• Title/Summary/Keyword: sequela

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Osseous metaplasia showing heterotopic ossification in the maxillary sinus

  • Kang, Sang-Hoon;Chang, Jung Hyun
    • Imaging Science in Dentistry
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    • v.48 no.2
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    • pp.127-129
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    • 2018
  • Radiopacity in the maxillary sinus can be observed in various conditions, such as in the presence of lesions in the maxillary sinus or as a sequela of maxillary sinus surgery. This report describes the case of a 57-year-old female patient who had no previous history of surgical treatment or traumatic injury of the nose or maxillary sinus. Both maxillary sinuses were indistinguishable on panoramic radiography and showed signs of radiopacity. Computed tomography images revealed that the maxillary sinuses were filled with bony tissue and exhibited signs of sinus mucosal thickening. Biopsy results showed fragments of trabecular bone with fibrous tissue.

Traumatic Brain Injury and Sleep Disorder (외상성 뇌손상과 수면장애)

  • Kim, Young-Chul
    • Sleep Medicine and Psychophysiology
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    • v.6 no.2
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    • pp.97-101
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    • 1999
  • Sleep disorders are relatively common occurrence after traumatic brain injury. Sleep disturbances often resulted in difficulties in sleep onset and sleep maintenance, nonrestorative after sleep, poor daytime performances and poor individual sense of wellbeing. Unfortunately, there has been minimal attention paid to this common and disabling sequela of brain injury. Better undertanding about problem, pathophysiology and treatment of sleep disorder after traumatic brain injury will improve the cognitive function, social adjustment and rehabilitation for injured patients. Also it may be helpful to reduce traumatic brain injury in patients with sleep apnea.

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Total Rupture of Peroneus Longus Tendon Through an Os Peroneum Fracture Treated by Tendon Transfer (A Case Report) (건이전술로 치료한 비부골 골절을 동반된 장 비골건 완전 파열 (증례 보고))

  • Jeon, June Young;Dong, Quanyu;Kim, Hyong Nyun;Park, Young Wook
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.4
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    • pp.325-328
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    • 2013
  • Fracture of os peroneum can occur, but the fracture fragments are seldom displaced. Complete rupture of peroneus longus through the fracture of the os peroneum causing displacement of the fracture fragments is not well reported in the literature. Differential diagnosis with bipartite os peroneum or calcific tendinitis is important because misdiagnosis of the tendon rupture can lead to serious sequela including chronic pain, ankle instability, and peroneal compartment syndrome. We report a case of complete rupture of peroneus longus associated with fracture of the os peroneum with a review of the literature.

A Clinical Report about Primary Trigeminal neuralgia patient (원발성 삼차신경통 환자 치험 1례)

  • Kim, Kyoung-Ok;Kim, Su-Youn
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.1
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    • pp.221-226
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    • 2005
  • The trigeminal neuralgia whose pain is led repeatedly and fitfully is limited inside the trigeminal nervous territory. The cause reveals so far clearly from the western medicine. According to this cause, the treatment is divided into surgical and non-surgical method. But the reduction of pain is not certificate and the case which concurs a sequela is many. So we made up to control typical primary trigeminal neuralgia by oriental medicine treatment like Herb Medication and A-Tx. In this case, patient is diagnosed 'Fire from stagnation of liver and stomach'(肝胃實熱)based on several symptoms. According to this, we used herbal medicine-chungpyesagantang-, and these efforts helped the case of disease.

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Spinal Cord Stimulation for the Neuropathic Pain Caused by Traumatic Lumbosacral Plexopathy after Extensive Pelvic Fracture

  • Choi, Kyoung-Chul;Son, Byung-Chul;Hong, Jae-Taek;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • v.38 no.3
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    • pp.234-237
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    • 2005
  • The neuropathic pain caused by lumbosacral plexopathy as a sequela to extensive pelvic and sacral fractures is rare because many posttraumatic cases remain undiagnosed as a result of the high mortality associated with these types of injury and because of the survivors of multiple trauma, including pelvic fractures, frequently have an incomplete work-up. Although surgical treatments for medically refractory lumbosacral plexus avulsion pain have been reported, an effective surgical technique for pain relief in lumbosacral plexopathy has not been well documented. We describe the effectiveness of spinal cord stimulation [SCS] in a patient suffering from severe neuropathic pain caused by lumbosacral plexopathy after an extensive pelvic fracture.

Three Cases of Sequela Following Laparoscopic Gynecological Surgery with Korean Medical Treatment Including Ikgibohyeol-tang-gagambang (복강경하 부인과 수술 후유증에 대한 익기보혈탕가감방(益氣補血湯加減方)을 포함한 한방 치험 3례 - 증례보고)

  • Hwang, Hyeon-Ji;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.1
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    • pp.139-149
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    • 2020
  • Objectives: This paper aims to report the effects of Korean medical treatment on three patients who operated laparoscopic gynecological surgery. Methods: Three patients operated laparoscopic gynecological surgery and got Korean medical treatment during 5 or 6 days hospitalization. The treatment included Ikgibohyeol-tang-gagambang, acupuncture, moxa and hot pack treatment. Numerical Rating Scale (NRS) of chief symptoms was measured every morning. Results: After the treatment, the pains following surgery decreased, and general conditions improved. Conclusions: These cases show that Korean medical treatment including Ikgibohyeol-tang-gagambang is effective for patients who operated laparoscopic gynecological surgery.

