• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제30권6호
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• pp.540-544
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• 2004

The oral lesion of acquired syphilis - primary, secondary, and tertiary - is comparatively rare. Most of the time secondary syphilis manifests itself as a systemic disease with maculopapular eruptions of the skin, generalized lymphadenopathy, fever, and occasional eruptions on the mucous membranes. The lesions of the tertiary stage may occur anywhere in the body, including the oral cavity. Necrotizing faciitis of the head and neck is an uncommon, rapidly spreading soft tissue infection of polymicrobial origin characterized by extensive necrosis and gas formation in the subcutaneous tissue and superficial fascia. This is characterized by its fulminating, devastating, and rapid-progressing course. The mortality rate is high if it is not treated promptly and vigorously. Patients with an impaired immune system and those with small-vessel disease such as diabetes mellitus are more prone to develop this infection.

• Journal of Chest Surgery
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• 제39권10호
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• pp.799-801
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• 2006

40세 여자가 앞가슴에 발생한 종양을 주소로 내원하였다. 종양은 흉벽에 생긴 결절성근막염으로 진단되었다. 결절성근막염은 섬유모세포의 증식을 특징으로 하는 드문 양성 연부조직 종양으로, 외과적 절제가 가장 효과적인 치료이다. 외과적 절제 후 저자들은 결절성근막염을 치험하였기에 문헌 고찰과 함께 이를 보고하는 바이다.

• 대한정형외과 초음파학회지
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• 제2권1호
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• pp.1-6
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• 2009

목적: 저자들은 족저 근막염에 대한 초음파 소견과 임상적 변수들과의 연관성을 알아보고자 하였다. 대상 및 방법: 본원에서 2007년 10월부터 2008년 4월까지 이학적 검사 및 초음파 검사를 통해 족저 근막염으로 진단받은 36명 49발과 증상이 없는 21발을 대상으로 하였다. 병변은 23명이 편측, 13명이 양측이었다. 남자 16명, 여자 20명이었고, 평균나이는 48.6세였다. 편측군과 양측군, 환측과 건측의 족저 근막의 두께, 근막 내부의 에코성, 족저 근막 파열 유무, 석회화, 종골하 골극형성을 조사하여 비교하였다. 족저 근막 두께와 평균나이, 체질량 지수, 증상기간, 통증지수와의 상관관계를 조사하였다. 결과: 편측군과 양측군 사이에 나이, 성별, 체질량지수, 증상기간의 차이는 없었다. 족저 근막의 두께는 편측군이 $5.2{\pm}1.5mm$, 양측군이 $4.4{\pm}1.4mm$로 유의한 차이가 있었다(p=0.045). 양 군간 저에코 음영과 종골하 골극의 빈도는 차이가 없었다. 전례에서 근막 파열이나 석회화는 없었다. 환측 족저 근막의 두께는 $4.8{\pm}1.5mm$로 건측의 $3.1{\pm}0.5mm$에 비해 두꺼웠다(p=0.000). 족저 근막의 두께는 증상기간과 음의 상관관계가 있었다(p=0.046). 결론: 족저 근막염에 대한 초음파 검사상 근막의 두께가 반대쪽보다 유의하게 두꺼웠고 편측군이 양측군보다 유의하게 두꺼웠으며 증상기간과 족저 근막의 두께는 반비례 관계를 보였다.

• Clinical and Experimental Otorhinolaryngology
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• 제11권4호
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• pp.293-300
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• 2018

Objectives. The current study aims to determine the correlation between nutritional status upon presentation and disease severity, as well as treatment and survival outcomes. Methods. Patients who were diagnosed with deep neck infection, underwent at least one surgical drainage/debridement, and had more than 1 week of hospitalization at a tertiary medical center from 2007 to 2015 were retrospectively included. Thereafter, initial serum albumin, C-reactive protein (CRP), and body mass index (BMI) were reviewed. Results. A total of 135 patients were included in the final analysis. Accordingly, the proportion of patients with simultaneous mediastinitis (21.0%), necrotizing fasciitis (12.9%), disease extent >1 cervical level (72.6%), mean CRP (22.4 mg/dL), mean length of hospitalization (25.0 days), and mean 1-week follow-up CRP (7.2 mg/dL) was significantly higher in the hypoalbuminemia group (initial serum albumin <3.0 g/dL) than in the normoalbuminemia group (all P<0.05). No significant correlations had been observed according to BMI status. After adjusting for age and Charlson comorbidity index, odds ratios for the following outcomes were calculated in patients initially presenting with hypoalbuminemia: simultaneous mediastinitis (3.07), necrotizing fasciitis (7.89), disease extent >1 cervical level (2.12), initial serum CRP over 20 mg/dL (3.79), hospitalization of more than 14 days (4.10), 1-week follow-up CRP over 5 mg/dL (3.78), and increased duration for an over 50% decrease in initial CRP (2.70) (all P<0.05). Although intravascular albumin replenishment decreased the proportion of patients with hypoalbuminemia after 2 weeks (P<0.05), it did not significantly predict better treatment outcomes. Conclusion. Among the markers reflecting an individual's nutritional state, an initial serum albumin of less than 3.0 g/dL was an independent serologic marker predicting increased disease severity and complications in patients with deep neck infection.

