Mucormycosis generally presents as an acute infection manifesting in rhinocerebral, pulmonary, gastrointestinal, cutaneous, or disseminated forms. Fungal invasion to the arteries can reduce blood supply by thrombi formation inside the blood vessels, leading to necrosis. Fungal infection usually initiates in the upper turbinate, paranasal sinus, or less commonly in the palate or pharynx. Here we report an unusual case of mucormycosis in the maxilla of a 75-year-old man and present a review of the literature.

Cherubism is a rare familial multilocular cystic disease of the jaws. Cherubism mostly has an autosomal dominant inheritance. This disease mainly occurs in children, has a tendency toward spontaneous remisson after puberty. Clinically, it shows bilateral bone enlargement of the jaws and multilocular cystic lesion on radiograph. Histologically, the lesion shows fibrovascular stroma and osteoblast like multinucleated giant cell. These features are similar to other bone disease such as central giant cell granuloma. So it needs differential diagnosis by clinical, radiological and histophathologic examinations. We report with review of literatures the fifteen years old male patient who had diagnosed as cherubism by clinicoradiological and histopathologic examination results.

Pleomorphic adenoma is the most common benign tumor of the salivary glands. About 90% of these tumors occur in the parotid gland and 10% of them occur in the minor salivary glands. The most common sites for pleomorphic adenoma of the minor salivary glands are the palate, followed by the lips and the cheeks. Pleomorphic adenoma of the palate presents clinically as a painless, slow-growing mass found on posterior lateral aspect. In this case report, we report a case of pleomorphic adenoma of the palate in a 36-year old male patient whose initial diagnosis was vascular mass such as hemangioma or lymphangiohemangioma by preoperative CT and MRI.

Subcutaneous emphysema is a rare but serious side effect of dental and oral surgery procedures. The condition is characterized by air being forced underneath the tissue, leading to swelling, crepitus on palpation, and with potential to spread along the fascial planes to the periorbital, mediastinal, pericardial, and/or thoracic spaces. A wide range of causes have been documented for the origin of subcutaneous emphysema during dental treatment including: crown preparations, other operative procedures, endodontic therapy, extractions, as well as oral surgery procedures. The patient was a 58-year-old woman who presented to the Seoul Saint mary’s hospital emergency department with a chief complaint of facial edema, dyspnea and chest discomfort after periodontal treatment using an air-flow equipment in local dental clinic. During treatment in the emergency department, oxygen therapy and intravenous injection of steroid and anti-histamine was done. it was noted that the patient had pain and swelling on left lower molar region, pus discharging on same site. Severe edema was observed on periorbital region to neck with heatness. An audible crepitus sound was heard during palpation on facial area. Neck CT scan and antibiotic therapy was done, as symptom suggesting dental abscess is observed. 3 hours after injection of antibiotics, the patient’s symptom was relieved, but she felt chest discomfort continuously. CT scan with constrast depicted confluent and extensive soft tissue emphysematous changes involving face and deep neck spaces and pneumomediastinum. The patient was refered to thoracic surgery department, oxygen therapy was decided continuously. After 10 hours, patient’s chief complaint was resolved, and discharged. After 1 week, all symptom was disappear and follow-up neck CT scan finding was disappearance of edema and pnuemomediastinum. We report a case of cervical subcutaneous emphysema and pneumomediastinum occurring after periodontal treatment using an air-flow equipment and case on the diagnosis and treatment of subcutaneous emphysema and pneumomediastinum, along with a review of the literature.

Fibromatoses are benign fibroblastic proliferation, which forms infiltrating tumor-like mass. Their histologic features cannot reflect the biologic behavior; local recurrence and aggressive infiltration to the adjacent tissue make fibromatoses intermediate tumor, between benign and malignant. Infantile fibromatosis consists of desmoid-type tumor and lipofibromatosis, and mainly affects children under age of 10. While desmoid-type tumor is characterized by elongated mature fibroblastic proliferation, the fibroblasts in lipofibromatosis look more primitive and accompany adipocytes. Here, we report a case of infantile fibromatosis of 4 month old boy involving the tongue.

