2472 dentists who answered the questionnaire about numbness after the extraction of lower third molars. The data collected by E-mail and web site included the incidence of removal of the lower third molars, the incidence and the experience of numbness of the inferior alveolar nerve and lingual nerve, rate and duration of recovery, the influence in day life after the long-term sensory loss, the period and amount of the indemnity in the case of medical dispute. The results are summarized as follows. 1. The experience rate and the incidence rate of the inferior alveolar nerve numbness by oral surgeons in the past year were19.9% and 0.14%. Those of the lingual nerve by oral surgeon were 7.7% and 0.05%.2. The experience rate and the incidence rate of the inferior alveolar nerve numbness by the dentists except oral surgeons in the past year were 9.7% and 0.19%. Those of the lingual nerve by the dentists except oral surgeons were 5.5% and 0.11%.3. The recovery rate of the inferior alveolar nerve after 1 year and 2 years were 85.6% and 91.3%. The recovery rate of the lingual nerve after 1 year and 2 years were 84.8% and 89.3%.In conclusion, most of numbness may be recovered within 2 years. However the possibility of long term and persistent numbness should not be neglected. Therefore practitioner must inform the possibility of nerve injury and include this possibility in the consent forms.

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A Clinical Study on 3 Cases in Submaxillary Tremor (턱떨림을 주증상으로 내원한 환자 3명에 대한 증례 보고)

  • Kim, Jin-Hyung;Guk, Yun-Jae;Baek, Dong-Gi;Kim, Tae-Heon;Kang, Hyung-Won;Lyu, Yeoung-Su;Yang, Hee-Sook
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.1
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    • pp.187-196
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    • 2004
  • Objective: This clinical study was aimed to search the therapeutic effects of Oriental Medicine in Submaxillary Tremor. In Oriental Medicine, the tremor of the elder is caused by Gansinyinheo and Qihyeolyangheo. Besides, it has relation to liver, kidney, heart, and spleen according to Jangbu theory. On the basis of this theory, we performed various treatment on Submaxillary Tremor. Method: We carried out three people cases who are elder female-patients with Submaxillary Tremor. We treated them with Herbal medicine(Jihwangyeumjagami, Guibiondamtanggami), acupuncture(Ganjeonggyeok), and moxibustion on Baekhoi(GV20). Result and Conclusion: As the result of our treatment, Submaxillary Tremor was disappeared and some other symptoms were improved.

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Comparative Clinical Study between the Acupuncture Treatment and the Chuna Treatment on Temporomandibular Disorder (측두하악 증후군에 대한 침치료 군과 추나치료 군의 임상적 고찰)

  • Kim, Tae-Soo;Kim, Chang-Yun;Lee, Ki-Ha;Um, Tae-Woong;Jung, Yung-Hoon;Kho, Yung-Tak
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.1
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    • pp.51-60
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    • 2006
  • Objectives : The purpose of study was to compare and analyze the effects of the distance Acupuncture and the Chuna on Temporomandibular Disorder. Methods : Clinical studies were done on 31 patients who were treated with Temporomandibular Disorder at Dept. of Acupuncture & Moxibusition of Hospital of Ha-na Oriental Medicine from May 23 2005 to Apr 30 2006. Subjects were divided Into two group, Distance acupuncture group and Chuna group. In Distance acupuncture group, we treated patients with Wijungyug(胃正格) or Damjungyug(膽正格). In Chuna group, we treated patients with Distraction & Translation technique. For evaluating Function of Temporomandibular joint of Patients, we use the Modified Craniomandibular Index(mCMI) before treatment and after 6th treatment. Results : In Mandibular Movement(MM) of patients, the patients of Acupuncture Group were more effective than Chuna group. In TMJ noise(TN) of patients, the patients of Chuna Group were more effective than Acupuncture group. Conclusions : The Distance acupuncture may be better effect on Mandibular Movement and The chuna maybe better effect on TMJ noise.

