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악성 외이도염과 두개저 골수염에서 파생된 측두하악관절의 이차성 급성농양 환자에서 관절강 세척술을 통한 치험례: 증례보고
신은섭,곽현진,김소현,최유성,김복주,김철훈,김정한 대한치과의사협회 2022 대한치과의사협회지 Vol.61 No.1
Arthrocentesis and lavage is a conservative method to treat temporomandibular joint disorders by discharging substances that cause inflammation and pain in the temporomandibular joint and resolving temporomandibular joint adhesions. The temporomandibular joint is susceptible to malignant external otitis and skull-base osteomyelitis due to its anatomical proximity. This case is a treatment of performing arthrocentesis and lavage in a patient with secondary acute abscess formation in the temporomandibular joint derived from primary skull-base osteomyelitis caused by malignant external otitis.
턱관절의 골관절염으로 발생한 편측 구치부 개교증 환자에서 턱관절 세정술과 악간 견인 장치를 이용한 치료의 증례보고
최유성,곽현진,김소현,송인재,남윤주,김복주,김정한,김철훈 대한치과의사협회 2023 대한치과의사협회지 Vol.61 No.11
Osteoarthritis in the temporomandibular joint (TMJ) affects surrounding soft and hard tissues including cartilage, subchondral bone, and synovial membrane, causing TMJ remodeling and articular cartilage abrasion. When degenerative bone changes worsen in some patients with osteoarthritis, facial skeletal remodeling occur such as chin deviation, malocclusion. In patients with TMJ osteoarthritis, it is important to expand the joint space and decompress it. When pathological changes in the joint are observed, minimally invasive treatment such as intra-articular injection and arthrocentesis can be performed. An intermaxillary traction appliance can be applied for a short period of time to patients with TMJ osteoarthritis with occlusal changes. The purpose of this report is to review the case using arthrocentesis and intermaxillary traction appliance along with conservative treatment in a patient with unilateral posterior open bite caused by temporomandibular disorder(osteoarthritis), and to report the importance of appropriate diagnosis and treatment of temporomandibular disorder.
1998년 1월부터 9월사이에 발생한 Malaria 의 임상적 고찰
김용훈(Yong Hoon Kim),곽현진(Hyun Jin Kwak),정홍배(Hong Bae Jeong),안명수(Myoung Soo Ahn),남홍우(Hong Woo Nam),이홍순(Hong Soon Lee),유수웅(Soo Wong Yoo),정예경(Ye Kyeong Jeong),이성은(Seong Eun Lee) 대한내과학회 1999 대한내과학회지 Vol.56 No.4
Objective : Annually, the prevalence of indigenous and imported malarial infections is steadily increasing since 1993 in Korea. In order to understand the current characteristics of malarial infections and to prevent, the present research reviewed twenty-seven cases between January and September 1998. Method : In this study, all the twenty-seven (twenty- six patients) cases were obtained from admitted patients between January and September 1998. We had performed routine blood chemical studies, peripheral blood thin and thick smear, physical examination and abdominal sonography. Any patient with a previous history of a narcotic drug injection or had blood transfusion was excluded. Results : Twenty cases (74.1%) were indigenous and seven (25.9%) were imported malaria. Yeonchon-Gun (nine cases) was the most prevalent area in the indigenous cases; Cambodia (three cases) were the most one in the imported cases. Peripheral blood thin smear revealed Plasmodium vivax in all (100%) indigenous malaria, while four cases (57.1%) were P. vivax and one (14.3%) was P. falciparum and two (28.6%) were mixed infections with P. vivax and P. falciparum in the imported cases. In a 3-month period between July and September, peak prevalence (80.4%) was observed. The negative conversion of peripheral blood smear was achieved much earlier in the indigenous (3.9±1.4day) than in the imported (5.7±1.9day) after the treatment but, was not statistically signifcant. Conclusion : Plasmodium ovale was the only unique causative species in the indigenous malaria. Also Yeonchon-Gun and Cheolwon-Gun had been the most important endemic areas as previous reports. One relapse case had been occurred in the imported malaria. On the basis of our data, more efforts for control of malaria should be necessary for eradication and prevention of indigenous and imported malarial infections in Korea.