Odontogenic cyst and odontogenic tumor shares developmental source. However, they have different histopathologic features, and they are classified respectively. Odontogenic cyst and tumor can share same physical region. It is called a hybrid lesion, a lesion showing the combined histopathological characteristics of two or more previously recognized odontogenic tumor and/or cysts of different categories. In this study, a hybrid lesion was researched. 61-year old man was referred to our department with a multilocular radiolucency in right mandibular angle. Incisional biopsy was carried out, and the patient was diagnosed with ameloblastoma. Odontogenic keratocyst was found with the tumor, and it was thought to be evolved via neoplastic transformation from lining epithelium of the keratocyst. After reviewing studies reporting hybrid lesions from odontogenic cyst and tumor, formation of a hybrid lesion was most frequent from a dentigerous cyst and an adenomatoid odontogenic tumor. A hybrid lesion commonly lead to misdiagnosis, and the prognosis is not always transparent. The close relationship between the odontogenic cyst and tumor has to be kept in mind in the diagnosis and treatment of the lesions in maxillofacial area.

A female wild raccoon dog was referred with a history of generalized seizure. Mild leukocytosis was noted on laboratory tests. Gross lesions included nasal hemorrhage, hemothorax, and hemorrhage in the urinary bladder with hematuria. Microscopically, interstitial and purulent bacterial pneumonia was observed in the lungs. In the cerebellum, characteristic eosinophilic intracytoplasmic and intranuclear inclusion bodies were found in Purkinje cells, and severe demyelination was observed in the cerebellar white matter. Canine distemper virus (CDV) infection was suspected and confirmed after detection of CDV nucleoprotein RNA in the cerebrum and the lungs by nested reverse transcription polymerase chain reaction (RT-PCR) and reverse transcription loop-mediated isothermal amplification (RT-LAMP). Based on the histopathological and molecular diagnostic findings, it was concluded that the raccoon dog was infected with CDV.

A colonic enterolith was necropsied in an 11-year-old pony with a 2-week history of mild, intermittent colic. The enterolith was in the distal portion of the large intestine. A 2.1-kg, greenish-gray, rugby ball-sized (19 cm × 15 cm × 12 cm) stone was extracted from the intestine. Analysis of the component elements revealed 100% magnesium ammonium phosphate (struvite). Enterolithiasis commonly affects Arabian horses, and most horses with enteroliths are ~10 years of age. Enterolithiasis is associated with recurrent colic. This is the first report of a colonic stone in a pony.

We present a case of cellular angiofibroma arising from right neck in a 46-year-old woman. Surgical excision was performed and the patient was disease free till now. Cellular angiofibroma usually arised in the inguinoscrotal of vulvovaginal regions. Only 3 cases of cellular angiofibroma involving maxillofacial region have been reported in the english written literature. Cellular angiofibromas are rare benign tumor characterized by bland spindle shaped cells arranged in a stroma with wispy collagen and numerous vessels. Immunohistochemical stains of the tumor cells showed the positivity for CD34, PR, EMA, but negativity for neurofilament, desmin and actin. The tumor should be differentiated from aggressive angiomyxoma and angiomyofibroblastoma, angiofibroma because of its clinical and histological similarity. We report a rare case of benign cellular angiofibroma involving right neck and study other published articles.

발프로산은 가장 보편적으로 사용되는 항간질제로서 약제 유발성 췌장염의 흔한가능한 원인으로 잘 알려져 있다. 그 러나 발프로산 유발성 췌장염의 유해사례로서발프로산 유 발성 췌장염의 국소 합병증으로서 췌장 가성낭종은 매우 드 물며 주로 소아청소년기에 호발한다고 알려져 있다. 또한 이로 인한 발프로산 유발성 췌장염에 병발된 출혈성 가성낭종 은 보고된 증례가 없을 정도로 드물다. 이에 본 저자들은 발 프로산을 복약한 후 발생한 급성 출혈성 췌장 가성낭종을 경 피적 배액술로 성공적으로 치료한 증례를 보고하고자 한다.

