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RISS 인기검색어
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- 저자 : 전종후(Jong Who Chun) (검색결과 3 건)
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전종후(Jong Who Chun),류수장(Soo Jang Ryu),김종배(Jong Bae Kim) 대한구강악안면외과학회 1995 대한구강악안면외과학회지 Vol.21 No.1
Perphenzine(TriminⓇ), one of the phenothiazine derivatives, belongs to the neuroleptics. Because it has antiemetic effect in addition to antipsychotic effect, perphenazine has been used as the antiemetics. But it precipitate a surprising variety of motor disorders, presumably as a result of acute and chronic blockade of dopamine receptors in the basal ganglia and one of those is neuroleptic-induced acute dystonia. Acute dystonic reactions consist of sustained, often painful, muscular spasms producing twisting, squeezing, and pulling movements which occur within minutes or hours of neuroleptic exposure. The incience of this type of extrapyramidal side effect has been estimated to be 2~10%. This reactions occur more frequently in men than in women(2 : 1 ratio) and are also much more common in children and young adults than in the elderly. Common clinical presentations include opening or closing of the jaw, grimacing, tongue protrusions, torticollis, retrocollis, occulogyric crisis, opithotonic postition. This case report describe a neuroleptic(TriminⓇ)-induced acute dystonia happened to the sixteenyear-old male patient. We recommend that other surgeons should gain the information about the side effect of it before administration of the drug and keep attention to the choice of the neuroleptic agents as the antiemetics.
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구강내 치료시 연하나 흡입된 이물질의 처치에 관한 치험례
류수장,전종후 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.3
The practice of oral surgery or other dentistry possesses the danger of causing the loss of foreign bodies used within the oral cavity. If such foreign bodies would be lost, they could enter the viscera through the esophagus or tracheobroncheal tree. Ingestion is four times as frequent as aspiration and 80% to 90% of ingested foreign bodies will pass through the body spontaneously. Once the aspiration or ingestion of foreign bodies is happened, a dental procedure should be discontinued immediately. If symptoms of respiratory distress, including coughing, wheezing, or stridor, are present, a patent airway should be maintained, oxygen administered, and ventilation supported if necessary. The PA chest radiograph will identify the objects in the lung, esophagus, or stomach. Ingested gastrointestinal foreign bodies may be managed by observation, endoscopy, and or surgical intervention and aspirated tracheobroncheal foreign bodies may be managed by bronchoscopy, and or surgical intervention. This case report describes the management of ingested or aspirated foreign bodies happened to the three patients during intraoral treatment. we recommend that the preventive method of ingestion or aspiration of the dental foreign bodies should be performed prior to intraoraltreatment and the immedieate measures should be carried out after ingestion or asipiration of it.
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김종원,전종후,김신구,김태성,김종배 순천향대학교 1993 논문집 Vol.16 No.4
본 증례는 하악 정중부및 좌측 골체부에 거대한 무통성 종창을 주소로 순천향대학 천안병원 치과, 구강외과에 내원한 19세 남자환자로 임상증상, 방사선소견및 조직소견을 통해 아주 드물게 발생하는 치아종과 연관된 석회화 치성낭종(typeⅠb)이라는 진단하에 외과적 적출술을 시행한후 지금까지 별 특이 소견없이 양호한 결과를 얻었기에 보고하며 향후 재발 가능성에 대한 장기간 추적, 관찰이 요할것으로 사료된다. The calcifying odontogenic cyst(C.O.C) is a rare lesion having feature of both a cyst and solid neoplasm. It was identified as a pathological entity by Gorlin & his coworker in 1962. The C.O.C is histologically characterized by the presence of a lining epithelium exhibiting a striking resemblance to enamel epithelium and by the presence of masses of ghost cells often undergoing keratinization and calcification. There is no evidence sex predilection. The lesion may appear at any age but is more frequent during the second decade. It may be observed in any tooth-bearing area of the jaws. Variable amounts of calcified radiopaque material in the lesion is scattered throughout the radiolucency, ranging from tiny flecks to large masses. The lesion often occurs in association with a variety of odontogenic tumors. Among these, odontoma is most often found in relation to the C.O.C. This report presents a case of C.O.C associated odontoma in a 19 year-old-male, and discuss clinical radiographic, histological & therapeutic aspects.
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