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심광섭(Kwang Sup Shim) 대한구강악안면외과학회 1994 대한구강악안면외과학회지 Vol.20 No.3
Verrucous carcinoma is a form of epidermoid carcinoma of the oral cavity, the typical ora lesion differs from the usual oral epidermoid carcinoma in that it is generally slow growing chiefly exophytic and superficially invasive at least until late in the course of the disease with low metastatic potentiality, mean occurrence age of 60 to 70 years with about 75 percent of the lesion developing in males. This article is a case report of verrucous carcinoma from left side mental portion to right mandibular posteriors, age 75 female with chief complaint of severe masticational inability due to large tumor mass in the oral cavity. For the treatment the author performed combination chemotherapy with cisplatin and 5-fluorouracil infusion of two cycles before surgical excision, and then the lesions showing partial response of tumor size were removed completely and one more cycle combination chemotherapy applied by same procedures after surgery. Postoperatively the results showed good prognosis without recurrence signs at present. But the prognosis heeds to investigate by periodic examinations.
하악골 절제후 Metal plate에 의한 즉시 재건술
심광섭(Kwang Sup Shim) 대한구강악안면외과학회 1988 대한구강악안면외과학회지 Vol.14 No.1
The ameloblastoma is a true neoplasm of enamel organ type which does not undergo differentiation to the point enamel organ. It usually occurs between the ages of 20 and 50 years. This tumor is the most aggressive of the odontogenic tumors of the jaws and occur about 80% in the mandible. The tumor is slow growing, the average duration before treatment being five to eight years. Clinically the lesion may appear normal or be enlarged with displacement and malocclusion of regional teeth, facial disfigurement according to growth of the tumor mass. Recurrences are common (about 33%), but this is probably due to incomplete removal of lesion. The author had operated a patient, 36-year-old female immediate reconstruction with metal plate and screw fixation after hemimandibulectomy with recurred ameloblastoma involving from posteriors to condyle head at right side mandible. By the prosthetic implant operation, I obtained favorable results of good function, short intermaxillary fixation periods and easy operation procedure than the other reconstruction methods but showed esthetically problem of slightly facial disfigurement by follow up check after 1 year.
임병섭,황경균,심광섭,Lim, Byung-Sup,Hwang, Kyung-Gyun,Shim, Kwang-Sup 대한치과마취과학회 2005 Journal of Dental Anesthesia and Pain Medicine Vol.5 No.2
Facial nerve paralysis following delayed complication after trauma was rare and hard to find reason After symptom of facial nerve paralysis was found, careful clinical and neuropathic investigation needed through electromyography and nerve conduction velocity. It is necessery to Hewing that functional degenaration of nerve conduction was irresible or not. It is important to determine if palsy is already present alter trauma or some later time because origin of viral infection or temperature change may possible.
Comparative genomic hybridization 기법을 이용한 인체 구강암의 유전자 변화에 대한 연구
이명렬(Myeong Reoyl Lee),심광섭(Kwang Sup Shim),이영수(Young Soo Lee),우순섭(Soon Seop Woo),공구(Gu Kong) 대한구강악안면외과학회 2000 대한구강악안면외과학회지 Vol.26 No.3
The development and progression of oral cancer is associated with an accumulation of multiple genetic alterations through the multistep processes. Comparative genomic hybridization(CGH), newly developed cytogenetic and molecular biologic technique, has been widely accepted as a useful method to allow the detection of genetic imbalance in solid tumors and the screening for chromosome sites frequently affected by gains or losses in DNA copy number. The authors examined 19 primary oral squamous cell carcinomas using CGH to identify altered chromosome regions that might contain novel oncogenes and tumor suppressor genes. Interrelationship between these genetic aberrations detected and major oncogenes and tumor suppressor genes previously recognized in carcinogenesis of oral cancers was studied. 1. Changes in DNA copy number were detected in 14 of 19 oral cancers (78.9%, mean: 5.58, range: 3~13). High level amplification was present in 4 cases at 9p23, 12p21.1~q13.1, 3q and 8q24~24.3. Fourteen cases(78.9%, mean: 3.00, range: 1~8) showed gains of DNA copy number and 12 cases(70.5%, mean: 2.58, range: 1~9) revealed losses of DNA copy number. 2. The most common gains were detected on 3q(52.6%), 5p(21.0%), 8q(21.0%), 9p(21.0%), and 11q(21.0%). The losses of DNA copy number were frequently occurred at 9p(36.8%), 17q(36.8%), 13q(26.3%), 4p(21.0%) and 9p(21.0%). 3. The minimal common regions of gains were repeatedly observed at 3q24~26.7, 3q27~29, 1q22~31, 5p12~13.3, 8q23~24, and 11q13.1-13.3. The minimal common regions of losses were detected at 9q11~21.3, 17p31, 13q22~34, and 14p16. 4. In comparison of CGH results with tumor stages, the lower stage group showed more frequent gain at 3q, 5q, 9p, and 14q, whereas gains at 1q(1q22~31) and 11q(11q13.1~13.3) were mainly detected in higher stage group. The loss at 13q22~34 was exclusively detected in higher stage. The results indicate that the most frequent genetic alterations in the development of oral cancers were gains at 3q24~26.3, 1q22~31, and 5p12~13.3 and losses at 9q11~21.3, 17p31, and 13q. It is suggested that genetic alterations manifested as gains at 3q24~26.3, 3q27~29, 5p12~13.3 and 5p are associated with the early progression of oral cancer. Gains at 1q22~31 and 11q13.1~13.3 and loss at 13q22-34 could be involved in the late progression of oral cancers.