◉ 목적 : 감각방어가 있는 자폐 범주성 장애 청소년에게 감각식이 가정프로그램을 실시하여 감각조절과 사회적 능력에 미치는 영향을 알아보고자 하였다. ◉ 연구방법 : 연구대상자는 감각방어를 가진 만 15세의 자폐 범주성 장애 청소년 1명이다. 보호자 인터뷰와 평가를 통해 대상자에게 맞는 감각식이 가정프로그램을 구성하여, 보호자 교육을 통해 대상자의 가정에서 한 회당 30분씩 하루 3회의 감각식이 가정프로그램을 총 8주간 진행하였다. 본 연구는 개별 실험 연구방법(single subject experimental research design)인 ABA로 설계되었다. 대상자의 사회성을 저하시키는 주요 문제였던 귀막는 횟수와 시간은 총 14회(기초선 기간 3회기, 중재 기간 8회기, 재기초선 기간 3회기) 측정하였으며, 감각식이 가정프로그램 중재 전과 후에 청소년/성인 감각프로파일(Adolescent/Adult Sensory Profile: AASP)과 사회성숙도검사(Social Maturity Scale)를 실시하였다. ◉ 연구결과 : 감각식이 가정프로그램 중재 후, 귀막는 횟수와 시간이 의미있게 감소하였다. AASP 검사의 low registration은 정상범주에 속하게 되었으며, sensory seeking, sensory sensitivity, sensation avoiding영역의 점수가 각각 정상범주에 가깝게 변화하였고 사회성숙도 검사결과 사회연령과 사회지수가 향상되었다. ◉ 결론 : 감각식이 가정프로그램을 통해 자폐 범주성 장애 청소년의 감각방어가 완화되었으며 감각 및 감정의 조절이 향상됨을 확인할 수 있었다.

This article provides the case study report of Animal Assisted Therapy(AAT) in Hongcheon Elementary School. The program was conducted for once a week a total of 15 session form July to September and performed with 8 Students from the first grade to the fifth grade, 3 AAT therapists, 3 assistant therapists, 3 pet partners and 3 therapy dogs. The AAT program was titled as “Happy You & I with companion dogs” and performed for 3 school grade groups. The content of AAT program was designed to improve main psychological issues of students in 3 groups. 5 sessions of a total 15 sessions was conducted for a integrated group and other 10 sessions was for each group. STAIC, HTP and KFD were done as assessment scales for the first and the second grade students and Self-concept scale, CDI-C, STAIC, HTP, KFD and SCT was done for the fourth and the fifth grade students. As the results of pre-and post-test, We found the positive improvement in psychological symptoms of students.

Animal Assisted Education (AAE) is goal-directed interventions designed to promote improvement in cognitive functioning of the person(s) involved and in which a specially trained dog-handler team is an integral part of the educational process. AAE is directed and/or delivered by an educational professional with education, licensure, and specialized expertise and within the scope of education. AAE may be provided in a variety of settings, may be group or individual in nature and may be implemented for persons of any age. There are specific educational goals for each individual involved and the process is documented and evaluated. The purpose of this manuscript is to report a pilot study of animal assisted education in Seongdang Elementary School in Iksan City, Jeollabuk-do. We conducted the study of animal assisted education program with 16 elementary school students in Seongdang Elementary School in Iksan City, Jeonbuk. This program had a total of 12 sessions as one secession per a week for a period of 12 weeks, which took around two hours for a session. As the results, we found he positive improvement effects of anxiety, depression, ADHD and, conduct disorder by animal assisted education program. Also, animal assisted education program had a positive impact on the elevation of attention potency, activity and positivity of the subject students. In conclusion, animal assisted education program could be used effectively for the improvement of education efficiency and problem solving for the young students.

Nasolabial cyst is a rare benign lesion which is located in nasolabial fold and alar nose. In spite of the low occurrence of nasolabial cyst, it is important to recognize the differential diagnosis of odontogenic or non-odontogenic lesions that can occur in anterior maxilla or alar region. The diagnosis of the lesion can be made by clinical, radiographic and histopathological findings. In this paper we report a rare case of nasolabial cyst in a 56-year-old woman and discuss the clinical presentation, differential diagnosis, and treatment in the light of the literature.

Mucoepidermoid carcinoma, a malignant neoplasm of salivary gland, rarely arises within the jaws. Differential diagnosis should include an odontogenic cyst because the central mucoepidermoid carcinoma usually reveals either an unilocular or multilocular radiolucency with hyperostotic border. Long-term follow-up is needed due to late recurrence and clinical slow progress like other salivary gland tumors. We would like to report an unusual case of central mucoepidermoid carcinoma with a review of literature.

