안면부에 발생한 비특이성 염증 = NONSPECIFIC INFLAMMATION IN THE FACE

다국어 초록 (Multilingual Abstract)

Patient with complaints of swelling, pain in the maxillary region and discomfort visited Seoul National University Dental Hospital in August last year. Clinical examination and diagnostic imagings implied he was suffered from fungal hyphal infection but no causative fungus was found by the histopathologic and microbiologic investigation. Therefore he was diagnosed with nonspecific inflammation. But as yet, we do think this case is very similiar to some kinds of mucormycosis. So we presented this case for more thorough discussion.
Followings are founded in the examination.
1. Patient had suffered from Diabetes mellitus and complained of stuffness, headache, swelling in buccal checks and paresthesia. And we found more maxillary bony destruction and ulcer with elevated margin in the palate by clinical examination.
2. In the first visit, Plain films revealed general bony destruction of the maxilla, radiopaqueness in the sinonasal cavities. CT and MRI showed soft tissue mass filled in the paranasal sinus except frontal sinus and bony destruction in involved bones.
3. No causative bacteria and fungus was found in the biopsy and microbiologic cultures.
4. Caldwell-Luc operation and curettage were carried and antibiotics were taken for 4 months. But now he was worse than in the past.
5. In the second visit, involvement of orbit, parapharyngeal sinus, clivus, cavernous sinus and middle cranial fossa were seen clearly in the CT and MRI.

목차 (Table of Contents)

• Ⅰ. 서 론
• Ⅱ. 증 례
• Ⅲ. 고 찰
• Ⅳ. 결 론
• 참고문헌
• 영문초록