抄録
Recent years, the number of patients with long-term hemodialysis are rapidly increasing. These patients may develop secondary hyperparathyroidism with oral symptoms and have many complications caused by abnormal change in bone, cardiovascular and immunological dysfunction, etc.
The problems of many complications and surgical procedure were discussed.
Case 1. A 25-year-old man with 8-year history of hemodialysis therapy was admitted to our hospital on Aug. 24. 1982 because of masticatory disturbance. He had remarkable bone change involving the whole skeleton, especially tumrous enlargement of the palatal bone. AL-P and PTH level were 91.2 K.A.U. and 73.7 ng/ml, respectively. The tumorous enlargement of the palatal bone was resected partially under general anesthesia.
Case 2. A 33-year-old woman with 11-year history of hemodialysis therapy as admitted to our hospital on Feb. 15. 1984 because of masticatory disturbance and aesthetic dissatisfaction. She had remarkable bone change involving the skeleton, especially tumorous enlargmement of the maxilla. AL-P and PTH level were 273. 4 K.A.U. and 20.2 ng/ml, respectively. The tumorous enlargment of the maxilla was resected partially under general anesthesia.
