ISSN : 0376-4672
Peritonsillar abscess, the most commonly occurring deep infection of the neck, involves formation of pus in the peritonsil lar space. Although abscess of the peritonsillar space and abscess of the parapharyngeal space occur in different anatomical spaces, the clinical symptoms are similar, making it difficult to distinguish between the two diseases. Delay of treatment can result in transfer of infection from one space to another. Improper treatment or delayed treatment of a peritonsillar abscess can lead to serious complications such as an abscess of the parapharyngeal space, necrotizing fasciitis, internal jugular vein thrombosis, and descending mediastinitis. These condi tions can be life-threatening due to airway obstruction or sepsis. Drainage, fluid therapy, and antibiotic therapy provide the basis for treatment of peritonsillar abscess. Airway manage ment is the most urgent priority. Airway obstruction can occur immediately during a deep infection of the neck space and is a common cause of death rather than sepsis. Immediate airway management is required in cases where there is evidence that airway obstruction is imminent. Transoral incision and drainage is the most commonly used method for drainage of peritonsillar abscesses. However, transoral incision and drainage may not be sufficient and use of a transcervical approach may be necessary. The author reports on a case of an abscess of the peritonsillar space misdiagnosed as an abscess of the parapharyngeal space and on issues that should be considered with regard to abscess of the peritonsillar space.
Although the predoctoral treatment center is crucial for the training of dentists, they often face the chronic issue of lim ited patient supply. To address this problem, various measures have been proposed. This study employs grounded theory to examine qualitative data and aims to activate the predoctoral treatment center by targeting patients who have undergone treatment by predoctoral students. Specifically, the study seeks to identify how patients who received treatment by predoc toral students initially sought treatment, their positive and negative experiences during treatment, and the factors that either hindered or facilitated the predoctoral treatment center. Based on these findings, the study provides implications for revital izing the predoctoral treatment center and suggests potential areas for future research.
Purpose: To investigate the characteristics of impacted teeth in Korean patients and the factors affecting the treatment success and period of upper impacted canines. Materials and Methods: Among the patients who visited Department of Orthodontics at Gil Hospital from 2010 to 2019, we evaluated 438 subjects who had sufficient medical records for evaluation of impacted tooth characteristics. Results: A total of 570 cases ware evaluated for this study (316 cases in male, 254 cases in female patients) and the total number of patients was 438, of which 240 were males and 198 were females. Most of them were between the ages of 11 and 15, and the number of cases in the age group reached 298. There were 406 cases in the maxilla and 164 cases in the mandible respectively. The impacted teeth were often located in the center of arch rather than buccal or lingual. Repositioned flap (RF) method was the most common surgical exposure technique. Orthodontic treatment was performed in 378 cases, and the success rate was 94.1% in the maxilla, and 93.6% in the mandible. In order to find out the factors affecting the treatment success and treatment duration of maxillary impacted canines, gender, age, axis angulation and tooth position were evalu ated. Age was the most significant factor in determining the treatment success, while ankylosis was the most common cause of the treatment failure. And age and axis angulation were factors influencing the treatment period. Conclusion: It is necessary to make various and continuous efforts to increase the treatment success rate and shorten the treatment period of impacted teeth.
