• 제목/요약/키워드: Sinus tract

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이상와 누공으로 인한 급성 화농성 갑상선염 치료 1예 (Treatment of Acute Suppurative Thyroiditis Caused by Pyriform Sinus Fistula : 1 Case Report)

  • 이현수;강보성;김정태;김재욱
    • 대한두경부종양학회지
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    • 제31권2호
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    • pp.70-73
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    • 2015
  • Acute suppurative thyroiditis is rare, infectious thyroid disorder because the thyroid gland is resistant to infection. We report a 26-year-old man with acute suppurative thyroiditis due to a pyriform sinus fistula. He presented with anterior neck swelling and tenderness for 2 weeks. Antibiotic treatment failed to improve his symptoms and signs. Diagnosis was made by bariums studies, computed tomography scan and endoscopic examination. The pyriform siuns fistula was successfully treated by chemical cauterization, partial thyroidectomy and ligation of fistula tract.

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Perspectives on Spinal Dysraphism : Past, Present, and Future

  • Pang, Dachling
    • Journal of Korean Neurosurgical Society
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    • 제63권3호
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    • pp.366-372
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    • 2020
  • This article recounts the author's personal views and recollections of the history, conception of embryogenetic theories, application of intraoperative electrophysiology, and development of prospective treatment recommendations of several important spinal dysraphic malformations, including limited dorsal myeloschisis, dermal sinus tract, retained medullary cord, terminal myelocystocoele, and complex spinal cord lipomas.

심외성 발살바동 동맥류-수술치험 1례- (Extracardiac Aneurysm of the Sinus of Valsalva - A case report -)

  • 신성현;장원채;나국주;안병희;김상형
    • Journal of Chest Surgery
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    • 제31권3호
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    • pp.304-307
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    • 1998
  • Valsalva동 동맥류는 발생빈도가 낮은 질환으로 대부분이 선천성이며 동양인에서 보다 빈번하게 발생하는 것으로 보고되고 있다. Valsalva동 동맥류는 심장내로 진행되어 우심실이나 심방으로 파열되는 경우가 대부분이고 심외성 Valsalva동 동맥류는 발생빈도가 매우 낮다. 심외성 Valsalva동 동맥류는 대부분 대동맥판폐쇄부전을 야기하고 동맥류에 의한 압박으로 우심실 유출로 협착, 심근 허혈 및 심근 경색 등을 일으킬 수 있으며 심낭내로 파열된 경우 심인성 쇼크나 돌연사를 일으키므로 매우 주의를 요하며 확진되면 외과적으로 교정하는 것이 바람직하다. 저자들은 좌관상동맥동 및 무관상동맥동에 발생한 동맥류에 의해 심근허혈 및 대동맥판폐쇄부전이 발생하였던 예를 외과적으로 치료하여 양호한 성적을 얻었기에 문헌고찰과 더불어 보고하고저 한다.

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종격동에서 발생한 Rosai-Dorfman 질병의 증례 - 1례 보고 - (Extranodal Rosai-Dorfman Disease in Mediastinum - A Case Report -)

  • 최주원;오태윤;조은윤;장운하
    • Journal of Chest Surgery
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    • 제35권10호
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    • pp.768-772
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    • 2002
  • Sinus histiocytosis with massive lymphadenopathy는 Rosai-Dorfman 질환(이후 RDD)으로 불리는 조직구증 증후군의 드문 형태의 질환으로, 주로 소아나 청소년기에 발생하며 대부분 경부 림프절을 침범하여 무통성의 심한 림프절 종대를 특징적으로 보이는 질환이다. 림프절외 부위 침범은 약 25∼43%의 환자에서 보고되며, 일부에서는 림프절의 병변없이 림프절외 부위 침범만을 보이기도 한다. 림프절외 질환에서 침범되는 기관은 안구와 부속기관 두경부, 상기도, 유방, 위장관, 중추신경계 등의 다양한 장기에서 보고되고 있다. 최근 저자들은 35세 남자환자에서 수술전 방사선학적 검사상 전종격동 종괴가 발견되어 임상적으로 침윤성 흉선 종의 의진 하에 수술을 시행하였으며, 수술 후 조직검사에서 RDD 질환으로 확진된 1예를 경험하여 보고하고자 한다.

두경부에 발생한 방선균병(Actinomycosis)의 치험 1례 (Actinomycosis on Left Submandibular Area -A case report-)

  • 홍정수;김기열;최시호;설정현;황형기;이충기
    • Journal of Yeungnam Medical Science
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    • 제8권1호
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    • pp.231-237
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    • 1991
  • Actinomycosis is a chronic suppurative and granulomatous bacterial infection characterized by contiguous spread, abcess formation and sinus tract formation. There are four clinical forms according to the lesional site, as 1) cervicofacial, 2) thoracic, 3) abdominal, and 4) disseminated form. Recently, we experienced a case of 54 year-old patient with left mandibular actinomycosis. The pathognomonic findings of actinomycosis is sulfur granule with multiple filaments in Gram-stain and the treatment of actinomycosis is surgical excision of mass or sinus tract with massive antibiotics(esp. Penicillin) therapy for 6 to 12 months.