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A Clinical Review and Results of Treatment in Non-squamous Cell Tumor of the Maxilla (상악동에 발생한 비편평세포암의 임상양상 및 치료성적)

  • Kim Se-Heon;Kim Kwang-Moon;Choi Eun-Chang;Keum Ki-Chang;Koh Yoon-Woo;Hong Won-Pyo
    • Korean Journal of Head & Neck Oncology
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    • v.14 no.2
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    • pp.182-190
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    • 1998
  • Background: Most of the cancers of maxillary sinus are the squamous variety, but various histopathologic types of malignant tumor can occur in the maxillary sinus. These non-squamous cell tumors have quite different patterns of clinical behavior compared with squamous variety, such as invasive characters, route of metastasis, treatment modality, and so on. Objectives: The authors intend to establish the clinical characteristics and treatment modalities of non-squamous cell tumors of the maxillary sinus. Material and Methods: We experienced 16 cases of non-squamous cell tumors arisen from the maxillary sinus during the 10-year period from 1987 to 1996. We analyzed their clinical features, therapeutic modalities and results with review of literatures. Results: According to AJCC TNM system, 13 patients presented with $T_{1-2}$, 3 with $T_{3-}4$, Two patients were treated with surgery after radiotherapy, 3 patients with surgery after chemotherapy and radiotherapy, 4 patients with chemotherapy and radiotherpy, 5 patients with chemotherapy and radiotherapy after surgery. Conclusion: In cases of adenoid cystic carcinoma, adenocarcinoma and sarcoma, we believe that the best form of therapy is wide surgical excision. If there is microscopic evidence of disease at or close to the resection margin, postoperative radiation was used to achieve better local control. In cases of undifferentiated carcinoma, preoperative chemotherapy and radiation therapy showed improved outcomes.

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Intraosseous neurofibroma of the mandible involving masticator space (저작근 공간을 침범한 하악골내 신경섬유종)

  • Kim, Eun-Kyung;Han, Won-Jeong;Choi, Jin-Woo;Kim, Hak-Sun
    • The Journal of the Korean dental association
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    • v.58 no.9
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    • pp.556-562
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    • 2020
  • Neurofibroma is a benign, heterogenous peripheral nerve sheath tumor arising from the connective tissue of peripheral nerve sheaths, especially the endoneurium. Its intraoral occurrence is uncommon and its occurrence within mandible is extremely rare. A case of solitary intraosseous neurofibroma of the mandible involving masticator space in a 8-year-old male is reported. He was referred from a private local clinic with a chief complaint of limitation in opening of the mouth. Panoramic and cone-beam computed tomographic images showed unilocular radiolucent lesion with scalloped border at the right mandibular ramus, connected posteriorly to the enlarged mandibular foramen and anteriorly to the mandibular canal. T1-weighted magnetic resonance images showed soft tissue mass of isointensity compared with muscles. Contrast-enhanced T1-weighted images showed peripheral enhancement and T2-weighted images showed the heterogeneous hyperintense mass with extension between lateral and medial pterygoid muscles. The tumor was surgically removed under general anesthesia and diagnosed to be neurofibroma at the biopsy.

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Paresthesia After Inferior Alveolar Nerve Block and Infiltration Anesthesia for Implant Surgery on Mandibular Left First Premolar (하악 좌측 제1소구치 부위의 임플란트 식립을 위한 하치조신경 국소마취 후 발생한 Paresthesia)

  • Jo, Ji-Hun;Lee, Kang-Hee;Pang, Nam-Sim;Park, Wonse;Kim, Kee-Deog;Jung, Bock-Young
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.13 no.2
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    • pp.39-44
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    • 2013
  • Most of the dental treatments have been routinely performed under the local anesthesia and the effectiveness has also been proved safe. However, even not frequently dentists face some complications associated with the local anesthesia. In this report, the experience of the paresthesia after mental nerve block anesthesia for an implant placement of the mandibular premolar was presented to raise awareness of the complications related with local anesthetic procedure and to discuss about the causes, the proper treatments and the preventive approach of the paresthesia.