Different PEEP Effects on Lung Volume According to Underlying Lung Disease in Patients with Auto-PEEP (자가 호기말 양압(auto-PEEP)을 보인 환자에서 원인질환에 따른 PEEP적용 효과의 차이)

  • Sohn, Jang Won;Koh, Younsuck
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.6
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    • pp.567-572
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    • 2004
  • Background : The effect of PEEP(ed note: Define PEEP.) on the lung volume in patients with auto-PEEP during mechanical ventilation is not even. In patients with an expiratory limitation such as COPD, a PEEP of 85% from an auto-PEEP can be used with minimal increase in the lung volume. However, the application of PEEP to patients without an expiratory flow limitation can result in progressive lung. This study was carried out to evaluate the different PEEP effects on the lung volume according to the different pulmonary diseases. Methods : Sixteen patients who presented with auto-PEEP during mechanical ventilation were enrolled in this study. These patients were divided into 3 groups: asthma, COPD and tuberculosis sequela (patients with severe cicatrical fibrosis as a result of previous tuberculosis and compensatory emphysema). A PEEP of 25, 50, 75 and 100% of the auto-PEEP was applied, and the lung volume increments were estimated using the trapped lung volume. Results : In the asthma group, the trapped lung volume was not increased at a PEEP of 25 and 50% of the auto-PEEP. This group showed a significant lung volume increment from a 75% PEEP. In the COPD group, the lung volume was increased only at 100% PEEP. In the tuberculosis sequela group, the lung volume was increased progressively from low PEEP levels. However, a significant increment of the lung volume was noted only at 100% PEEP. Conclusion : The effects of the applied PEEP on the lung volume were different depending on the underlying lung pathology. The level of the applied PEEP >50% of the auto-PEEP might increase the trapped lung volume in patients with asthma.

Characteristics of temporomandibular joint structures after mandibular condyle fractures revealed by magnetic resonance imaging

  • Kim, Bong Chul;Lee, Yoon Chang;Cha, Hyung Seok;Lee, Sang-Hwy
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.24.1-24.7
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    • 2016
  • Background: This study aimed to evaluate the structural changes of temporomandibular joint immediately after condylar fractures with magnetic resonance imaging (MRI). Method: We evaluated 34 subjects of condylar fractures with MRI. The position, shape, and signal intensity of the condyle, disc, and retrodiscal tissue were analyzed with MR images. Results: Immediately after trauma, the disc was displaced with the fractured segment in almost all cases. And, the changes of signal intensity at the retrodiscal tissue were found but less related to the degree of fracture displacement. And, the high signals were observed almost at all fractured joint spaces and even at some contralateral joints. Conclusions: The displaced disc as well as the increased signal intensity of the joint space, condylar head, and retrodiscal tissue demands more attention to prevent the possible sequela of joint.

Occlusal Change as a Sequela of Anterior Disc Displacement without Reduction of Temporomandibular Joint: Case Reports (관절원판전위와 갑작스런 교합변화가 발생한 환자의 임상증례 및 원인에 관한 보고)

  • Hur, Yun-Kyung;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.36 no.2
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    • pp.107-115
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    • 2011
  • We report 4 patients who developed change of occlusion which seemed to be related to anterior disc dislocation without reduction, but there was no distinct evidence of condylar destruction or collapse. They experienced sudden occurrence of occlusal change, anterior open bite in 2 patients, lateral CR-CO discrepancy in 1 patient, and anteroposterior CR-CO discrepancy in 1 patient. Also, this report is to find out if there is a relation between sudden occurrence of occlusal change and anterior disc dislocation without reduction.

A Case Study of Patient with Delayed Post-Anoxic Encephalopathy Improved by Korean Traditional Treatment, Especially Jowiseungchungtang (조위승청탕(調胃升淸湯)등 한방치료로 호전된 급성 일산화탄소 중독의 지연성 후유증 환자)

  • Kim, Yun-Yong;Kim, Ji-Young;Cho, Hye-Young;Cho, Seung-Hun;Hwang, Wei-Wan
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.205-217
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    • 2008
  • After recovery from acute carbon monoxide poisoning, some patients suffer from neuropsychiatric problems such as cognitive impairement, movement disorder, change of personality and mental disorder after lucid interval in which the patient has no symptom. This sequela of carbon monoxide poisoning is called delayed post-anoxic encephalopathy(DPE). No neuroprotective drug has yet demonstrated ecfficacy and hyperbaric oxygen treatment's effect have little scientific evidence in preventing and improving DPE. In such situation, korean traditional treatment may be helpful in treating the patient suffering from DPE. In this case report, we will describe the patient that has suffered from severe DPE involving cognitive impairment, gait disturbance and incontinence but has been improved successfully by korean traditional medicine treatment, especially Jowiseungchungtang. This case could present how we will study about DPE.

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