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GARRE¡¯S OSTEOMYELITIS IN CHILDREN

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Abstract

Garre °ñ¼ö¿°Àº Ç÷·ù ¼øȯ ¹× ¿µ¾ç °ø±ÞÀÇ Àå¾Ö·Î °ñÀÌ ±«»çµÇ°Å³ª, ¼¼±Õ °¨¿°ÀÌ Áõ°¡µÇ¸é ¹ß»ýÇÑ´Ù. Garre °ñ¼ö¿°Àº Ä¡¼ö³ª Ä¡ÁÖ °¨¿°¿¡¼­ ½ÃÀÛµÈ Ä¡¼º°è °¨¿°°ú ÀÌÀÇ ÁøÇà¿¡ µû¸¥ °ñ¸· ÇÏ ³ó¾çÀÌ ÁÖ¿ä ¿øÀÎÀÌ µÇ¸ç, ¿Ü»óÀ¸·Î ÀÎÇÑ ¾Ç°ñÀÇ º¹ÇÕ °ñÀý½Ã 2Â÷ °¨¿°, ±¹¼ÒÀûÀÎ Ä¡ÀºÀÇ ¿Ü»ó¿¡ ÀÇÇؼ­µµ ¹ß»ýÇÒ ¼ö ÀÖ´Ù. »ó¾Ç¿¡¼­º¸´Ù ÇϾǿ¡¼­ ¸¹ÀÌ ¹ß»ýµÇ¸ç È£¹ß ºÎÀ§´Â ÇÏ¾Ç Á¦1´ë±¸Ä¡ÀÌ´Ù. ÀÓ»óÁõ»óÀ¸·Î ÀÌȯ ºÎÀ§ÀÇ ÇϾǰñÀº ÆØâµÇ¾î ÀÖÀ¸³ª ±¸°­Á¡¸·Àº Á¤»óÀû »öÁ¶¸¦ °¡Áö¸ç ¾È¸é ºÒ±ÕÇüÀ» ³ªÅ¸³½´Ù. ¹æ»ç¼±»çÁø »ó ½ÉÇÑ ¿ì½ÄÁõÀ» °¡Áø Ä¡¾ÆÀÇ Ä¡±Ù´Ü º´¼Ò¸¦ °üÂûÇÒ ¼ö ÀÖÀ¸¸ç, ÀÚ±ØÀ» ¹Þ´Â °ñÁ¶Á÷ ºÎÀ§ÀÇ Ä¡¹Ð°ñ Áõ°¡·Î °ñ¼ö°­Àº Á¼¾ÆÁö°Å³ª Æó¼âµÇ¸ç ¿Ü¾çÀÌ ºÒ±ÔÄ¢ÇÏ°Ô ³ªÅ¸³­´Ù. Ä¡·á ¹æ¹ýÀ¸·Î´Â Ç×»ýÁ¦ÀÇ Åõ¿©, ¿øÀÎÄ¡ÀÇ ¹ßÄ¡ ¶Ç´Â ±Ù°üÄ¡·á, Àý°³ ¹× ¹è³ó¼ú µîÀÌ ¾Ë·ÁÁ® ÀÖ´Ù. º» Áõ·Ê´Â 15¼¼ ÀÌÇÏÀÇ ¼Ò¾ÆȯÀÚ¿¡¼­ ¾Ç°ñ °ñ¼ö¿°ÀÌ ¹ß»ýÇÑ °æ¿ì, Àå±âÀûÀÎ Ç×»ýÁ¦ Åõ¿©³ª Ç×»ýÁ¦ Åõ¿© ¹× ±Ù°ü Ä¡·á¸¦ º´¿ëÇÏ¿© ¼º°øÀûÀ¸·Î Ä¡·áµÈ Áõ·ÊÀÌ´Ù. ¼Ò¾Æ ȯÀÚÀÇ °æ¿ì ¼ºÀο¡ ºñÇÏ¿© Áõ»óÀÌ °æ¹ÌÇϹǷΠÁÖÀÇ ±íÀº º´·Â ûÃë¿Í ÀÓ»ó °Ë»ç¸¦ ÅëÇÑ Áø´ÜÀÌ ¿ä±¸µÇ¸ç, Áõ»óÀÌ »ç¶óÁø °æ¿ì¿¡µµ Àç¹ßÀ» ¹æÁöÇϱâ À§ÇÏ¿© Àå±â°£ÀÇ ÃßÀû °Ë»ç°¡ ¿ä±¸µÈ´Ù.

Garre¡¯s osteomyelitis is associated with bacterial infection and bone necrosis resulting from obstruction of blood supply. The most common cause for Garre¡¯s osteomyelitis is odontogenic infection that originates from periodontal tissue or dental pulp. Subperiosteal abscess may also cause Garre¡¯s osteomyelitis in the progress of the infection. Mandible is more often affected than maxilla, most commonly in the permanent first molar region of mandible. Clinically, it results in a hard swelling over the jaw, producing facial asymmetry. Meanwhile, radiograph shows a characteristic feature of irregular pulpal cavity, showing new periosteal proliferation located in successive layers to the condensed cortical bone on stimulated site. The treatment method for Garre¡¯s osteomyelitis are removal of the infection source, root canal treatment, antibiotic medication, and incision and drainage. This report presents a case of Garre¡¯s osteomyelitis under 15 years old. The patient was successfully treated by antibiotic medication accompanied with root canal treatment. Since the symptom of pediatric patients is less severe than adult, careful diagnosis with history taking and clinical examination is necessary. Furthermore long-term follow-up examination is needed to prevent recurrence even after the symptom disapears.

Å°¿öµå

Garre °ñ¼ö¿°; ÇÏ¾Ç Á¦1´ë±¸Ä¡; ¸ÍÃâ
Garre¡¯s osteomyelitis; Mandibular permanent first molar; Eruption

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