Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

FACIAL ACTINOMYCOSIS FOLLOWING THE EXTRACTION OF LOWER THIRD MOLAR.

지치 발거 후 안면부에 발생한 방선균증의 치험례

  • Heo, Ji-Young (Dept of Oral & Maxillofacial Surgery, Medical College, In-Ha University.) ;
  • Kim, Il-Kyu (Dept of Oral & Maxillofacial Surgery, Medical College, In-Ha University.) ;
  • Oh, Sung-Seob (Dept of Oral & Maxillofacial Surgery, Medical College, In-Ha University.) ;
  • Choi, Jin-Ho (Dept of Oral & Maxillofacial Surgery, Medical College, In-Ha University.) ;
  • Oh, Nam-Sik (Dept of Oral & Maxillofacial Surgery, Medical College, In-Ha University.) ;
  • Cha, Sang-Kweon (Dept of Oral & Maxillofacial Surgery, Medical College, In-Ha University.)
  • 허지영 (인하대학교 의과대학 치과학교실) ;
  • 김일규 (인하대학교 의과대학 치과학교실) ;
  • 오성섭 (인하대학교 의과대학 치과학교실) ;
  • 최진호 (인하대학교 의과대학 치과학교실) ;
  • 오남식 (인하대학교 의과대학 치과학교실) ;
  • 차상권 (인하대학교 의과대학 치과학교실)
  • Published : 2001.02.28
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Abstract

Actinomycosis is chronic, granulomatous, suppurative and fibrosing disease caused by Actinomyces. Actinomyces are anaerobic, G(+), non-acid-fast, branched, filamentous bacteria. The most commonly found microorganism is Actinomyces israelii. Common site for isolation of actinomyces are dental plaque, dental caries, calculus, and tonsillar crypt. A breach in the integrity of the mucosa by direct trauma or following a fracture, tooth extraction, root canal therapy or some intraoral surgical procedure is thought to be the most likely portal of entry. This is a case report of 23 years old male with cervicofacial actinomycosis developed after extraction and treated with surgical excision and antibiotics.

저자 등은 하악 우측 제3대구치 발거 후 발치와를 통해 하악골에 이환되어 발생한 경안부 방선균증에서 병소부의 적출술과 소파술을 시행하고, 항생제 요법 및 개방창 유지등의 방법을 통해 양호한 경과를 보였기에 문헌고찰과 함께 보고하는 바이다.

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