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      • KCI등재

        급속 진행된 상악의 NK/T-세포 악성 임파종

        김운규 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.5

        Natural Killer/T-cell(NK/TC) lymphoma is a rare disease of oral and maxillofacial region with an aggressive clinical course, showed unusual clinical manifestations. Prognosis is generally poor and the disease is invariably fatal after systemic dissemination. A case of nasal NK/TC non-Hodgkin's lymphoma in the left maxilla that showed unusual clinical manifestations and a fulminant course of disease, are described with literature reviews. A 81-year-old female patient presented with rapidly growing ulceration and general malaise after extraction of right upper second premolar NK/TC lymphoma was subsequently detected by biopsy. rapid and wide invasion from maxilla to mandible developed within 10 days and multiple metastasis to whole body was after a few weeks. Although the time relationship is not clear, local invasion and multiple metastasis could be dissemination from localized disease of NK/TC . As seen in my case, the course can be excessively aggressive and fulminant even though it first appeared as a localized ulceractive lesion. She is expired 2 months after biopsy. Positivity of immunohistochemical stain (CD56, LCA, UCHL-1, CD3), which is a specific characteristic of NK/TC, may serve as a factor showing a poor prognosis of a malignant lymphoma

      • KCI등재

        모기질 세포종

        김운규,김수관 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.6

        Pilomatricoma or calcifying epithelialioma of Malherbe is an uncommon, benign growth with origination from the epithelial hair matrix or a skin appendage manifestating as a firm, solitary or multiple lesion of face and upper extremity. It generally measures several mm to cm in diameter and typically found in young people. We report a 14-year-old male who developed solitary mass on the left buccal cheek. The size of tumor was 4.5 by 3.5cm. Microscopically, the histologic appearance showed demarcated tumor lobules with thin fibrous capsule composed of eosinophilic shadow cells, basaloid cells and partial calcified area. We described unusual case of giant pilomatricoma and the typical features, variants, histopathogenesis, differential diagnosis, and therapy are reivewed

      • KCI등재

        악교정수술 후 발생한 호르너 증후군

        김운규,김수관,Kim, Woon-Kyu,Kim, Su-Gwan 대한구강악안면외과학회 2001 대한구강악안면외과학회지 Vol.27 No.2

        Horner's syndrome as a complication of orthognathic surgery is given little attention of head and neck surgery and is a relatively benign and transient condition. A 18-year-old male referred to our department with long and anteriorly projected chin. The cephalometric evaluation revealed a skeletal Class III relationship. A 10-mm setback of the mandible to eliminate Class III relationship and 4-mm vertical reduction genioplasty were performed. Three weeks after operation, the patient was recognized anhidrosis in left face and the head, and ptosis of left eye. The trauma to cervical sympathetic nerve during left sagittal split ramus osteotomy was thought to be the cause of Horner's syndrome. Patient was treated by dermatologic and opthalmologic care. Follow-up examination 8 months later, he was recovery of horner's symptom.

      • KCI등재

        탈지방탈회우골분말과 Polymethyl Methacrylate(PMMA) Bone Cement 혼합제에 관한 연구

        김운규,김수관,조세인,고영무,윤정훈,안종모,Kim, Woon-Kyu,Kim, Su-Gwan,Cho, Se-In,Ko, Young-Moo,Yoon, Jung-Hoon,Ahn, Jong-Mo 대한구강악안면외과학회 2001 대한구강악안면외과학회지 Vol.27 No.6

        Polymethylmethacrylate(PMMA) is currently commonly used material for the reconstruction of bone defects and fixation of joint prosthetics following congenital and acquired causes. Although PMMA has widespread use, it does not possess the ideal mechanical characteristics with osteoconductivity and osteoinductivity required. In order to overcome these problem, addition of bovine bone drived defatting demineralized bone(BDB) powders to a PMMA bone cement was done for improvement of physical property and bone forming characteristics of composite. In order to investigate the influence of BDB reinforcement on the PMMA, we measured physical property of compressive, tensile, flexural strength, and scanning electron microscopic examinations. The results were obtained as follows: 1. The PMMA forms a solid cellular matrix with open cells about $100{\mu}m$ in variable size and incorporating BDB. BDB aggregates inside the cells form a porous network that is accessible from the outer surface. 2. The physical properties were compressive strength of mean $22.74{\pm}1.69MPa$, tensile strength of mean $22.74{\pm}1.69MPa$, flexural strength of mean $77.53{\pm}6.93MPa$. Scanning electron microscopic examinations were revealed that there was DBD particles form a highly porous agglomerates. BDB can be added PMMA in the form of dried powders, the composites are applicable as bone substitutes. BDB and PMMA mixture is shown to produce a class of composites that due to their microstructure and improved mechanical properties may be suitable for application as bone subsitutes. The mechanical and material properties of the BDB-PMMA bone substitute composites are competitive with those properties of a porous ceramic matrix of other hydroxyapatite and with those of natural bones.

