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RISS 인기검색어
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- 저자 : 김용완(Yong Woan Kim) (검색결과 2 건)
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Cushing s syndrome을 동반한 Ludwig s angina 환자에 대한 치험례 : 증례보고
이동근(Dong Keun Lee),김용완(Yong Woan Kim),이은영(Eun Young Lee),박화규(Hwa Kyu Park) 대한구강악안면외과학회 1998 대한구강악안면외과학회지 Vol.24 No.4
Ludwig s angina is a serious and potentially life threatening infectious disease involving all of the submental, submandibular, and sublingual space bilaterally. It is characterized by severe swelling and broad-like induration of the tissues in the submandibular region and elevation of the tongue and floor of mouth with partial immobilization of these structures. A common cause of Cushing s disease is an iatrogenic problem related to chronic administration of either ACTH or glucocorticoids. Patients who administrated glucocorticoids altered response infection and wound healing. More important, many patients who are taking or have been taken glucocorticoids have risk of developing acute adrenal insufficiency (adrenal crisis) when place in stressful situation. The treatment of infections in Cushing s syndrome are reduction of number of microbes through the use of appropriated antimicrobial agents and proper surgical drainage and appropriated airway management and proper steroids therapy that increased administration of glucocorticoids. In this paper, we report a rare case of Ludwig s angina with Cushing s syndrome. A 45-years old women was referred to our clinic in November 1996 for treatment of infetious disease. Clinical examination of this patient showed a painful swelling of submental space, elevation of tongue and difficulty of respiration or Moon Face , Bufallo hump , striae of abdomen and ecchymosis of extremities. We treated through the quickly airway management using blind oroendotracheal intubation, antimicrobial injection of large quantity, increased administration of glucocorticoids and proper surgical drainage. And We aquired satisfactory result.
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이동근(Dong Keun Lee),오승환(Sung Hwan Oh),성헌모(Hun Mo Sung),김용완(Yong Woan Kim),권경환(Kyoung Hwan Kwon) 대한구강악안면외과학회 1998 대한구강악안면외과학회지 Vol.24 No.4
This study was aimed to furnish the data of facial bone fracture which was related regional and social environment and to aid diagnosis and treatment of the fracture. This is the retrospective and clinicostatical study on 626 patients with facial bone fracture. The patients were treated in the Dept. of Oral and Maxillofacial Surgery of Wonkwang University Hospital from Jan. 1, 1993 to Dec. 31, 1997. The result were as follows : The facial bone fractures occured most frequently in the twenties(32.3%) and male were predominent(77.4%) than female. The most frequent etiologic factor of facial bone fracture was fall down(42.8%) and midface fracture was traffic accident(63.4%). The most common site of fracture was symphysis(51.1%) and angle(29.7%), condyle(27.5%), ZMC(13.4%) were next in order of frequency. Of the 626 patients, 590 patients(89.5%) were treated with open reduction and only 36 patients(10.5%) were treated with closed reduction. In the blow, the ratio of angle fracture(50%) is especially high(the overall ratio 29.7%) and in the Out car TA, the ratio of ZMC fracture(34.6%) is especially high(the overall ratio 13.4%). In the Fall-down, the ratio of symphysis(58.4%) and condyle fracture(33.6%) is especially high(the overall ratio 51.1%, 27.5%). Postoperatives complication were found in 35(5.6%) of 626 patients, in which mouth opening limitation(3%) was the most common. Above results suggest that early diagnosis and treatment of fracture site, systemic condition and associated injuries are nessary, and cooperative treatment with medical department should be performed.
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