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우측 상악골에 발생한 단골성 섬유성 이형성증 치험 1례

천명길1, 박신일1, 엄재욱1, 박춘근1
Myeong Gil Chun1, Sin II Park1, Jae Wook Eom1, Chun Keon Park1
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1인제대학교 의과대학 부산백병원 이비인후一두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Pusan Paik Hospital, Pusan, Korea

© Copyright 1996 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Fibrous dysplasia is a very uncommon benign neoplasm, and an idiopathic skeletal disorder in which medullary bone is replaced and disturbed by poorly organized, structually unsound fibroosseous tissue, which may produce cortical expansion.

Although fibrous dysplasia of extracranial skeleton is a relatively common bone lesion, the involvement of facial bones is much rarer and constitutes a problem in diagnosis and management since the facial bones are so essential to the proper function and cosmetic appearance of the patient.

Recently, the authors experienced a case of fibrous dysplasia which involved right maxilla in a 17 years old male as a slowly growing mass with facial asymmetry. The patient was cosmetically managed through midfacial degloving approach.

Keywords: Fibrous dysplasia; Maxilla; Cosmetic appearance


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

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