Dermoid and epidermoid cysts in the oral cavity are uncommon and account for less than 0.01% of all oral cysts. The large majority of cases arise in the floor of the mouth and there are rare in other sites. We would like to report an unusual case of epidermoid cyst at the buccal mucosa in a 66-year-old male with a review of literature.

Clear cell odontogenic carcinoma (CCOC) is a very rare malignant neoplasm of jaw, with a significant clear cell component. It is nearly three times as common in the mandible with distinct female predominance. Past, identified as locally invasive tumor, CCOC is now considered to be malignant neoplasm, showing distant and regional lymph node metastasis. CCOC is histopathologically characterized by large glycogen-rich clear cells, often intermixed with eosinophilic cells. When diagnosing CCOC, ruling out salivary gland tumors, such as mucoepidermoid carcinoma or clear cell adenocarcinoma is important because they have overlapping histologic features with CCOC. Here in, we report a case of CCOC involving the right maxillary sinus of a 72-year-old female.

Intravascular papillary endothelial hyperplasia (IPEH) is a rare benign vascular lesion that rarely occurs in the oral cavity. Its clinical features are similar to neoplasms, which are easily identified in the oral cavity, and it can be misdiagnosed as an angiosarcoma. Therefore, it is important to recognize the characteristics of the lesion in order to both diagnose and treat it properly. We report a case of IPEH in a young Korean female patient, as well as discuss its differential diagnosis and treatment using a review of the related literature.

Localized tenosynovial giant cell tumor (TGCT) usually occurs in the hand and foot regions. However, localized TGCT with extensive cartilaginous metaplasia is rare, especially in the tendon sheath of the toe. Here, we report a case of localized TGCT with cartilaginous metaplasia in a 57-year-old man. The tumor presented as a lobular mass measuring 2.2 cm in its greatest dimension and arose in the flexor digitorum tendon sheath of the right 2nd toe. Clinically, the mass was palpable 1 year ago and brought pain during walking. Microscopically, the mass was composed of focal conventional TGCT and cartilaginous components. The conventional TGCT areas consisted of mononuclear cells, multinucleated giant cells, and hemosiderin deposition. The chondroid areas were extensive and comprised more than 90% of the whole tumor. In this case, the mononuclear cells in the conventional TGCT areas showed focal immunohistochemical staining for podoplanin and S100 protein as well as diffuse staining for CD68, which is consistent with the staining pattern of conventional TGCT. The mononuclear cells in the chondroid areas were focal positive for podoplanin and diffuse positive for S100 protein. Chondroid metaplasia in diffuse TGCT has been reported in 10 cases involving the temporomandibular, elbow, and hip joints. However, there has been no report of a localized form of chondroid TGCT involving an extra-articular region.

본 연구는 한우 번식 기록이 잘 유지되고 있는 4개 농장의 2007년 1월부터 2010년 10월까지의 번식 자료 수집하여 분석하였다. 수태 당 평균 수정 횟수와 평균 공태일은 A농장 1.7 ± 0.1회와 77.4 ± 4.8일, B농장 1.5 ± 0.1회와 150.8 ± 11.2일, C농장 1.5 ± 0.1회와 90.4 ± 4.5일, D농장 1.4 ± 0.1회와 71.4 ± 2.5일이었다 호르몬으로 발정을 유도하는 D농장을 제외한 3개 농장 531두의 번식 기록으로 분만 후 첫 수정 시기에 따른 평균 수정 횟수와 평균 공태일을 분석한 결과, 총 5개의 수정시기에 따른 수정 횟수는 30일 이전 첫 수정이 2.1 ± 0.2회로 31일 이후 첫 수정보다 유의적으로 높았다. 번식 장애우 58두에 2가지 배란 동기화법을 사용하여 수태율을 확인해 본 결과, Ovsynsh 법은 55.2%의 수태율을, CIDR-based TAI 법은 65.5%의 수태율을 나타냈다. 농장의 번식률을 높이기 위해서는 정확한 번식 기록 작성, 발정 관찰, 수정 후 임신 감정, 번식 기관 검진, 번식률을 고려한 첫 수정 시기 수정 등이 필요하다.