      • KCI등재

        현대 한국화의 추상성과 인체 시리즈 작품에 관한 연구

        김운규 한국기초조형학회 2020 기초조형학연구 Vol.21 No.5

        The study aimed to determine the foundation of abstractness inherent in modern Korean paintings, as well as the characteristics of the oeuvre and works of Korean artists who have done the ‘human body series’ ink paintings that are receiving global attention. To this end, this study examined the expressions and concepts inherent in the paintings of the ‘human body’ on the Korean Peninsula, from prehistoric petroglyphs to modern Korean paintings, and after examining and analyzing all related works traded by major auction houses in Korea over the past five years, derived the formative characteristics and inherent abstractness of the works. Ink paintings were perceived as representing the subjectivity of Korean paintings in association with the construction of the independent nation-state following liberation from Japan. Literary paintings, which value the studies and ideas expressed by scholarly painters over technique, and genre paintings, which portrayed folksy lives with humor and warmth, have become the foundation for representative Korean paintings. Abstractness in Korean paintings is inherent in the concrete subjects, passing down hopes for unity with nature, survival and stability of the unknown world, etc. Moreover, the ‘human body’ in such paintings was symbolized as part of nature rather than being described realistically, and was also expressed as a medium conveying the aspirations of the times transcending time and space, and as a guardian to protect human dignity against injustice. The ‘human body series’ features the depth (light and shade) of the ink and diverse brush techniques. The oeuvres of Lee Ungno, Nam Kwan, and Suh Seok, who placed an emphasis on the ‘human body series,’ are related to Korea’s modern history of hardship, the experience of which was inherent to their works and served as factors conveying their abstract messages. Lee Ungno’s ‘En Masse’ implies the struggle for freedom from the division of ideology and an oppressive reality. Nam Kwan’s ‘People’ represents the brutal scars of war sublimated into hopes and delight. Meanwhile, Suh Seok’s ‘Human Series’ conveys the legitimacy of human existence and a message of harmony through the abstract representation of the human body. 본 연구는 현대 한국화에 내재된 추상성의 근간과 세계에서 주목받는 ‘인체 시리즈’ 수묵화 작가의 작품세계 형성 및 작품에 내재된 특성을 밝히는 데 있다. 이를 위하여 한반도의 선사 시대 암각화에서부터 현대 한국화에 이르기까지의 ‘인체’의 표현 방식과 그림에 내재된 개념을 살펴보았고, 지난 5년간한국의 주요 경매회사에서 거래된 관련 작품을 전부 조사하여 분석한 후, 작품의 조형적 특성과 내재된 추상성을 도출하였다. 수묵화는 해방 후, 독립 민족국가의 건설과 결부되어 한국화의 주체성을 대표하는 그림으로 인식되었고, 기교보다는 학문과 사상을 중시하는 문인화와 서민생활을 해학적이고정감 있게 담은 풍속화가 한국을 대표하는 회화의 근간이 되고 있다. 한국화에서의 추상성은 구상적대상 속에 내재되어 자연 현상과의 합일, 생존과 미지의 세계에 대한 안녕 등을 기원하는 의미로 계승되고 있었다. 그리고 그림 속에 등장하는 ‘인체’는 실제적 묘사보다는 자연의 일원으로 상징화되었고, 시간과 장소를 초월한 시대적 염원을 담는 매개체로서, 또한 불의에 저항하며 인간의 존엄성을 지키려는 수호자로서 표현되었다. ‘인체 시리즈’ 작품은 먹의 농담, 붓의 다양한 기법에서 기인된다. ‘인체 시리즈’ 작품을 비중 있게 다룬 이응노, 남관, 서세옥의 작품세계 한국 근현대 역사적 고난과 관련이 있고, 이 시기의 경험이 작품에 내재되어 추상적 메시지를 담는 요인으로 작용되었다. 이응노의 ‘군상’에는 분단된 이념과 억압된 현실에서 벗어나 자유의 항쟁이 암시되어 있고, 남관의 ‘사람들’에는 전쟁의참혹한 상흔이 승화되어 희망과 환희를 나타내고 있다. 서세옥의 ‘인간 시리즈’에는 추상적 인체 표현을 통해 인간 존재의 당위성과 화합의 메시지가 담겨 있다.

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