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상악동 털곰팡이증에 동반된 상악동 방선균증 1예 (Simultaneous Actinomycosis with Mucormycosis in Maxillary Sinus)

  • 이한솔;김민정;배승일;박정민;현명수;이충기;허지안
    • Journal of Yeungnam Medical Science
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    • 제29권2호
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    • pp.106-109
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    • 2012
  • Actinomycosis is a rare subacute-to-chronic infection that causes sinus fistula, tract, or abscess due to the invasion surrounding the soft tissue. Actinomyces colonize the mouth, colon, and vagina. Mucosal disruption may lead to infection at virtually any site in the body. Cervicofacial infection accounts for 50-60% of all actinomycosis cases. The mandible and nasopharynx are the sites of predilection, but maxillary sinus infection is rare. Reported herein is a case involving a 57-year-old female with acute myeloid leukemia who had simultaneous actinomycosis with mucormycosis in the maxillary sinus.

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Missing teeth after maxillofacial trauma: a case report and management protocol

  • Ramaraj, P.N.;Mahabaleshwara, C.H.;Rohit, Singh;Abhijith, George;Vijayalakshmi, G.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제46권6호
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    • pp.422-427
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    • 2020
  • Management of maxillofacial trauma includes primary care, in which diagnosis and management of dentoalveolar injury play a vital role. Due to the impact sustained during a maxillofacial injury (whether direct or indirect), dentoalveolar injuries can occur, leading to fracture and displacement of teeth and associated alveolar bone into the surrounding soft tissues and associated structures, such as the maxillary sinus, nasal cavity, upper respiratory tract, tracheobronchial tree, or gastrointestinal tract. Undiagnosed displaced teeth may cause complications such as airway obstruction. This paper reports a case of displaced teeth in the nasal cavity and gastrointestinal tract and highlights the management protocol for displaced teeth secondary to maxillofacial trauma.

상악동에 발생한 기저양 편평상피세포암 (BASALOID SQUAMOUS CELL CARCINOMA IN THE MAXILLARY SINUS)

  • 윤성훈;박지영;이희정;강준명;표성운
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권6호
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    • pp.677-680
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    • 2007
  • Basaloid squamous cell carcinoma(BSCC) is uncommon and distinct variant of squamous cell carcinoma that arises mostly in the upper aerodigestive tract and aggressive, high grade tumor with an increased tendency to be deeply invasive, multifocal, and metastatic even at the initial presentation. The typical microscopic features of carcinoma with a basaloid pattern in intimate association with a squamous component helps in diagnosis of this tumour. Since Wain's report in 1986, BSCC of oral cavity, the palate, floor of the mouth, nasopharynx, oropharynx and mastoid region have been reported. However, BSCC in the nasal cavity or in the paranasal sinuses is rare and there are few reports in the Korean literature. We had experienced a case of basaloid squamous cell carcinoma that occurred in the left maxillary sinus of 72-year-old woman and reported with review of the clinical and pathologic features from the literature.

유리 근피부판을 이용한 만성 골수염의 치료 (The Free Musculocutaneous Flap in the Treatment of Chronic Osteomyelitis)

  • 정덕환;조창현;정기웅
    • Archives of Reconstructive Microsurgery
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    • 제8권2호
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    • pp.163-169
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    • 1999
  • Purpose : To evaluate the efficacy of free musculocutaneous flap in the treatment of chronic osteomyelitis with drain sinus. Materials and Methods : Eighteen patients (sixteen male and two female) whose average age was 42.6 years were followed for an average of 3.5 years after free musculocutaneous flap for chronic osteomyelitis with drain sinus tract. The period of time between the initial injury and this procedure was average 10.6 years. The patients had an average of 4.1 prior surgical procedure before it. Results : Sixteen(88.9%) of the eighteen free musculocutaneous flap survived, including thirteen of latisimus dorsi flap, three of scapular free flap with muscle, two of medial plantar flap with abductor muscle. Sixteen cases had no evidence of recurrence at follow up. Conclusion : Free musculocutaneous flap is an extremely successful and reliable procedure for the treatment of chronic osteomyelitis with drain sinus. This flap with microvascular anastomses is highly vascularized through its own intrinsic blood vessels, which has the advantage of obliterating dead space and providing improved vascularity to the relatively ischemic recipient site and covering the skin defect.

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