빙정호,전재윤,박창주,황경균,심광섭,Bing, Jung-Ho,Chun, Jae-Yoon,Park, Chang-Joo,Hwang, Kyung-Gyun,Shim, Kwang-Sup 대한치과마취과학회 2006 Journal of Dental Anesthesia and Pain Medicine Vol.6 No.2
Recently, sedation in dentistry is gaining more and more interests of dental practitioners. Moreover. 'dental sedation', 'sleep dentistry', or 'pain-free dental treatment' become everyday words familiar to ordinary persons. Sedation clinic in Hanyang University Medical Center was open on Mar 2006 as specialty clinic at department of dentistry. Our aim is performing comfortable and safe dental treatments for patients who have problems for routine dental treatments because of extreme fear and anxiety or for patients who are supposed to have stressful and painful time-consuming treatment, such as sinus elevation and bone graft for implant placement. Our sedation was focused on conscious sedation, especially intravenous sedation using midazolam alone in technique. In two series, the sedation protocol at our Sedation Clinic will be described in details and then, analysis of our cases will be presented to help beginners for sedation in dentistry.
박영욱(Young Wook Park),심광섭(Kwang Sup Shim) 대한구강악안면외과학회 1996 대한구강악안면외과학회지 Vol.22 No.4
Lymphangioms are uncommon lesions of the lymphatic system which usually occur in the head and neck;involvement of the tognue is rare. The treatment of lymphangioma has a long history of attempted and failed modalities. The treatment of choice is surgery in lymphangioma, and other treatment modialities are less sensitive than in hemangioma. We present a clinical case of multiple lymphangioma in the cervicofacial region. We had performed repeated intralegional injection of OK-432 on lymphangioma and got a good result.
전재윤,빙정호,박창주,황경균,심광섭,Chun, Jae-Yoon,Bing, Jung-Ho,Park, Chang-Joo,Hwang, Kyung-Gyun,Shim, Kwang-Sup 대한치과마취과학회 2007 Journal of Dental Anesthesia and Pain Medicine Vol.7 No.1
2006년 3월부터 2007년 2월까지 한양대의료원 치과 진정요법클리닉은 모두 80명의 환자를 대상으로 총 92건의 치과치료를 위하여 미다졸람을 단독으로 사용하는 정주의식진정요법을 시행하였다. 이전 논문에서 이미 본원의 진정요법 프로토콜을 자세히 설명하였고 이번 논문에서는 지금까지의 진정요법 결과들을 후향적으로 분석하였다. 이러한 근거에 기반한 접근법으로, 이번 연구는 일반 치과의사들도 미다졸람을 이용한 정주의식진정요법을 안전하고 효과적으로 시행할 수 있도록 도움이 될 것이다. At Sedation Clinic of Department of Dentistry in Hanyang University Medical Center, total 92 dental treatments under intravenous conscious sedation using midazolam alone for 80 patients were carried out from March 2006 to February 2007. Following the previous article concerning our sedation protocol, the retrospective analyses of our cases were presented in detail. By the evidence-based approach, we hope that our study will help the general dental practitioners perform the intravenous conscious sedation using midazolam alone safely and effectively.
Cyclosporine에 의한 치은증식에서 성장인자들의 발현연구
김용재,황경균,오영,백승삼,심광섭,Kim, Young-Jae,Shim, Kwang-Sup,Hwang, Kyung-Gyun,Oh, Young,Paik, Seung-Sam 대한악안면성형재건외과학회 2005 Maxillofacial Plastic Reconstructive Surgery Vol.27 No.5
Cyclosporine A(CsA) is a powerful immunossuppresive agent used to prevent graft rejection of organ and treat autoimmune disease. One of the major side effects associated with CsA treatment is the development of gingival overgrowth. The purpose of this study was to evaluate the expression and association of the several growth factors in gingival overgrowth induced CsA using by immunohistochemical technique. Normal tissues as control were obtained from healthy normal gingivae and overgrowth gingival tissues as experiments were obtained from the patients taken the CsA. The expressions of the MMP-1, TIMP-1, TGF$\beta$-1, p21, p53, PCNA were evaluated by immunohistochemical technique. The more overgrowth was detected at the epithelial and connective tissue area in experimental group. The MMP-1, TGF$\beta$-1, p21, p53, PCNA expressions were significantly increased in experimental group. The TIMP-1 expressions was not significantly increased in experimental group. We could conclude that the gingival overgrowth induced CsA was related with the collagen matabolism in connective tissue and also the production of the growth factor from epithelial tissue.