성인병 검진을 위해 내원한 60세 이상 노인에게서 연령증가에 따른 질환의 분포
김용훈(Yong Hoon Kim),곽현진(Hyun Jin Kwak),정홍배(Hong Bae Jeong),안명수(Myoung Soo Ahn),염주협(Ju Hyup Yum),조대경(Dae Kyoung Cho),남홍우(Hong Woo Nam),이홍순(Hong Soon Lee),유수웅(Soo Wong Yoo) 대한내과학회 1999 대한내과학회지 Vol.56 No.2
With increasing life expectance and improvement of the overall health of the elderly, the understanding of geriatric disease becomes an important aspect of medical services. In the elderly, the frequencies of hypertension, DM, & anemia are increased according to aging and renal function is decreased progressively. As screening test for cervical cancer Papanicolaou smear is recommended due to its cost-effective benefits in females. In age-adjusted elderly male and female study populations, authors investigated the alterations of the above diseases, hypercholesterolemia, liver disease, obesity, & proteinuria distributions. Methods : This study included 1,181 aged 40 years (600 males, 581 females) visitors between January 1, 1997 and December 31, 1997 in National Medical Center, Seoul, South Korea. Authors divided these populations into two large groups such as group A and B. Group A was composed of 40-59 years, group B 60 years and older. Group A and B were subdivided into 4 subgroups each other, such as A-1, A-2, A-3 and A-4, B-1, B-2, B-3 and B-4 by means of age-adjusted dividing scale. We used our inclusion criteria to define each disease. Results : Hypertension was the most common disease in males of group B, but obesity was in females. The age-adjusted frequencies of hypertension, anemia, obesity & proteinuria were increased according to aging in the elderly aged 60 years and older. Though hypercholesterolemia revealed non-specific distribution in each group, increased frequency was observed in females compared to males in group B. With increasing their age, abnormal findings of Papanicolaou smear were found in females of group B. Conclusions : As the frequencies of hypertension, anemia, obestiy, proteinuria & abnormal findings of Papanicolaou smear were increased in the elderly aged 60 years and older as increasing their age. Much more attentions and follow up plans for these disease should be needed in the elderly.
최창균(Chang Keun Choi),윤광식(Kwang Sik Yoon),이승복(Seung Bock Lee),정안철(An Chul Jeong),안병진(Byung Jun Ahn),문도호(Do Ho Moon),도승경(Sung Kyoung Doh),곽현진(Hyun Jun Kwak),김용훈(Yong Hoon Kim),이홍순(Hong Soon Lee),유수웅(Soo 대한내과학회 1998 대한내과학회지 Vol.55 No.1
Objective : Pattern with essential hypertension g ally shows the same circadian pattern as the normothensive person with a night-time reduction or DIP in blood pressure in sleep. The definition of Dipper and Non-dipper are assigned according to arbitrary criteria e.g. a night time average blood pressure which is at least 10% less than the average daytime blood pressure. Prospective evidence that the absence of an overnight dip is a strong adverse prognostic. indicator for target organ damage .Thus we investigate circardian rhythm of blood pressure, related target organ damage, its frequency & drug in hypertensive subjects. Method: 24hr ambulatory blood pressure monitoring, history taking, physical examination, fundoscopy, ECG, chest X ray, dipstick urinanlysis, serum creatinine level are performed in essential hypertensive subjects. Exclusion criteria are duration of hypertension over 5 years, DM, renovascular hypertension & heart failure. Results : Total 42 patients performed study.17 subjects classify dipper group,25 subjects classify non-dipper group. Between dipper 8c non-dipper group shows no significantly difference at stroke history, C/T ratio over 0.5 in chest X-ray, left ventrcular hypertrophy in ECG,ST-T change in ECG, proteinuria & serum creatinine level. Non-dipper group shows significantly difference to dipper group in frequency of hypertensive retinopathy and number of combined drug used subjects. Conclusion Number of hypertensive retinopathy is significantly frequency in non-dipper group. Hypertensive retinopathy is atherosclerotic complication, thus we predict other target organ damage, therefore non-dipper type circardian rhythm of blood pressure is adverse prognostic factor for target organ damage of hypertensive subjects.