• 대한정형외과스포츠의학회:학술대회논문집
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• 대한정형외과스포츠의학회 2006년도 제15차 추계학술대회
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• pp.17-31
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• 2006

대개 근위부 족저근막염에 의해 야기되는 족저부 뒤꿈치 통증은 흔한 족부 질환이다. 족저근막염을 가진 대부분의 환자에서 비수술적인 치료는 효과적이지만, 통증 해결은 1년까지 요구된다. 수술이 요구된다면, 근막의 절반 이상을 유리하는 것은 기능적인 결손을 피하기 위해 배제되어야 한다. 외측 족저신경의 감압은 무지외전근의 기시부 주위에 통증이 있는 환자에서 추가된고 족저 근막 유리술의 정해진 일부분이 된다. 가끔, 족저부 뒤꿈치 골극 절제술이 필요하지만 이것은 시술의 이환율을 더하고 회복 시간을 지연시킨다.

• Journal of Chest Surgery
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• 제33권12호
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• pp.991-994
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• 2000

괴사성 근막염은 흔하지 않은 질환으로서 때로 전격적인 진행을 보이며 흉벽에 생기는 경우에는 매우 드물다. 신체의 어느 부위나 생길 수 있으나 주로 복벽이나 서혜부, 사지 등에 가장 많이 발생한다. 이 질환의 특징은 근막의 괴사가 광범위하게 진행되지만 피부나 근육은 비교적 잘 보존되어 있다. 따라서 조기에 진단하기가 어려우므로 진찰당시 이 질환을 염두에 두어야 진단할 수 있다. 조기진단 후 즉각적인 외과적 치료가 가장 중요하다. 본 병원 흉부외과에서 흉벽에 발생한 특발성 괴사성 근막염을 한 례 경험하여 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

• Annals of Laboratory Medicine
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• 제38권6호
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• pp.604-606
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• 2018

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권1호
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• pp.62-67
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• 2010

The spreading pathways which is the cause of infection on head and neck area are submandibular space, masticatory space, parapharyngeal space, retropharyngeal space, carotid sheath and mediastinum, etc. If spread to parapharyngeal area involving airway, such infection can be life-threatening by airway obstruction, or can cause vascular injury followed by hemorrhage, nerve injuries. Also, if spread to superficially, necrotizing fasciitis and many complications may occur including gangrene of skin. The key to successful treatment of infection on head and neck area is recognition of spreading pathways, early diagnosis and following therapeutic management. Our department present two cases, one is infection progressed superficially to suprasternal space, another is spreading deep according to parapharyngeal space, subclavian space and carotid sheath followed by airway obstruction, and obtained significant results with surgical incision and drainage, administration of selected antibiotics, continuous post-operative treatment. We report these 2 cases with literatures review.

• 대한족부족관절학회지
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• 제2권2호
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• pp.76-81
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• 1998

Chiefly, painful heel syndrome is observed at old age. Many possible reasons were bursitis, plantar fasciitis, calcaneal periostitis around the calcaneus and achilles tendon. But the exact cause was not clearly identified due to complexity of subcalcaneal pain mechanism. The incidence of calcaneal spur and overweight were significant in painful heel syndrome. Our purpose of this study was analysis of underlyng cause and correlation about bony spur and overweight in painful heel syndrome. The author used incidence of heel spur on painful heel syndrome and body mass index to evaluate overweight. The material is 55 cases of painful heel syndrome patients and 60 cases of control group. Bony spur was one of the cause of painful heel syndrome. Body weight and calcaneal spur was developing factors on painful heel syndrome. And the result was as follows. 1. Spur formation incidence is 35 cases (63.6 %) in painful heel syndrome, 8 cases (13.3%) in normal control group. So, patient's group is significantly high (p<0.01). 2. Body mass index is 26.48 in painful heel syndromes, 21.75 in normal control groups. Overweight above index 27 is 22 cases (40%) in painful heel syndromes, 3 cases (5%) m normal control groups. So, patient's group is significantly high (p<0.01). 3. In painful heel syndrome, tenderness site is 46 cases (83.6%) in medial calcaneal tuberosity, 4 cases (7.3%) in central calcaneal tuberosity, 1 cases (1.8%) in both site. 4. Underlying causes of painful heel syndrome is 19 cases (34.5%) in plantar fasciitis, 16 cases (29.1%) in calcaneal periostitis, 11 cases (20%) in bursitis, 4 cases (7.3%) in tendinitis, 2 cases (3.6%) in entrapment neuropathy.

• 대한족부족관절학회지
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• 제10권2호
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• pp.163-167
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• 2006

Purpose: To evaluate the results of extracorporeal shock wave therapy (ESWT) for patients with chronic proximal plantar fascitis. Materials and Methods: Between April 2005 and April 2006, 35 cases (24 patients) who were followed more than 6 months were evaluated. By $EvoTron^{(R)}$, 2 sessions of ESWT (Group 1: 1200 and Group 2: 1500 shock waves / session of $0.12\;mJ/mm^2$) were performed at 2 weeks interval. The mean age was 40.0 (range, 15-59) years. 13 patients were male and 11 patients were female. Visual analogue scale (VAS) on daily activity and a 100-point scoring system including 70 points for pain and 30 points for function were used. The clinical outcomes were rated as follows: excellent, no pain on daily activity; good, less than 50% of previous VAS; fair, 50-75% of previous VAS; or poor, more than 75% of previous VAS. Excellent and good were graded as satisfactory results. We compare clinical results between groups and evaluate the relationships between clinical results and duration of symptom, fascial thickening and previous steroid injection were evaluated. Results: Overall satisfactory rate were 71.4%. There was no significant difference of clinical results between groups. And there were no significant difference between clinical results and duration of symtom, preoperative fascial thickening and previous steroid injection. Conclusions: ESWT for recalcitrant chronic proximal plantar fascitis is useful treatment method with high patient satisfaction and pain relief, but more long-term study must be needed.